DOI: 10.21045/2071-5021-2018-61-3-3
Gerasimova MA
Northern State Medical University, Arkhangelsk, Russia
Contacts: Gerasimova Marta, 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
Acknowledgments. The study had no sponsorship.
Conflict of interests. The author declares no conflict of interest.
Abstract
Significance. Diseases of the circulatory system top
the mortality structure in the majority countries of the world,
including Russia. Acute cerebrovascular diseases make the greatest
contribution to the adult mortality. Within this medical and social
problem, it is issues related to outcomes and organization of care
delivery that remain under-investigated rather than diagnosis and
treatment.
Development and implementation of measures aimed at reducing
mortality from diseases of the circularity system including acute
cerebrovascular diseases constitute an important component of the
national population policy. The purpose of the study was
to carry out a comprehensive analysis of social and demographic
characteristics of deaths from cerebrovascular diseases and their
sequelae (I60-I64, I69) in the Arkhangelsk region in 2011-2015 depending
on the place of death with regard to the structure of death causes.
Methods. The author conducted a documentary analysis of 7962
Medical certificates of death (Form 106/y-08) of all people died from
cerebrovascular diseases and sequelae (I60-I64, I69) in the Arkhangelsk
region from 01.01.2011 to 31.12.2015. The following data have been
copied out from the registration forms: sex, life expectancy, locality,
place of death, marital status, education, employment, primary cause of
death. The author used the following statistical analysis methods:
χ2-Pearson test and multinomial logistic regression analysis.
Results. In the Arkhangelsk region elderly and senile people
living in rural areas, not married, with a low education as well as
after an acute phase of the disease have higher relative chances of
dying from cerebrovascular diseases and their sequelae at home than in
the hospital (with regard to death causes structure).
On the other hand, able-bodied people have high relative chances of
dying at the place of accident (in the ambulance, in other place).
Conclusions. The study identified characteristics of the
potential reserve for reducing mortality from cerebrovascular diseases
and their sequelae in the Arkhangelsk Region. Scope of application. The study results can be used to plan programs on organizing care for acute cerebrovascular diseases.
Keywords: social and demographic status; mortality; stroke; sequelae of stroke; place of death; primary cause of death.
References
-
Bugrova S.G. Reabilitatsiya bol'nykh, perenesshikh insul't, v
usloviyakh gorodskoy polikliniki [Rehabilitation of stroke patients in
condition of urban policlinic]. Mezhdunarodnyy nevrologicheskiy zhurnal 201;(3):95-98.(In Russian).
- Vorlou Ch.P. Insul't. Prakticheskoe rukovodstvo dlya vedeniya
bol'nykh [Stroke. Practical manual for patient management]. [Transl.
from Eng.]. St-Petersburg: Politekhnika; 1998. 629 p. (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'skoy oblasti [The social and hygienic aspects of
disability and mortality in Archangelsk region]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2010;(2):6-9. (In Russian).
- Grigor'eva O.V. Kompleksnyy podhod k reabilitatsii dvigatel'nykh
rasstroystv v rannem vosstanovitel'nom periode ishemicheskogo insul'ta
[An integrated approach to the rehabilitation of motor disorders in the
early recovery period of ischemic stroke]. Cand.Med.Sci [thesis].
Kazan'. 2012. 23 ð. (In Russian).
- Gusev EI, Konovalov AN, Skvortsova VI, Geht AB. Nevrologiya:
Natsional'noe rukovodstvo [Neurology: National Guidelines]. Moscow:
GEOTAR-Media; 2014. 1040 p. (In Russian).
- Gusev E.I., Skvortsova V.I., Krylov V.V. Snizhenie smertnosti i
invalidnosti ot sosudistykh zabolevaniy mozga v Rossiyskoy Federatsii
[Reduction of mortality and disability from cerebral vascular diseases
in the Russian Federation]. Nevrologicheskiy vestnik 2007; XXXIX (1):128-133. (In Russian).
- Demograficheskiy ezhegodnik Rossii [Demographic Yearbook of Russia]. Moscow: Rosstat: 2015. 265 p. (In Russian).
- Doklad o sostoyanii zdorov'ya naseleniya i organizatsii
zdravookhraneniya v Arkhangel'skoy oblasti po itogam deyatel'nosti za
2016 god [Report on public health status and health care organizations
in Arkhangelsk region by the results of activity for 2016]. Arkhangelsk.
2016. P. 4-5. (In Russian).
- Epifanov V.A., Epifanov A.V. Reabilitatsiya bol’nykh, perenesshikh
insul’t [Rehabilitation of patients after a stroke]. Moscow:
MEDpress-inform 2013. 248 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).
- Ismagilov M.F., Habirov F.A., Abashev R.Z., Hisamutdinov I.F.,
Zabusova L.V., Vasilevskaya O.V., et al. Rezul'taty lecheniya bol'nykh s
mozgovym insul'tom v usloviyakh nevrologicheskogo otdeleniya i
statsionara s insul'tnym blokom [Therapeutic results of cerebral insult
patients in conditions of a neurology department and in a hospital with
an insult block]. Nevrologicheskiy vestnik 2006; XXXVIII (1-2):20-22. (In Russian).
- Itogi 2016 goda Ministerstva Zdravookhraneniya Rossiyskoy
Federatsii [Results of 2016 of the Ministry of Health of the Russian
Federation]. Moscow: 2016. 17 p. (In Russian).
- Skoromets A.A., editor. Mul'tidistsiplinarnyy podkhod v vedenii i
ranney reabilitatsii nevrologicheskikh bol'nykh [Multidisciplinary
approach in management and early rehabilitation of neurological
patients]. St-Petersburg. 2003. (In Russian).
- Kruglyy stol. Mozgovoy insul’t [Round table. Cerebral stroke]. Zdravookhranenie 2012;(3):75-80. (In Russian).
- Murav'ev K.A., Karpova E.N., Karpov S.M. Organizatsiya i voprosy
narusheniya etapnogo postupleniya bol'nykh s ostrym narusheniem
mozgovogo krovoobrashcheniya v g. Stavropole [Organization and violation
in staged admission of the patients with severe cerebral circulation
impairment in Stavropol]. Meditsinskiy vestnik severnogo Kavkaza 2014;9(4):372-374. (In Russian).
- Mukhametzyanov A.M., Pavlova M.Yu., Shebaev G.A., Kireeva E.F.
Organizatsiya meditsinskoy pomoshchi bol'nym s ostrymi narusheniyami
mozgovogo krovoobrashcheniya v respublike Bashkortostan [Medical care to
patients with acute ischemic stroke in the Republic of Bashkortostan]. Meditsinskiy vestnik Bashkortostana 201;8(1):18-22. (In Russian).
- Parkhomenko A.A. Organizatsiya meditsinskoy pomoshchi pri infarkte
golovnogo mozga: sovremennoe sostoyanie, osobennosti ambulatornogo etapa
(obzor) [Organization of medical care to patients with cerebral
infarction: current status and specifics of outpatient medical care
(review)]. Saratovskiy nauchno-meditsinskiy zhurnal 2015;11(2):100-106. (In Russian).
- Rodionova Yu.M. Organizatsiya ukhoda za bol'nymi mozgovym insul'tom
v vosstanovitel'nom periode vo vnebol'nichnykh usloviyakh [Organization
of care to cerebral stroke patients during the recovery period in the
outpatient conditions]. Cand.Med.Sci [thesis]. Moscow. 2012. 24 p. (In
Russian).
- Romanova M.V., Kotov S.V., Isakova E.V. Effektivnost' kompleksnoy
vestibulyarnoy reabilitatsii bol'nykh v rannem vosstanovitel'nom periode
insul'ta [The effectiveness of vestibular complex rehabilitation in
patients with early stroke during the recovery period]. Klinicheskaya gerontologiya 2012;18:(5-6):11-14. (In Russian).
- Skvortsova V.I. Stanovlenie sistemy okazaniya meditsinskoy
pomoshchi bol'nym s tserebral'nym insul'tom v RF [Formation of the
system of medical care for patients with cerebral stroke in the Russian
Federation]. Materialy Vserossiyskoy nauchno-prakticheskoy konferentsii
«Sovershenstvovanie okazaniya meditsinskoy pomoshchi bol'nym s
sosudistymi zabolevaniyami». 2011, Yaroslavl'. Yaroslavl'. 2011. P.
13-32. (In Russian).
- Suslina Z.A., Varyakin Yu.Ya. Kliniko-epidemiologicheskie
issledovaniya –perspektivnoe napravlenie izucheniya tserebrovaskulyarnoy
patologii [Clinical and epidemiological researches are the perspective
directions for studying cerebrovascular disorders]. Klinicheskaya nevrologiya 2009;3(3):4. (In Russian).
- Sharafutdinova N.Kh., Mukhametzyanov A.M., Izhbuldina G.I., Valiev
I.R., Kireeva E.F., Pavlova M.Yu. Organizatsionnye aspekty
sovershenstvovaniya meditsinskoy pomoshchi pri sosudistykh
zabolevaniyakh golovnogo mozga v krupnom gorode. [Îrganization aspects
of improving medical care for vascular brain diseases in a major city]. The Journal of scientific articles “Health and Education Millennium”. 2016;18(1):213-216(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 during the past decade in the city of Ufa]. Rossiyskiy meditsinskiy zhurnal 2014;(3):4-7 (In Russian).
- European Stroke Organisation (ESO) Executive Committee; ESO Writing
Committee. Guidelines for management of ischaemic stroke and transient
ischaemic attack 2008. Cerebrovascular Disease 2008;25(5):457-507.
- Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M,
Bennett DA, et al. Global and regional burden of stroke during
1990–2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014;(383):245-55;
- 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;
- World health statistics 2016: monitoring health for the SDGs,
sustainable development goals. World Health Organization. 2016. 136 ð.
Views: 8269
|