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Tuesday, 10 July 2018

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.,áhttp://orcid.org/0000-0002-5304-1653
Acknowledgments. The study had no sponsorship.
Conflict of interests. The author declares no conflict of interest.


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.


  1. 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).
  2. 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).
  3. 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).
  4. 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 ­. (In Russian).
  5. Gusev EI, Konovalov AN, Skvortsova VI, Geht AB. Nevrologiya: Natsional'noe rukovodstvo [Neurology: National Guidelines]. Moscow: GEOTAR-Media; 2014. 1040 p. (In Russian).
  6. 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).
  7. Demograficheskiy ezhegodnik Rossii [Demographic Yearbook of Russia]. Moscow: Rosstat: 2015. 265 p. (In Russian).
  8. 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).
  9. Epifanov V.A., Epifanov A.V. Reabilitatsiya bolĺnykh, perenesshikh insulĺt [Rehabilitation of patients after a stroke]. Moscow: MEDpress-inform 2013. 248 p. (In Russian).
  10. 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).
  11. 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).
  12. 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).
  13. 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).
  14. Kruglyy stol. Mozgovoy insulĺt [Round table. Cerebral stroke]. Zdravookhranenie 2012;(3):75-80. (In Russian).
  15. 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).
  16. 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).
  17. 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).
  18. 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).
  19. 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).
  20. 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 źSovershenstvovanie okazaniya meditsinskoy pomoshchi bol'nym s sosudistymi zabolevaniyami╗. 2011, Yaroslavl'. Yaroslavl'. 2011. P. 13-32. (In Russian).
  21. Suslina Z.A., Varyakin Yu.Ya. Kliniko-epidemiologicheskie issledovaniya ľperspektivnoe napravlenie izucheniya tserebrovaskulyarnoy patologii [Clinical and epidemiological researches are the perspective directions for studying cerebrovascular disorders]. Klinicheskaya nevrologiya 2009;3(3):4. (In Russian).
  22. 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. [╬rganization aspects of improving medical care for vascular brain diseases in a major city]. The Journal of scientific articles ôHealth and Education Millenniumö. 2016;18(1):213-216(In Russian).
  23. 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).
  24. 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.
  25. Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990ľ2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014;(383):245-55;
  26. 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):6ľ245;
  27. World health statistics 2016: monitoring health for the SDGs, sustainable development goals. World Health Organization. 2016. 136 ­.

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