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.

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