Medical service to patients with stroke at the prehospital stage in different cities of the Russian Federation

Stakhovskaya L.V.; Shekhovtsova K.V.; Rozhkova T.I.; Bodykhov M.K.; Tsurikova V.É.; I Sun Cher; Surzha T.I.; Bidenko M.A.; Skvortsova V.I.

doi:https://doi.org/

Stakhovskaya L.V.

Pirogov Russian National Research Medical University, Moscow, Russia

Shekhovtsova K.V.

NII tserebrovaskuliarnoĭ patologii i insul'ta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Moskva

Rozhkova T.I.

Kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii

Bodykhov M.K.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii, Moskva

Tsurikova V.É.

Kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii

I Sun Cher

Kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii

Surzha T.I.

Sakhalinskaia oblastnaia klinicheskaia bol'nitsa

Bidenko M.A.

kafedra nevrologii i neĭrokhirurgii Irkutskogo gosudarstvennogo instituta usovershenstvovaniia vracheĭ

Skvortsova V.I.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet;
NII tserebrovaskuliarnoĭ patologii i insul'ta, Moskva

Medical service to patients with stroke at the prehospital stage in different cities of the Russian Federation

Authors:

Stakhovskaya L.V., Shekhovtsova K.V., Rozhkova T.I., Bodykhov M.K., Tsurikova V.É., I Sun Cher, Surzha T.I., Bidenko M.A., Skvortsova V.I.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2010;110(9‑2): 36‑41

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To cite this article:

Stakhovskaya LV, Shekhovtsova KV, Rozhkova TI, et al. . Medical service to patients with stroke at the prehospital stage in different cities of the Russian Federation. S.S. Korsakov Journal of Neurology and Psychiatry. 2010;110(9‑2):36‑41. (In Russ.)

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))

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Abstract:

We have conducted a comparative analysis of medical service quality to stroke patients at the pre-hospital stage in Yuzhno-Sakhalinsk and Irkutsk. Periods of hospitalization, including periods of referral of patients (or their relatives) for medical care, arrival of ambulance personnel (AP), time spent by AP on the primary medical care and transportation of patients have been analyzed. We have analyzed periods of referral of people for medical care and assessed the volume and quality of pre-hospital therapy. The high percentage of hospitalization during the period of "therapeutic window" has been found in both cities with the significant prevalence in Irkutsk. The delay in hospitalization was caused by late referral of patients, low level of population awareness on importance of referral for urgent medical care besides the referral to AP. The number of patients transported to a hospital during the time interval (30-40 min) recommended by the WHO did not exceed 30-40% in both cities. Although the volume of medical care at the pre-hospital stage was larger in Yuzhno-Sakhalinsk, the quality of pharmacotherapy used by AP in Irkutsk was more in line with modern standards.

Keywords:

hospital stroke register

«therapeutic window»

quality of medical care

pre-hospital stage

Authors:

Stakhovskaya L.V.

Pirogov Russian National Research Medical University, Moscow, Russia

Shekhovtsova K.V.

NII tserebrovaskuliarnoĭ patologii i insul'ta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Moskva

Rozhkova T.I.

Kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii

Bodykhov M.K.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii, Moskva

Tsurikova V.É.

Kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii

I Sun Cher

Kafedra fundamental'noĭ i klinicheskoĭ nevrologii i neĭrokhirurgii

Surzha T.I.

Sakhalinskaia oblastnaia klinicheskaia bol'nitsa

Bidenko M.A.

kafedra nevrologii i neĭrokhirurgii Irkutskogo gosudarstvennogo instituta usovershenstvovaniia vracheĭ

Skvortsova V.I.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet;
NII tserebrovaskuliarnoĭ patologii i insul'ta, Moskva

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