An analysis of the long-term stroke morbidity and mortality in the regions of the Russian Federation included in the Federal patient assistance reorganization program

Klochihina O.A.; Shprakh V.V.; Stakhovskaya L.V.; Polunina E.A.

doi:https://doi.org/10.17116/jnevro202012012237

Klochihina O.A.

Prevent Age — International Institute of Integrative Preventive and Anti-Aging Medicine

Shprakh V.V.

Irkutsk State Medical Academy of Postgraduate Education — branch of the Russian Medical Academy of Continuous Professional Education

Stakhovskaya L.V.

Pirogov Russian National Research Medical University

Polunina E.A.

Astrakhan State Medical University

An analysis of the long-term stroke morbidity and mortality in the regions of the Russian Federation included in the Federal patient assistance reorganization program

Authors:

Klochihina O.A., Shprakh V.V., Stakhovskaya L.V., Polunina E.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(12‑2): 37‑41

DOI: 10.17116/jnevro202012012237

Read: 5221 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Klochihina OA, Shprakh VV, Stakhovskaya LV, Polunina EA. An analysis of the long-term stroke morbidity and mortality in the regions of the Russian Federation included in the Federal patient assistance reorganization program. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(12‑2):37‑41. (In Russ.)
https://doi.org/10.17116/jnevro202012012237

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

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To analyze the average long-term incidence of stroke and mortality in the regions of Russia in the territories included in the Federal program for the reorganization of care for stroke patients from 2009 to 2016.

MATERIAL AND METHODS

The study is based on data from the territorial population register for an eight-year period for seven territories in the regions of Russia included in the Federal program for the reorganization of care for stroke patients. The study included the following territories: Stavropol krai, the Republic of Bashkortostan, Sverdlovsk region, Irkutsk region, Sakhalin region, and the Republic of Tatarstan. The total number of stroke cases in the study areas was 29 779.

RESULTS

The highest average incidence was shown in the Republic of Tatarstan, which had significant differences with all regions (p<0.001). The level of mean annual mortality was identified in Stavropol krai, which had significant differences with all regions (p=0.008—p<0.001). Significant differences in the average long-term stroke incidence were typical for nine pairs of territories out of 21 of the territories, and the average long—term stroke mortality was typical for six pairs of territories.

CONCLUSION

The incidence of stroke does not depend on the geographical location of the region, its economic development and ethnic composition of the population. The quality and effectiveness of primary prevention of cardiovascular diseases comes to the fore. In regions where it is not carried out at the proper level, the incidence of stroke is the highest. Only high-quality implementation of appropriate preventive measures will significantly reduce these indicators. Stroke mortality rates depend primarily on the quality of diagnosis and specialized medical care provided to stroke patients. The decrease in the mortality rate of these patients is possible only with the mandatory implementation of the approved clinical guidelines and protocols for treatment.

Keywords:

stroke

morbidity

mortality

organization of care for patients with stroke

territorial and population register

Authors:

Klochihina O.A.

Prevent Age — International Institute of Integrative Preventive and Anti-Aging Medicine

Shprakh V.V.

Irkutsk State Medical Academy of Postgraduate Education — branch of the Russian Medical Academy of Continuous Professional Education

Stakhovskaya L.V.

Pirogov Russian National Research Medical University

Polunina E.A.

Astrakhan State Medical University

Received:

08.11.2020

Accepted:

10.11.2020

Close metadata

References:

Wang W, Jiang B, Sun H, Ru X, Sun D, Wang L, Wang L, Jiang Y, Li Y, Wang Y, Chen Z, Wu S, Zhang Y, Wang D, Wang Y, Feigin VL. Prevalence, Incidence, and Mortality of Stroke in China: Results from a Nationwide Population-Based Survey of 480 687 Adults. Circulation. 2017;135(8):759-771. https://doi.org/10.1161/CIRCULATIONAHA.116.025250
Boehme AK, Esenwa C, Elkind MS. Stroke Risk Factors, Genetics, and Prevention. Circ Res. 2017;120(3):472-495. https://doi.org/10.1161/CIRCRESAHA.116.308398
Romero JR, Morris J, Pikula A. Stroke prevention: modifying risk factors. Ther Adv Cardiovasc Dis. 2008;2(4):287-303. https://doi.org/10.1177/1753944708093847
Musin RS, Akhatova ZA, Makarova YuI, Stulin ID, Bekoeva ZR, Khokhlova TYu. Factors affecting the detection of ischemic stroke in neuroimaging. S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(12-2):46-49. (In Russ.). https://doi.org/10.17116/jnevro201811812246
Birenbaum D, Bancroft LW, Felsberg GJ. Imaging in acute stroke. West J Emerg Med. 2011;12(1):67-76.
Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low-and middle-income countries. Curr Probl Cardiol. 2010;35(2):72-115. https://doi.org/10.1016/j.cpcardiol.2009.10.002
Wang W, Jiang B, Sun H, Ru X, Sun D, Wang L, Wang L, Jiang Y, Li Y, Wang Y, Chen Z, Wu S, Zhang Y, Wang D, Wang Y, Feigin VL; NESS-China Investigators. Prevalence, Incidence, and Mortality of Stroke in China: Results from a Nationwide Population-Based Survey of 480 687 Adults. Circulation. 2017;135(8):759-771. https://doi.org/10.1161/CIRCULATIONAHA.116.025250
Machinskiy PA, Plotnikova NA, Ul’yankin VE, Rybakov AG, Makeev DA. Comparative characteristics of the ischemic and hemorrhagic stroke morbidity indicators in Russia. University proceedings. Volga region. Medical Sciences. 2019;2(50): 112-132. (In Russ.). https://doi.org/10.21685/2072-3032-2019-2-11
Kaur P, Verma SJ, Singh G, Bansal R, Paul BS, Singla M, Singh S, Samuel CJ, Sharma M, Pandian JD. Stroke profile and outcome between urban and rural regions of Northwest India: Data from Ludhiana population-based stroke registry. Eur Stroke J. 2017;2(4):377-384. https://doi.org/10.1177/2396987317724052
Shuteeva EYu. Analysis of clinical and epidemiological indicators of ischemic stroke. Regional Bulletin. 2020;2:16-17. (In Russ.).
Avan A, Digaleh H, Di Napoli M, Stranges S, Behrouz R, Shojaeianbabaei G, Amiri A, Tabrizi R, Mokhber N, Spence JD, Azarpazhooh MR. Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the Global Burden of Disease Study 2017. BMC Med. 2019;17(1):191. https://doi.org/10.1186/s12916-019-1397-3
Donkor ES. Stroke in the 21st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018;2018:3238165. https://doi.org/10.1155/2018/3238165
Khan FY, Ibrahim AS. Gender differences in risk factors, clinical presentation, and outcome of stroke: A secondary analysis of previous hospital-based study in Qatar. Libyan Journal of Medical Sciences. 2018;2(2):51-55. https://doi.org/10.4103/LJMS.LJMS_42_17
Wu Y, Fan Z, Chen Y, Ni J, Liu J, Han J, Ren L, Tu J, Ning X, Wang J. Determinants of Developing Stroke Among Low-Income, Rural Residents: A 27-Year Population-Based, Prospective Cohort Study in Northern China. Front Neurol. 2019;10:57. https://doi.org/10.3389/fneur.2019.00057
Kozyaikin VV, Kotov SV, Isakova EV, Kel NV, Belova YuA. The prevalence of arterial hypertension as one of the leading factors of the stroke risk in the moscow region on the example of the small regional settlement. Almanac of Clinical Medicine. 2013;29:45-51. (In Russ.). https://doi.org/10.18786/2072-0505-2013-29-45-51
Klochikhina OA, Stakhovskaya LV, Polunina EA. Prediction of probability of the long term fatal outcome of stroke by the data of territory and populational registry. Cardiovascular Therapy and Prevention. 2018;17(3):33-37. (In Russ.). https://doi.org/10.15829/1728-8800-2018-3-33-37
Kharakoz OS, Kanorsky SG, Shchelchkova IS, Kizhvatova NV. First results of the stroke register in Krasnodar. S.S. Korsakov Journal of Neurology and Psychiatry. 2001;101(2):26-30. (In Russ.).
Giroud M, Lemesle M, Quantin C, Vourch M, Becker F, Milan C, Brunet-Lecomte P, Dumas R. A hospital-based and a population-based stroke registry yield different results: the experience in Dijon, France. Neuroepidemiology. 1997;16(1):15-21. https://doi.org/10.1159/000109666