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
1Northern State Medical University, Arkhangelsk, Russia
2Bureau 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 Experts’ 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 – 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.
References:
- Aprelev E.V., Aprelev V.E. Tserebrovaskulyarnye bolezni kak
prichina zabolevaemosti i smertnosti naseleniya (na primere Orenburgskoi
oblasti) [Cerebrovascular diseases as a cause of population morbidity
and mortality (by an example of Orenburg region)]. Byulleten' natsional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya imeni N.A. Semashko 2015; (1):12-14. (In Russian).
- Vyaz'min A.M., Bichkaev Ya.I., Sannikov A.L., Varakina Zh.L.,
Lukashov A.G. Sotsial'no-gigienicheskie aspekty invalidnosti i
smertnosti v Arkhangel'skoi oblasti [The social hygienic aspects of
disability and mortality in Archangelsk region]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2010; (2):6-9. (In Russian).
- Demograficheskiy ezhegodnik Rossii [Demographic Yearbook of Russia]. Moscow: Rosstat; 2015, 265 p. (In Russian).
- Denisova E.V. Aktual'nye voprosy epidemiologii sosudistykh
zabolevaniy golovnogo mozga v mire [Urgent issues of the epidemiology of
cerebrovascular diseases in the world]. Vestnik obshchestvennogo zdorov'ya i zdravookhraneniya Dal'nego Vostoka Rossii 2011;(3):8-15. (In Russian).
- Doklad o sostoyanii zdorov'ya naseleniya i organizatsii
zdravookhraneniya v Arkhangel'skoy oblasti po itogam deyatel'nosti za
2014 god [Report on public health and health care organizations in
Arkhangelsk region according to the results of activity for 2014].
Arkhangelsk. 2014. 72 p. (In Russian).
- Efimova O.S., Slobodenyuk A.V., Belkin A.A., Pinchuk E.A.
Epidemiologiya insul'tov: vedushchie faktory riska i napravleniya
profilaktiki [Epidemiology of stroke: Leading risk factors and
prevention directions]. Gigiena i epidemiologiya 2008;(8):43-46. (In Russian).
- Ivanova A.E., Sabgaida T.P., Semenova V.G., Zemlyanova E.V.,
Tsybikova E.B., Sekrieru E.M., et all. Razrabotka algoritmov
korrektirovki struktury prichin smerti po rezul'tatam primeneniya i
verifikatsii komp'yuternykh tekhnologiy, razrabotannykh VOZ i
rekomendovannykh dlya otsenki polnoty ucheta sluchaev smerti i
dostovernosti kodirovaniya prichin smerti (ANACOD) [Development of
algorithms to correct the structure of mortality causes according to the
results of application and verification of computer technologies
developed by WHO and recommended for assessing completeness of mortality
registration and reliability of coding causes of death(ANACOD)].
[Online] 2012. 393 p. [cited 2016 Nov 06]. Available from:
http://mednet.ru/images/stories/files/otchet2014.pdf. (In Russian).
- Kruglyy stol. Mozgovoy insul’t [The round table. Cerebral stroke]. Zdravookhranenie 2012; (3):75-80. (In Russian).
- Kulesh S.D., Filina N.A., Kostinevich T.M., Kletskova L.A.,
Savchenko M.E. Dolgosrochnye iskhody mozgovogo insul'ta v krupnoy
gorodskoy populyatsii [Long-term outcomes of stroke in a large urban
population]. Vestnik Vitebskogo gosudarstvennogo meduniversiteta 2011;10(3):93-10. (In Russian).
- Stakhovskaya L.V., Klochikhina O.A. Dinamika pokazatelya smertnosti
ot insul'ta v Rossii (po itogam provedeniya
territorial'no-populyatsionnogo registra 2009-2013 gody) [Trends in
mortality from stroke in Russia (according to the results of the
territorial and population registry 2009-2013)]. Kardiovaskulyarnaya terapiya i profilaktika 2015; (14):8. (In Russian).
- Sharafutdinova N.Kh., Mukhametzyanov A.M., Pavlova M.Yu. Dinamika
smertnosti ot ostrogo narusheniya mozgovogo krovoobrashcheniya za
poslednee desyatiletie v g. Ufe [Trends in mortality from
cerebrovascular accidents over the past decade in the city of Ufa]. Rossiyskiy meditsinskiy zhurnal 2014; (3):4-7. (In Russian).
- Yarosh A.S., Pirogova L.A., Filina N.A. Sovremennoe sostoyanie
problemy ostrykh narusheniy mozgovogo krovoobrashcheniya [Current status
of acute cerebrovascular accidents]. Zhurnal Grodnenskogo gosudarstvennogo meditsinskogo universiteta 2014;(3):17-20. (In Russian).
- Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB,
et al, Heart disease and stroke statistics - 2013 update: a report from
the American Heart Association. Circulation 2013;127(1):6–245;
- Thrift AG, Cadilhac DA, Thayabaranathan T, Howard G, Howard VJ, Rothwell PM, et al, Global stroke statistics. International journal of stroke: official journal of the International Stroke Society 2014;9(1):6-18.
Views: 11397
|