The most important component of the interaction system between the various representatives of the health system is qualified discharge epicrisis of a patient who has undergone treatment in a specialized hospital. The quantity and quality of medical information forwarded by epicrisis are often unsatisfactory.

OBJECTIVE

To perform a textual analysis of prediction and planning of secondary prevention in discharge epicrises of patients with transient ischemic attacks.

MATERIAL AND METHODS

Information from discharge epicrises of patients with transient ischemic attack, who received treatment in neurological departments of the regional hospital of Chelyabinsk during January—February 2024 was summarized. Epicrises of patients discharged from hospital during 2020—2023 were taken for the study. Data of accounting forms were collected in specially developed records. The sample of epicrises was formed randomly, and its volume at a known quantity of the general population was determined by the A.M. Merkov’s formula. The study involved 80 units of observation.

RESULTS

No prediction of transient ischemic attacks was made in the formalised diagnoses of epicrises, there was no «Dyslipidemia» nosology. There were no indications on the target levels of blood pressure, on the proper indicators of lipids, on the necessary indicators of carbohydrate metabolism in 90.5% of the documents in the sections allocated for recommendations. Specific instructions on the necessity and frequency of ultrasonic dopplerography of carotid arteries were skipped. The use of drugs not included in the national clinical guidelines was planned in all studied documents.

CONCLUSION

The lack of forwarded information has been found in the texts of discharge epicrises. The discharge epicrisis with clarifying additions in «Final clinical diagnosis» and «Recommendations» sections is being implemented into the work of neurological departments of the hospital.