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Main arrow Archive of previous Issues arrow ╣5 2015 (45) arrow ADMISSION RATE, SPECIFICS OF CEREBROVASCULAR MORTALITY IN MEGAPOLIS WORKING POPULATION, AND DEVELOPMENT OF ORGANIZATIONAL MEASURES TO DECREASE THE ASSOCIATED MORTALITY
ADMISSION RATE, SPECIFICS OF CEREBROVASCULAR MORTALITY IN MEGAPOLIS WORKING POPULATION, AND DEVELOPMENT OF ORGANIZATIONAL MEASURES TO DECREASE THE ASSOCIATED MORTALITY Print
Tuesday, 20 October 2015

Alekseev M.A.
City Clinical Hospital named after A.K. Eramishantsev, Moscow Healthcare Department, Moscow

Contacts: Mikhail A. Alekseev, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract

Significance. Health protection has always been the core of the state social policy. Nowadays, societal development is characterized by a growing influence of the scientific and technical development, including public health and health care. In this context the role of comprehensive social and hygienic, environmental and hygienic, sociological, clinical and statistical and medical and demographic health studies is ever increasing.

The purpose of the study is to analyze admission rate associated with cerabrovascular disorders in the megapolis working population, identify peculiar features of the associated mortality and suggest measures to decrease it.

Results. In the 2000s, the mortality structure in Moscow was determined by diseases of the circulatory system, malignant neoplasms, accidents, poisoning and trauma as well as diseases of the respiratory system. Their cumulative impact added up to over 90% of all deaths.

Diseases of the circulatory system top the death structure. In the city under study this death cause accounted for over one half of all deaths being mainly registered in females rather than males. As to the working population, the share of deaths from cerebrovascular disorders is relatively high accounting for about 18%.

Analysis of deaths from cerebrovascular disorders by sex and age showed a reliably higher share of males compared to females (đ<0,01). In 2014, male mortality from cerebrovascular disorders added up to 79.1% and female mortality equaled to 20.9%.

Conclusions. To improve timely delivery of care to patients with cerebrovascular disorders it is suggested to introduce a step-wise care delivery as follows:

  1. Proper emergency care on the spot
  2. Admission to a relevant facility with proper triage of patients according to the condition severity.
  3. Appropriate care for stroke-associated conditions.
  4. Proper nursing.
  5. Proper level and quality of rehabilitation.

Quality and volumes of first aid significantly affect positive outcomes of cerebrovascular disorders. In this respect, one of the major factors is time span between the onset of the brain disorder and first aid initiation.

Keywords: vascular disorders; megapolis; working age; morbidity; mortality.

References

  1. Alekseeva G.S., Trifonova N.Yu. Mediko-sotsial'nye aspekty dogospital'nogo etapa lecheniya u bol'nykh ishemicheskim insul'tom [Health and social aspects of pre-hospital treatment of patients with ischemic stroke]. Klinicheskiy opyt dvadtsatki 2012;(4 ):24-28. (In Russian)
  2. Alekseeva G.S. Puti sovershenstvovaniya reabilitatsionnykh meropriyatiy sredi bol'nykh, perenesshikh insul't [Ways to improve rehabilitation measures in patients who have suffered strokes]. Klinicheskiy opyt dvadtsatki 2013;(1):44-47. (In Russian)
  3. Komarov Yu.M. Ekonomika kak vneshnyaya sreda zdravookhraneniya: otsenka meditsinskogo personala [Economics as an external environment of healthcare: assessment of medical personnel]. Ekonomika zdravookhraneniya 2003;(5):37-40. (In Russian)
  4. Skvortsova V.I., Alekseeva G.S., Trifonova N.Yu. Analiz mediko-organizatsionnykh meropriyatiy po profilaktike insul'tov i reabilitatsii postinsul'tnykh sostoyaniy na sovremennom etape [Analysis of health and organization measures for stroke prevention and rehabilitation of post-stroke conditions at the present stage]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2013 [cited 2015 Apr 10]; 29(1). Available from: http://vestnik.mednet.ru/content/view/453/30/lang,ru/. (In Russian)
  5. Skvortsova V.I., Alekseeva G.S. Mediko-organizatsionnye printsipy razlichnykh metodov reabilitatsii bol'nykh posle insul'ta [Health and organization principles of various rehabilitation methods for post-stroke patients]. Moscow: ID źSam-poligrafist╗; 2013. 135 p. (In Russian)
  6. Skvortsova V.I., Trifonova N.Yu., Alekseeva G.S. Obosnovannost' vnedreniya innovatsiy v sovremennykh usloviyakh restrukturizatsii gorodskoy klinicheskoy bol'nitsy [The validity of implementing innovations in current conditions of municipal clinical hospital restructuring]. Moscow: ID źSam-poligrafist╗╗; 2013. 100 p. (In Russian)
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  8. Trifonova N.Yu., Alekseeva G.S., Kasapov K.I. Povyshenie kachestva meditsinskoy pomoshchi v ramkakh Tselevykh programm v oblasti zdravookhraneniya [Improvement of the medical care quality within the frames of Target programs in health care]. Klinicheskiy opyt dvadtsatki 2013;(1):44-47. (In Russian)
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