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Monday, 06 March 2017

DOI: 10.21045/2071-5021-2017-53-1-7

Gerasimova M.A.1, Sannikov A.L.1, Kuzin S.G.2, Volosevich A.I.1, Mordovsky E.A.1
Northern State Medical University, Arkhangelsk, Russia
Bureau of Forensic Medicine, Arkhangelsk, Russia

Contacts: Marta Gerasimova, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Gerasimova M.A., http://orcid.org/0000-0002-5304-1653
Sannikov A.L., http://orcid.org/0000-0003-0405-659X
Kuzin S.G., http://orcid.org/0000-0002-5349-824X
Volosevich A.I., http://orcid.org/0000-0003-4457-8763
Mordovskiy E.A., http://orcid.org/0000-0002-2346-9763
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Significance. Diseases of the circulatory system occupy a dominant position in the structure of death causes all over the world. Cerebrovascular diseases, including stroke make a significant impact to high mortality from diseases of the circulatory system. Issues related to peculiar characteristics of postmortem diagnostics of this pathology depending on the place of death remain under-investigated.

The purpose of the work is to study structure of death causes from stroke and sequelae of cerebrovascular disease (I60-I64, I69) outside healthcare facilities (at home, on the scene) in Arkhangelsk in 2011-2015.

Materials and methods. Continuous documentation observation of 683 Expertsĺ reposts, Acts of postmortem examinations (form 171/y-92) executed by the Bureau of forensic medicine of the Arkhangelsk region and corresponding Medical death certificates (form 106/y-08) of all people died from stroke and sequelae of cerebrovascular disease (ICD 10: I60-I64, I69) outside healthcare facilities in 2011-2015 in Arkhangelsk. The following information was extracted from the reporting forms: gender, life duration, full forensic medical diagnosis, and initial and immediate causes of death.

Results. Over the period under study (2011-2015) a significant decline in the number of deaths from stroke and sequelae of cerebrovascular disease outside healthcare facilities (25.0%, including 53.3% from cerebral infarction) was registered. Sequelae of cerebrovascular disease (58.4%) (I69) were the most common underlying cause of death. Hemorrhagic stroke was both the initial and the immediate cause of death in 82.4% of cases; cerebral infarction ľ in 56.0%. Among those died from sequelae of cerebrovascular disease the leading direct cause of death was pneumonia (79.9%).

Conclusions. The study results indicate the need for developing and putting into practice additional activities aimed at improving organization of care delivery to stroke survivors during rehabilitation period.

Keywords: stroke; hemorrhagic stroke; cerebral infarction; sequelae of cerebrovascular disease; immediate cause of death.


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