scholarly journals Network of Vascular Centers in the Russian as a way to reducing mortality in the working population

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Zubko ◽  
T Sabgayda ◽  
P Shelekhov ◽  
V Zaporozhchenk ◽  
E Zemlyanova
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Care Delivery ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
The State ◽  
High Tech ◽  
State Program ◽  
Circulatory System Diseases ◽  
Working Age

Abstract Over the entire period of the state program aimed at reducing mortality from circulatory system diseases initiated in 2008 the number of Vascular Centers has increased from 85 to 140. According to the federal statistical observation form, the rate of Vascular Centers per 100 000 population increased 1.5 times from 0.066 to 0.095 in 2008 and 2017 respectively. As a result, the number of treated patients increased 6.3 times - from 53.1 to 327.3 per 100 000 population. During the analyzed period, the mortality rate of patients of Vascular Centers decreased from the average of 9.3% for all Vascular Centers in 2009 to 7.6% in 2017 (χ2 = 248.6, p < 0.0001) reflecting accumulation of experience of care delivery within the framework of the state program. The majority of patients with myocardial infarction and cerebrovascular diseases received treatment in the Vascular Centers. In 2017, 76.6% of all patients were admitted to Vascular Centers. From 2008 to 2017, the mortality from circulatory diseases in urban males of working age decreased by 36.1% (from 354.6 to 226.6 per 100 000 population), while cardiovascular mortality in rural males decreased to a greater extent - by 41.0% (from 394.2 to 232.0). Female mortality from circulatory system diseases (the level of which was initially five times lower) decreased to a lesser extent: from 67.0 to 44.5 per 100 000 urban females of working age (1.5 times - by 33.6%), and was even more pronounced in rural females - from 90.8 to 55.4 (by 39.0%). Therefore, along with the increase in the number of Vascular Centers the volume of specialized care including high-tech, increases while mortality decreases, reflected by the decreased mortality from myocardial infarction and other forms of acute ischemic heart disease. However, the activity of Vascular Centers did not affect the rate of mortality from cerebrovascular diseases in the Russian population. Key messages Through the activity of regional vascular centers since 2008 substantial reducing of patients’ mortality was registered from myocardial infarctions and other acute forms of ischaemic heart disease. Mortality from myocardial infarction has decreased in the last decade faster than in the period up to 2009.

scholarly journals AGE/SEX-SPECIFIC MORTALITY RATES FROM CIRCULATORY SYSTEM DISEASES AMONG OUTPATIENTS OF A KRASNODAR POLYCLINIC

2019 ◽  
Vol 26 (3) ◽  
pp. 99-107
Author(s):  
Elena V. Bolotova ◽  
Anna V. Kontsevaya ◽  
Irina V. Kovrigina ◽  
Larisa P. Lyuberitskaya
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Circulatory System ◽  
Mortality Rates ◽  
Cerebrovascular Diseases ◽  
Ischemic Heart ◽  
Medical Documentation ◽  
Chronic Ischemic Heart Disease ◽  
Circulatory System Diseases ◽  
Specific Mortality

Aim.In this work, we undertook a study of age/sex-specific mortality rates from circulatory system diseases and certain nosological forms in 2015 and 2018 among outpatients of Research Institute — Ochapovsky Regional Clinical Hospital No. 1 delivering primary healthcare services.Materials and methods.We studied age/sex-specific mortality rates from circulatory system diseases among adult population using the data from the medical records of deceased outpatients (Form 025/u), extracts from autopsy reports, as well as medical certificates of death for 2015 and 2018. Non-standardised and standardised mortality rates were calculated.Results.In 2015, all-cause mortality rate by the medical organisation reached 6.2 per 1,000 population, with the total number of deaths from circulatory system diseases amounting to 49.6%. The non-standardised mortality rates from the circulatory system diseases totalled 307.81 per 100,000 population, including the non-standardised mortality rates from cerebrovascular diseases (44.68), ischemic heart disease (129.08) and myocardial infarction (4.96). Standardised mortality rates from circulatory system diseases amounted to 201.96 (men — 70.58, women — 131.38). In 2015, chronic ischemic heart disease (41.94%) ranked first as the cause of mortality among circulatory system diseases followed by diagnoses requiring additional interpretation and examination of primary medical documentation (35.48%), i.e. not clearly defined causes of death; and cerebrovascular diseases (14.52%). In 2018, chronic ischemic heart disease also ranked first (47.54%) followed by cerebrovascular (36.21%) and other diseases (16.39%) (ICD codes I26, I71.1, R00.8).Conclusion.It is shown that more attention from the cardiological and therapeutic services of primary health care is required in coding death-causing circulatory system diseases.

Hypertonic disease and its involvement in the class of diseases of the circulatory system: epidemiological situation in Ukraine

2020 ◽  
Vol 26 (2-3) ◽  
pp. 68-74
Author(s):  
V.V. Ruden' ◽  
◽  
V.I. Diachyschyn ◽  
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Cerebrovascular Disease ◽  
Negative Impact ◽  
Circulatory System ◽  
Well Being ◽  
The State ◽  
Ischemic Heart ◽  
Steady Increase ◽  
Circulatory System Diseases

Aim. A substantiation by the types of morbidity of biostatistic tendencies in the development of hypertonic disease and its involvement in the existing pathologies of the class of diseases of the circulatory system among the population of Ukraine. Material and Methods. An epidemiological, cross-sectional, continuous, prospective study was conducted with the use of statistical data of the Health Statistics Center of the Ministry of Health of Ukraine and the State Statistics Service of Ukraine (1993 and 2017), summarizing and processing them in spreadsheets of Microsoft Office Excel 2016 using retrospective, biostatistical and abstract research methods, as well as methods of copying, deductive awareness, structural-logical analysis and systematic principles. Results and Discussion. The results clearly indicated a steady increase in all forms of hypertonic disease among the population of Ukraine over the studied time period by Рincr=119.8%, when in 2017 this pathology affected ngen=10,388,376 persons, with the prevalence indicator Рgen= 29,844.1о/оооо, which testified that every fourth citizen had a case of hypertonic disease, whereas hypertonic disease accompanied ischemic heart disease in Рpr=40.4% of cases, - cerebrovascular disease in Рpr=23.1% of cases and - strokes in Рpr= 35.8% of cases. Conclusions. It is established that hypertonic disease is one of the most prevalent diseases of the cardiovascular system and has a direct negative impact on of socio-economic well-being and resource provision for society and, based on achievements in etiopathology, diagnostics and treatment, requires the highest governmental structures of the state to undertake prompt and adequate managerial preventive actions aimed at strengthening the health of patients with hypertonic disease and of changing the lifestyle of the population in consideration of established risk factors in the occurrence of this pathology. Keywords: circulatory system diseases, hypertonic disease, general and primary morbidity, tendencies, involvement, ischemic heart disease, cerebrovascular disease, stroke

scholarly journals Mortality rates due to diseases of the circulatory system in Karachay-Cherkess republic in 2006 and 2014

2016 ◽  
Vol 97 (4) ◽  
pp. 611-618
Author(s):  
I V Samorodskaya ◽  
E V Bolotova ◽  
F Y Bidzhieva
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Mortality Rate ◽  
Age Groups ◽  
Circulatory System ◽  
Mortality Rates ◽  
Recurrent Myocardial Infarction ◽  
Circulatory System Diseases ◽  
Causes Of Deaths ◽  
Standardized Mortality Rate

Aim. To study mortality rates due to diseases of the circulatory system and certain nosological forms in Karachay-Cherkess Republic in 2006 and 2014.Methods. The data of the Russian Federation Federal State Statistics Service on the number of deaths according to a short nomenclature of causes of deaths were analyzed. The nosological structure was studied, proportion of each of the causes of death in the total number of deaths from circulatory system diseases was defined. The names of groups of short nomenclature of causes of deaths in 2006 and 2014 were compared. Non-standardized and standardized mortality rates were calculated.Results. Standardized mortality rate due to circulatory diseases decreased by 29.3% in 2014 in comparison with 2006. The decline in mortality due to circulatory system diseases was noted in all age groups, except for the age group 25-29 years (+18.5%) and 60-64 years (+4.2%). Deaths due to primary and recurrent myocardial infarction decreased (by 46.2%) in all age groups except the age of 40-44 years and 80-84 years, in which the mortality rate due to primary and recurrent myocardial infarction increased by 12.5 and 49.4%, respectively. The mortality from ischemic heart disease increased in age 35-39 years (by 11.3%) and 40-44 years (39.4%). In other age groups, the mortality from ischemic heart disease decreased, the maximum reduction was reported in age 65-69 years (54.8%). Standardized mortality rate due to cerebrovascular diseases decreased by 44.06% in 2014 in comparison with 2006.Conclusion. Taking into account significant contribution to the mortality structure due to circulatory system diseases number of deaths, causes of which are not clearly classified and cause problems with clinical interpretation, this issue requires attention of cardiologists, in terms of both health care delivery and specification of the patients’ health status.

scholarly journals Hypertension and diabetes-related morbidity and mortality trends in a municipality in the countryside of São Paulo

2015 ◽  
Vol 23 (6) ◽  
pp. 1157-1164 ◽  
Author(s):  
Andreia Francesli Negri Reis ◽  
Juliana Cristina Lima ◽  
Lucia Marinilza Beccaria ◽  
Rita de Cassia Helú Mendonça Ribeiro ◽  
Daniele Favaro Ribeiro ◽  
...  
Keyword(s):  
Information System ◽  
Hospital Admissions ◽  
Circulatory System ◽  
Secondary Data ◽  
Cerebrovascular Diseases ◽  
Morbidity And Mortality ◽  
Mortality Trends ◽  
Cross Sectional ◽  
Circulatory System Diseases ◽  
Morbidity And Mortality Trends

Objectives: to identify the main causes for hospital admissions and deaths related to systemic arterial hypertension and diabetes mellitus (DM), and to analyze morbidity and mortality trends, in a municipality in São Paulo's countryside, by comparing two three-years periods, 2002 to 2004 and 2010 to 2012. Methods: cross-sectional study which used secondary data regarding deaths from the Information System on Mortality and concerning hospital admissions from the DataSus Hospital Information System. Univariate and multivariate statistical analyses were conducted. Results: from 2002 to 2012, 325,439 people were admitted to hospitals, 14.7% of them due to circulatory system diseases (CSD) and 0.7% due to DM. The deaths distributed as the following: 29,027 deaths (31.5%) were due to CSD; 8.06% due to cerebrovascular diseases (CVD); and 2.75% due to DM. There was a significant association between admittance and death causes and patients' gender and age in the three-year periods (p<0.001). The highest lethality in hospital admissions was found to be due to CVD (10%). That trend showed that mortality rates dropped, younger patients were admitted due to DM, and older patients were admitted due to CVD - they were more often females. Conclusion: the main causes for hospital admissions were the CSDs; main mortality causes were the CVDs in hypertensive and diabetic women. Those findings can back public policies which prioritize the promotion of health.

scholarly journals Ischemic heart disease among the population of working age in Kyiv region: statistical analysis of the modern epidemiological situation

2020 ◽  
Vol 24 (4) ◽  
pp. 694-699
Author(s):  
А. V. Ivanyuk ◽  
N. M. Orlova
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Ischemic Heart ◽  
Medical Statistics ◽  
Working Age ◽  
Disability Prevalence ◽  
Working Age Population ◽  
Population Mortality ◽  
Epidemiological Situation

Annotation. Ischemic heart disease (IHD) is one of the main causes of high mortality, disability and a decrease in the quality of life of the working-age population (WAP) in Ukraine. Aim of the work: to determine the modern features of mortality, disability, prevalence and incidence of ischemic heart disease in the working-age population of the Kyiv region. The analysis of the epidemiology of IHD in the Kyiv region was carried out in dynamics for 2010–2019 and compared to Ukraine. The statistical data of the State Statistics Committee of Ukraine, the Center for Medical Statistics of the Ministry of Health of Ukraine, and the Kyiv Regional Center for Medical Statistics on mortality, disability, prevalence and incidence of IHD in the working-age population of the Kyiv region were analyzed with the medical-statistical method. It has been established that IHD is a significant cause of the loss of labor potential in the Kyiv region. IHD accounts for every fourth (25.0%) death in the working age, and the regional level of working-age population mortality from IHD is the highest in Ukraine. In the Kyiv region working-age population dies from ischemic heart disease 1.5–1.7 times, and from myocardial infarction – 1.7–1.9 times more often than the average in Ukraine. Regional levels of incidence IHD among working-age population exceed similar indicators in Ukraine by 1.2 times, the incidence of myocardial infarction – 1.5 times, the prevalence of ischemic heart disease – 1.7 times. Identified unfavorable dynamic trends in mortality and prevalence of IHD among the working-age population of the Kyiv region. The mortality rate from IHD among working-age population increased in the Kyiv region in 2019 compared to 2010, by 7.9%. The prevalence of IHD increased during 2010–2018 by 14.4%, and the primary incidence of myocardial infarction – by 14.9%. The unfavorable epidemiological situation with IHD among working-age population in the Kyiv region necessitates improving the system for the prevention and the organization of medical care for patients with IHD in this region.

scholarly journals Is Area-level Socioeconomic Deprivation Associated With Mortality Due to Circulatory System Diseases in Poland?

2020 ◽  
Author(s):  
Jacek Jamiołkowski ◽  
Agnieszka Genowska ◽  
Andrzej Pająk
Keyword(s):  
Regression Models ◽  
Cardiovascular Health ◽  
Circulatory System ◽  
Population Level ◽  
Cerebrovascular Diseases ◽  
Low Ses ◽  
Circulatory System Diseases ◽  
Central Statistical ◽  
Central Statistical Office ◽  
The Relationship

Abstract Background. Socioeconomic status (SES) influences cardiovascular health, but studies on the relation between deprivation and circulatory system diseases (CSD) in Eastern Europe are scarce. This study aimed to assess the relationship between SES and mortality from CSD at the population level in 66 sub-regions of Poland.Methods. Area-based index based on education, structure in employment, salary, unemployment and poverty was constructed to assess SES. Data on mortality and the components of SES were obtained from the Central Statistical Office. Associations were tested using multivariate Poisson regression models.Results. In men, compared to 2010, percent of Deaths Prevented or Postponed (DPP) in 2014 was 31.1% for CSD, 23.4% for ischemic heart disease (IHD) and 21.4% for cerebrovascular diseases (CD). In women proportion, of DPP was 12.8%, 25.6% and 21.6 respectively. CSD mortality was negatively related to SES with the exception to CD mortality in women. However, low-SES regions experienced a greater decrease in CSD mortality than high-SES regions.Conclusions. Decrease of CSD mortality was more pronounced in women than in men, particularly in more deprived sub-regions compared with affluent regions. After adjustment for covariates SES was related with CSD and IHD mortality in men, and with CD mortality women.

The Role of Platelets in Myocardial Infarction, Ischemic Heart Disease, Cerebrovascular Disease, Thromboembolic Disorders and Acute Idiopathic Pericarditis

1977 ◽  
Vol 38 (04) ◽  
pp. 1073-1084 ◽  
Author(s):  
J Zahavi
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Thrombus Formation ◽  
Adenosine Diphosphate ◽  
Cerebrovascular Diseases ◽  
Ischemic Heart ◽  
Contributory Factor ◽  
Acute Infectious Disease ◽  
Discharge From Hospital

SummaryInitial white thrombus formation, has been attributed to platelet interaction with damaged vessel wall at sites of vascular injury or atherosclerotic plaques in the process of platelet aggregation (PA) and adhesion. Enhancement of PA seems to be an important factor in the development of thrombosis in the coronary and cerebral blood vessels and in embolization of platelet microthrombi to the microcirculation of the vessels. This latter event in turn might lead to serious or fatal arrhythmias or to paroxysms of cerebral ischemia.We have found enhanced PA in 66 patients with acute myocardial infarction (MI) and ischemic heart disease (IHD) which was specifically indicated by 4 distinct abnormalities: a) increased rate and extent of aggregation to 11,1 μM of adenosine diphosphate (ADP). b) Increased platelet responsiveness to 1,11 μM of ADP. c) Spontaneous aggregation which appeared in 95% of the patients compared to less than 5% of controls, d) Prolonged aggregation time indicated by parameter τ, τ = -[dt/dln(T–T ∞ ≤)], In addition, enhanced and occasionally more pronounced PA on the day of discharge from hospital, has been recently observed. The abnormal platelet behaviour was also detected in 10 thromboembolic disorder (TED), 28 acute cerebrovascular accident (CVA) and 24 acute infectious disease (AI) patients. It was, however, more pronounced in MI compared to TED and CVA patients. In AI the curves returned to normal some time after their subsidence, but remained abnormal for up to 2 years in IHD patients. In 10 patients with acute benign idiopathic pericarditis, which were included in the AI patients, PA proved to be a rehable indicator of the course of the disease and its treatment. Early reduction of corticosteroid dosage in the patients, was followed by increased abnormalities in the PA curves.The enhanced PA in these patients is most probably an indicator of a thrombogenic state and seems to be an important contributory factor in the pathogenesis of coronary and cerebrovascular diseases. Preliminary reports of anti-aggregating drugs, wether beneficial or adverse, in these vascular disorders are controversial and further research is needed.

scholarly journals Diabetes mellitus type 2 and acute myocardial infarction: prognostic options for interaction in patients of different age groups

2018 ◽  
Vol 21 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Alla A. Garganeeva ◽  
Elena A. Kuzheleva ◽  
Ksenia N. Borel ◽  
Dina S. Kondratyeva ◽  
Sergey A. Afanasiev
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Type 2 Diabetes ◽  
Acute Myocardial Infarction ◽  
Type 2 Diabetes Mellitus ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Working Age

Background. Problems surrounding comorbidities of type 2 diabetes mellitus and coronary heart disease are some of the most important in medical science and practice, given their mutually negative impact on patients prognoses and quality of life. Aims. To study the impact of type 2 diabetes on the long-term prognoses of patients of different age categories, status-post acute myocardial infarction. (Data obtained from the Register of Acute Myocardial Infarction.) Materials and methods. The main data source was the Register of Acute Myocardial Infarction, maintained in Tomsk for more than 30 years. The study included 862 patients with acute myocardial infarction. The patients were monitored for 5 years. The primary endpoint was death from any cause during the observation period. Results. We separated the study cohort into 2 groups depending on patients ages: Group 1 (n = 358) included patients older than working age, Group 2 (n = 504) consisted of younger, employable patients. The combination of ischaemic heart disease and type 2 diabetes mellitus were diagnosed in 208 patients. The combination of ischaemic heart disease and type 2 diabetes was the cause of adverse prognosis among elderly patients and led to increased mortality rate during the 5-year post-infarction period (p = 0.0003). However, among younger, working patients who suffered myocardial infarction, the presence of type 2 diabetes did not have an independent negative effect on long-term disease prognosis. While in employable patients, a long history of diabetes mellitus significantly aggravated the course of the post-infarction period (p = 0.004). Conclusions. These data suggest an ambiguous prognostic effect of type 2 diabetes mellitus among working age and elderly patients status post myocardial infarction, in agreement with experimental studies conducted on laboratory animals. Further comprehensive analyses of the clinical and experimental data are needed to optimise therapies for patients who suffer from type 2 diabetes and comorbid ischaemic heart disease.

scholarly journals Mortality from Circulatory System Diseases and Malformations in Children in the State of Rio de Janeiro

2016 ◽  
Author(s):  
Thais Rocha Salim ◽  
Gabriel Porto Soares ◽  
Carlos Henrique Klein ◽  
Glaucia Maria Moraes de Oliveira
Keyword(s):  
Rio De Janeiro ◽  
Circulatory System ◽  
The State ◽  
Circulatory System Diseases

scholarly journals Examining the Economic Perspective of Treatable Mortality: The Role of Health Care Financing and the Importance for Economic Prosperity

2021 ◽  
Vol 9 ◽  
Author(s):  
Viera Ivankova ◽  
Beata Gavurova ◽  
Samer Khouri ◽  
Gabriel Szabo
Keyword(s):  
Health Care ◽  
Cluster Analysis ◽  
Health System ◽  
Metabolic Diseases ◽  
Health Care Financing ◽  
Circulatory System ◽  
Economic Prosperity ◽  
Circulatory System Diseases ◽  
Working Age ◽  
Nutritional And Metabolic Diseases

Health is an essential element of economic life and is therefore considered a source of comparative economic development of countries. The aim of the study was to examine the associations between health care financing, specific treatable mortality of males and females of working age, and economic prosperity, taking into account to the classification of health systems applied in the countries of the Organization for Economic Co-operation and Development (OECD). An insurance-based health system and a tax-based health system were identified in these countries, and data were collected for the period 1994–2016. Descriptive analysis, panel regression analysis and cluster analysis were used to achieve the aim. The analytical process included economic indicators [health expenditure, gross domestic product (GDP)] and health indicators (treatable mortality from circulatory system diseases and endocrine, nutritional and metabolic diseases). The results revealed significant negative associations of health care financing with treatable mortality from circulatory system diseases and endocrine, nutritional, and metabolic diseases in both health systems and both gender categories. There were also negative associations between treatable mortality in both diagnosis groups and economic prosperity. These results have shown that health care financing is linked to economic prosperity also through health variability in the working age population. In terms of assessing economic and health outcomes, less positive and more positive countries were identified using cluster analysis. Countries such as Latvia with a tax-based health system and Hungary, Lithuania, Estonia with an insurance-based health system were characterized by great potential for improvements. Although reducing treatable mortality is a great motivation for public health leaders to increase health care financing, the importance for economic prosperity may be a more compelling argument. Effective interventions should be considered in the light of their regional, social and economic contexts.

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