DOI: 10.21045/2071-5021-2016-51-5-2

Sabgayda T.P., Zubko A.V.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow

Contacts: Tamara P. Sabgayda, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract

Significance. Deployment of the Russian network of regional vascular centers significantly decreased mortality of patients with cardiac vascular pathology requiring a surgical treatment. However, information on mortality from surgical vascular diseases is missing.

Purpose: to analyze mortality from surgical vascular diseases based on database with impersonalized information about the deceased.

Methods. We used data of official statistics about mortality of the Russian population in 1999-2014 and impersonalized data of death register for 2010-2014. We calculated contribution of surgical vascular diseases to mortality from diseases which are documented in statistical forms (atherosclerosis; other diseases of arteries, arterioles and capillaries; diseases of veins, lymphatic vessels and lymph nodes). For 2014, we analyzed structure of mortality from vascular surgical diseases as well as age and regional distribution of the mortality.

Results. The share of vascular deaths among all circulatory system deaths accounted for 3.6% in males and 4.0% in females in 2014. In the structure of vascular mortality, surgical diseases account for 75.2% of male and 62.7% of female mortality (22,700 in 2014). Among them the largest share includes aortic aneurysm and dissection in males (42.9%) and atherosclerosis of extremities in females (28.6%).

The share of surgical vascular diseases in the structure of mortality from atherosclerosis has been steadily growing against the background of significant reduction in deaths from atherosclerosis. Increased mortality from diseases of arteries, arterioles and capillaries, as well as from diseases of the veins and lymphatic vessels has been registered along with increasing share of surgical diseases in its structure.

Conclusions. Lack of statistical data on mortality from surgical vascular diseases prevents from making an objective judgment about completeness of measures aimed at reducing deaths from the circulatory system diseases. Surgical care currently provided by vascular centers does not meet needs of patients with surgical vascular diseases. High mortality from abdominal aortic aneurysms and the mere existence of cases of mortality from occlusive diseases of lower limb arteries indicates an unacceptably low detection of these diseases at primary health care facilities

Keywords: mortality from abdominal aortic aneurysm; mortality from occlusive diseases of lower limb arteries; detection of surgical vascular diseases; vascular mortality structure; completeness of measures aimed at reducing cardiovascular deaths.

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