DOI: 10.21045/2071-5021-2018-62-4-5

Zubko A.V., Sabgayda T.P., Zaporozhchenko V.G.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow

Contact information: Sabgayda T.P., e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Zubko A.V., http://orcid.org/0000-0001-8958-1400
Sabgayda T.P., http://orcid.org/0000-0002-5670-6315
Zaporozhchenko V.G. http://orcid.org/0000-0002-6167-7379
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interests.

Abstract

Significance. Decrease in mortality from leading diseases of the circulatory system automatically increases importance of mortality prevention from less common diseases, vascular surgical diseases in particular. Effectiveness of their surgical treatment is determined by timeliness of detection; social profile of relevant patients will contribute to early detection of vascular surgical diseases.

Purpose: compile a social profile of patients with vascular surgical diseases

Methods. The authors have analyzed results of a questionnaire survey of 366 patients with vascular diseases who underwent surgical treatment during 2016 in four departments of vascular surgery of medical organizations in Moscow and the Moscow Region. The authors have grouped patients by their diagnosis and compared the groups by history of tobacco smoking and level of alcohol consumption, working conditions and family history.

Results. Tobacco smoking, alcohol consumption, high physical and psychological activity increase incidence of occlusive diseases of lower limb arteries, while genetic predisposition increases incidence of varicose veins of the lower extremities. Increased physical activity is associated with a protective effect in patients with varicose veins of the lower limbs. Also, protective effect of increased physical activity was observed for occlusive arterial diseases of the upper extremities, but occurence of aneurysm of abdominal aorta and occlusive arterial diseases of the lower extremities is higher in thr presence of hereditary history of such diseases.

Conclusions. There is no general social profile of patients with vascular surgical diseases. Adherence to a healthy lifestyle with regular physical activity significantly reduces the risk of vascular surgical diseases. Occupational hazards are likely to influence development of varicose veins of lower extremities, aneurysms of abdominal aorta, embolism and thrombosis of extremities arteries.

Keywords: risk factors of occlusive diseases of lower limb arteries; detection of surgical vascular diseases; patients of hospital vascular departments

References

1. Balanova Yu.A., Kontsevaya A.V., Shal'nova S.A., Deev A.D., Artamonova G.V., Gatagonova T.M., et al. Rasprostranennost' povedencheskikh faktorov riska serdechno-sosudistykh zabolevaniy v rossiyskoy populyatsii po rezul'tatam issledovaniya ESSE-RF [Prevalence of behavior risk factors for cardiovascular diseases in the Russian population according to the results of ESSE-RF study]. Profilakticheskaya meditsina 2014;17(5): 42-52 (In Russian).
2. Bogachevskaya S.A., Bogachevskiy A.N., Bondar' V.Yu. Trekhletniy vklad funktsionirovaniya federal'nykh tsentrov serdechno-sosudistoy khirurgii v razvitie vysokotekhnologichnoy meditsinskoy pomoshchi patsientam s serdechno-sosudistymi zabolevaniyami v Rossii [Three-year contribution of the federal centers of cardiovascular surgery in developing high-tech medical care for patients with cardiovascular diseases in Russia]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2016 [cited 2018 Jun 02]; 47 (1). Available from: http://vestnik.mednet.ru/content/view/729/30/lang,ru/ DOI: 10.21045/2071-5021-2016-47-1-2. (In Russian).
3. Boytsov S.A., Oganov R.G. Ot profilakticheskoy kardiologii k profilaktike neinfektsionnykh zabolevaniy v Rossii [From preventive cardiology to prevention of non-communicable diseases in Russia]. Rossiyskiy kardiologicheskiy zhurnal 2013; 102(4): 6-13 (In Russian).
4. Gaydarova Kh.M., Serdyukov A.G., Demidov A.A. Sotsial'nyy portret bol'nykh serdechno-sosudistymi zabolevaniyami (po materialam infarktnogo otdeleniya respublikanskoy bol'nitsy (2 TsSEMP) Ministerstva zdravookhraneniya respubliki Dagestan) [The social portrait of patients with cardiovascular diseases (according the material of the infarction department of the republican hospital of the Health Ministry of Republic of Dagestan]. Sovremennye problemy nauki i obrazovaniya [serial online] 2014 [cited 2018 Jul 24]; (6). Available from: http://www.science-education.ru/ru/article/view?id=16921 . (In Russian).
5. Dem'yanov A.V., Borshchuk E.L. Sotsial'nyy portret patsientov s faktorami riska insul'tov meditsinskikh organizatsiy Orenburgskoy oblasti [The social portrait of patients with stroke risk factors according to the data of health facilities in Orenburg region]. Fundamental'nye issledovaniya 2014;(7-1): 47-51(In Russian).
6. Dzhalilova D.A., Gaydukova N.I., Poteshkina N.G., Khamitov F.F. Ateroskleroticheskaya anevrizma bryushnoy aorty: kardial'nye oslozhneniya i ikh profilaktika v posleoperatsionnom periode [Atherosclerotic aneurism of the abdominal aorta: cardiac complications and their prevention in post-operative period]. Lechebnoe delo 2011; (2): 4-9
7. Ivanova A.E., Golovenkin S.E., Mikhaylov A.Yu. Otsenka rezul'tativnosti mer politiki po snizheniyu smertnosti ot serdechno-sosudistykh zabolevaniy [Assessment of the results of policy measures to reduce mortality from cardiovascular diseases]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2014 [cited 2018 Jul 21]; 37(3). Availble from: http://vestnik.mednet.ru/content/view/563/30/lang,ru/. (In Russian).
8. Kasimovskaya N.A., Ivanova O.V., Chudinova L.N., Gladkov S.V. Regional'nyĭ opyt organizatsii otbora i napravleniya patsientov v FTsSSKh [Regional experience in organization of patients’ selection and reference to the Federal center of cardiovascular surgery]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2016; 24(1): 15–18. (In Russian).
9. Konstantinov B.A., Belov Yu.V., Kuznechevskiy F.V. Anevrizmy voskhodyashchego otdela i dugi aorty [Aneurisms of the ascending part and aortic arch]. Moscow: 2006; AST. 335 p. (In Russian).
10. Koshkin V.M., Kuznetsov M.R., Kalashov P.B. Lechenie bol'nykh khronicheskimi obliteriruyushchimi zabolevaniyami arteriy nizhnikh konechnostey v usloviyakh ambulatornoy praktiki [Treatment of patients with chronic obliteration diseases of lower limb arteries in outpatient practice]. In: Savel'ev V.S., editor. Usovershenstvovannye meditsinskie tekhnologii [Advanced medical technologies]. Ìoscow. 2005. 26 p. (In Russian).
11. Martsevich S.Yu., Ginzburg M.L., Kutishenko N.P., Deev A.D., Fokina A.V., Daniel's E.V. Issledovanie LIS (Lyuberetskoe issledovanie smertnosti bol'nykh, perenesshikh ostryy infarkt miokarda): portret zabolevshego [Research LIS (Lyubertsy study of mortality in patients with acute myocardial infarction): portrait of a patient]. Kardiovaskulyarnaya terapiya i profilaktika 2011; 10(6): 89-93. (In Russian).
12. Ob utverzhdenii poryadka provedeniya dispanserizatsii opredelennykh grupp vzroslogo naseleniya [On approving the procedure of health examination of the certain groups of the adult population]. Prikaz ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 26 oktyabrya 2017, ¹ 869n. [Online] [cited 2018 May 30]. Available from: http://www.garant.ru/products/ipo/prime/doc/71730314/ . (In Russian).
13. Obolenskiy V.N., Yanshin D.V., Isaev G.A., Plotnikov A.A. Khronicheskie obliteriruyushchie zabolevaniya arteriy nizhnikh konechnostey-diagnostika i taktika lecheniya [Chronic obliteration diseases of lower limb arteries – diagnosis and treatment tactics]. Russkiy meditsinskiy zhurnal 2010; 18(17): 1049-1054. (In Russian).
14. Oganov R.G., Maslennikova G.Ya. Epidemiyu serdechno-sosudistykh zabolevaniy mozhno ostanovit' usileniem profilaktiki [The epidemic of cardiovascular diseases can be stopped by increasing prevention measures]. Profilakticheskaya meditsina 2009; 12(6): 3-7. (In Russian).
15. Oganov R.G., Pogosova G.V. Sovremennye strategii profilaktiki i lecheniya serdechno-sosudistykh zabolevaniy [Contemporary strategy for prevention and treatment of cardiovascular diseases]. Kardiologiya 2007; 47(12):1-10. (In Russian).
16. Perepelkina N.Yu., Bizmenov I.M. Mediko-sotsial'nye osobennosti i rasprostranennost' faktorov riska sredi patsientov s varikoznoy bolezn'yu ven nizhnikh konechnostey [Health and social features and prevalence of risk factors in patients with varicose veins of lower limbs]. Izvestiya Samarskogo nauchnogo tsentra Rossiyskoy akademii nauk 2014; 16(5-2): 798 –800. (In Russian).
17. Polyantsev A.A., Mozgovoy P.V., Frolov D.V., Snigur G.L. Vliyanie aktivnosti vospaleniya sosudistoy stenki na otdalennye rezul'taty rekonstruktivnykh operatsiy u patsientov, stradayushchikh obliteriruyushchim aterosklerozom aorty i arteriy nizhnikh konechnostey [The influence of vascular wall inflammation on the long-term results of reconstructive operations in patients with obliterating atherosclerosis of the aorta and arteries of the lower limbs]. Medline.ru 2011; 12(2): 410-419. (In Russian).
18. Sabgayda T.P., Zubko A.V. Smertnost' naseleniya Rossiyskoy Federatsii ot sosudistykh zabolevaniy khirurgicheskogo profilya [Population mortality from vascular diseases of the surgical profile in the Russian Federation]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2016 [cited 2018 Jun 25]; 51(5). Available from: http://vestnik.mednet.ru/content/view/773/30/lang,ru/ DOI: 10.21045/2071-5021-2016-51-5-2 . (In Russian).
19. Khovrin V.V., Galyan T.N., Dikovitskaya N.A. Endovaskulyarnoe protezirovanie anevrizm bryushnoy aorty. Osnovnye printsipy optimal'nogo vybora [Endovascular prosthesis of aneurism of abdominal aorta. The main principles of optimal choice]. Meditsinskaya vizualizatsiya 2008; (6): 99-106(In Russian).
20. Chazova I.E., Oshchepkova E.V. Bor'ba s serdechno-sosudistymi zabolevaniyami: problemy i puti ikh resheniya [The fight against cardiovascular diseases: problems and solutions]. Vestnik Roszdravnadzora 2015; (5): 7-10. (In Russian).
21. Yanushko V.A., Turlyuk D.V., Ladygin P.A., Isachkin D.V. Sovremennye podkhody diagnostiki i lecheniya mnogourovnevykh porazheniy arteriy nizhnikh konechnostey nizhe pakhovoy skladki v stadii kriticheskoy ishemii [Current approaches to diagnosis and treatment of multi-level lesions of arteries of the lower limbs below inguinal fold in the critical ischemia stage]. Novosti khirurgii 2011; 19(6): 115-128. (In Russian).
22. Erbel R., Alfonso F., Boileau C. Dirsch O, Eber B, Haverich A. et al. Diagnosis and management of aortic dissection. Eur Heart J 2001; 22(18): 1642-1681.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*