DYNAMICS OF THE INCIDENCE OF DISEASES OF THE CIRCULATORY SYSTEM AMONG ADULTS AND CHILDREN IN VORONEZH

2020 ◽  
pp. 40-44
Author(s):  
Berezhnova T.A. ◽  
Kolyagina N.M. ◽  
Klepikov O.V. ◽  
Kulintsova Ya.V.
Keyword(s):  
Cardiovascular Diseases ◽  
Health System ◽  
Medical Care ◽  
Adult Population ◽  
Circulatory System ◽  
The Past ◽  
City District ◽  
Leading Position ◽  
Adults And Children ◽  
Access To Medical Care

Relevance. Over the past decade and at the present time, diseases of the circulatory system continue to occupy a leading position. Despite the implementation of Federal and regional programs aimed at improving the level of cardiological care and reducing the mortality of adults and children, the assessment of the level and dynamics of diseases of the circulatory system remains an urgent task for the health system. Aim: to analyze the dynamics of the incidence of diseases of the circulatory system of adults and children in Voronezh. Material and methods. In order to allow territorial comparison of morbidity levels, relative indicators were calculated per 1000 population of the corresponding age (children, adults). The assessment of the level of morbidity was carried out by analyzing medical and statistical data on the population's access to medical care over a five-year period. Results. This study is devoted to the assessment of the incidence of diseases of the circulatory system, which was carried out by analyzing medical statistics on the population's access to medical care for five years. It was found that the average long-term level of cardiovascular diseases in the Voronezh city district is 24.79±1.40 cases per 1000 children under 14 years of age, and 403.14±21.36 cases per 1000 adults 18 years and older for the adult population. Over the past 5 years (2014-2018), there has been an increase in the incidence of both children and adults. Conclusion. Thus, knowledge of information about the morbidity of adults and children makes it possible to rationalize the resources of the urban health system to improve the availability and quality of medical care for people with cardiovascular diseases at the pre-hospital stage.

scholarly journals Analysis of cardiovascular morbidity in the pediatric population of the city of Voronezh

2020 ◽  
Vol 35 (3) ◽  
pp. 134-140
Author(s):  
N. M. Kolyagina ◽  
T. A. Berezhnova ◽  
O. V. Klepikov ◽  
Ya. N. Kulintsova
Keyword(s):  
Cardiovascular Diseases ◽  
Inner City ◽  
Medical Care ◽  
Pediatric Population ◽  
Disease Incidence ◽  
Adult Population ◽  
Historical Background ◽  
Medical Organization ◽  
City District ◽  
The City

Aim: To perform a territorial comparison of the incidence rates of certain cardiovascular diseases (CVD) in the pediatric population of the city ofVoronezh.Material and Methods. The morbidity rates in the pediatric population over certain inner-city zones were assessed using a differentiated approach. This tactic was chosen taking into account historical background as a high percentage of the population (75.8% of the total population in the city district of Voronezh) was registered at particular clinics based on a territorial logic. Of these, 11 pediatric clinics in Voronezh provided care for over 160,000 children under the age of 14 years (about 79% of children residing in the city district of Voronezh) on a territorial basis. The ranking of indicators was performed using a specially designed software developed at the Voronezh State Medical University named after N.N. Burdenko. The territories at risk were identified based on the results of this analysis by the level and dynamics of morbidity in the pediatric population. Results. Cardiovascular diseases were below the top five leading disease classes and were ranked 8–9 in children in the context of overall morbidity structure in the city ofVoronezh. The study showed that the incidence of cardiovascular diseases increased in the adult population of Voronezh relative to the value for the same period analyzed last year: the growth rate in the number of medical care encounters was 14.65% with 14.05% of diagnoses established for the first time in life. The average long-term level of cardiovascular mortality in theVoronezh city district was 24.79 ± 1.40 cases per 1,000 children under 14 years of age.Conclusion. The differences, found in the morbidity rates from the individual intra-city territories provided with pediatric polyclinics, can be explained by the various factors such as the age structure of the population residing in a particular region and human resources of a medical organization including the availability of a pediatric cardiologist. Knowledge of information regarding pediatric disease incidence in certain inner-city territories allowed us to rationally optimize the resources of the urban health system to improve the availability and quality of medical care to the population, particularly the young segments, suffering from cardiovascular diseases at the pre-hospital stage.

ADVERSE METEOROLOGICAL SITUATION AS A RISK FACTOR FOR CARDIOVASCULAR DISEASES

2021 ◽  
pp. 28-33
Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Elistratova O.S. ◽  
Drapalyuk M.A.
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Cardiovascular Diseases ◽  
Medical Care ◽  
Air Temperature ◽  
Meteorological Factors ◽  
Vascular Lesions ◽  
Weather Sensitivity ◽  
Access To Medical Care ◽  
The City

Relevance. Exacerbation of the disease, as a rule, leads to the patient seeking medical help. In this regard, data on the population's access to medical care can serve as an indicator of the exacerbation of the disease. Aim: to analyze meteorological risk factors that contribute to the development of cardiovascular diseases. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during the year was calculated. Using software tools (STATISTICA Base V6. 1), the type of data distribution was estimated, and a correlation analysis of the likely relationship between the number of medical care requests and the indicators of meteorological factors was carried out. Results. As a result of the study, it was found that the average number of cases of medical care requests on hot days (air temperature over + 300C) is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year and is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure. Conclusions. Thus, it was found that one of the meteorological risk factors for the formation of cardiovascular pathology is high air temperature (above + 300C), which is the goal for the implementation of the main directions of prevention of increased weather sensitivity and treatment of weather-dependent patients.

scholarly journals Racial Comparisons in Timeliness of Colon Cancer Treatment in an Equal-Access Health System

2019 ◽  
Vol 112 (4) ◽  
pp. 410-417 ◽  
Author(s):  
Yvonne L Eaglehouse ◽  
Matthew W Georg ◽  
Craig D Shriver ◽  
Kangmin Zhu
Keyword(s):  
Colon Cancer ◽  
Health System ◽  
Cancer Treatment ◽  
Medical Care ◽  
Confidence Intervals ◽  
Equal Access ◽  
Treatment Delays ◽  
Time To Treatment ◽  
Delayed Treatment ◽  
Access To Medical Care

Abstract Background Non-Hispanic black (NHB) adults with cancer may have longer time-to-treatment than non-Hispanic whites (NHW) in the United States. Unequal access to medical care may partially account for this racial disparity. This study aimed to investigate whether there were racial differences in time-to-treatment and in treatment delays for patients diagnosed with colon cancer in the equal-access Military Health System (MHS). Methods Patients age 18–79 years diagnosed with colon adenocarcinoma between January 1, 1998, and December 31, 2014, were identified in the Department of Defense Central Cancer Registry and the MHS Data Repository–linked databases. Median time-to-treatment (surgery and chemotherapy) and 95% confidence intervals were compared between NHBs and NHWs in multivariable quantile regression models. Odds ratios and 95% confidence intervals of receiving delayed treatment defined by guidelines for NHBs relative to NHWs were estimated using multivariable logistic regression. Results Patients (n = 3067) had a mean age at diagnosis of 58.4 (12.2) years and the racial distribution was 76.7% NHW and 23.3% NHB. Median adjusted time-to-treatment was similar for NHB compared to NHW patients. The likelihood of receiving delayed treatment was similar between NHB and NHW patients. Conclusions In the MHS, there was no evidence of treatment delays for NHBs compared to NHWs, suggesting the role of equal access to medical care and insurance coverage in reducing racial disparities in colon cancer treatment.

REGIONAL FEATURES OF DEATHS FROM CARDIOVASCULAR DISEASES IN THE CONTEXT OF REGIONAL PROGRAM TO REDUCE CARDIOVASCULAR MORTALITY

2021 ◽  
pp. 21-27
Author(s):  
Ermolaev D.O. ◽  
Ermolaeva Yu.N.
Keyword(s):  
Cardiovascular Diseases ◽  
Medical Care ◽  
Medical Information ◽  
Health Care Organizations ◽  
Circulatory System ◽  
Total Mortality ◽  
Cardiovascular Complications ◽  
Cerebrovascular Diseases ◽  
Federal State ◽  
Research Findings

The relevance is determined by the high proportion of diseases of the circulatory system in the structure of the total mortality of the population, as well as the potential modifiability of external factors of pathology. The aim of the research is to study the regional epidemiology of mortality from diseases of the circulatory system in the context of a regional program to reduce it. Materials and methods - аn analysis of the structure and dynamics of mortality rates from diseases of the circulatory system and the peculiarities of the organization of medical care for the population of the Astrakhan Region with cardiovascular diseases for the 7-year period from 2014 to 2020, based on the data of the Medical Information and Analytical Center and the Office of the Federal State Statistics Service for the Astrakhan Region, was carried out. Results and discussion - diseases of the circulatory system rank first in the structure of total mortality in the Astrakhan region, which accounted for about half (48%) of all deaths in 2020. During the study period, an increase in mortality from diseases of the circulatory system was established by 2.8% with a sharp increase of 17.6% in 2020 compared to 2019, which is associated with the spread of coronavirus infection. At the same time, the proportion of deaths outside the hospital was 65% in 2020. It’s indicates both the late seeking of medical care and the shortcomings of dispensary observation of the category of citizens with the maximum risk of developing cardiovascular complications. In the structure of mortality from diseases of the circulatory system, ischemic heart disease is steadily leading, with an increase of 5.8% over the reporting period. The second place is occupied by cerebrovascular diseases, which showed a slight decrease by 3.3%. In addition to the infectious threats associated with the spread of the coronavirus COVID-19, it is necessary to take into account such a stable phenomenon as the progressive aging of the population when predicting the mortality rate for the coming years. Conclusion. Research findings can be used to adjust activities to health care organizations for patients with cardiovascular diseases at the regional level.

scholarly journals DETECTION AND CONTROL OF ARTERIAL HYPERTENSION IS AN EFFECTIVE TOOL FOR REDUCING MORTALITY FROM DISEASES OF THE CIRCULATORY SYSTEM

2021 ◽  
Vol 67 (5) ◽  
pp. 9
Author(s):  
V.A. Evdakov ◽  
◽  
O.O. Zakharchenko ◽  
D.S. Terentyeva ◽  
D.A. Khaltourina ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Health System ◽  
Adult Population ◽  
Circulatory System ◽  
Total Mortality ◽  
Medical Examination ◽  
Newly Diagnosed ◽  
And Control

Significance. Over the last two decades, Russia has been regestering the increased prevalence of high blood pressure among adults. The relationship between blood pressure and mortality from diseases of the circulatory system has been proved. Reducing morbidity and mortality from diseases of the circulatory system calles for improved efficiency of the state health system to detect and control blood pressure at the population level. Purpose. To improve organization of measures aimed at detecting high blood pressure and enhancing control of arterial hypertension in order to reduce adult mortality from diseases of the circulatory system in Russia. Material and methods. The authors have conducted a content analysis of regulatory and legal documents regulating activities of individual structures of the public health system on medical examination and follow-up of patients with chronic non-communicable diseases, registration and reporting forms of the federal statistical surveillance (FSN No. 12) and industry statistical surveillance (No.131/o), including information on the number of adults with arterial hypertension residing within the catchment area of the healthcare facility in dynamics from 2010 to 2019, as well as information on the number of newly diagnosed cases of arterial hypertension during medical examination of certain groups of the Russian adult population in 2015-2019; and the number of patients taken under medical follow-up with the detected (including newly diagnosed) arterial hypertension. Results. During the period from 2010 to 2019, the number of registered patients with arterial hypertension in Russia increased by 5.4 million (46%), from 11.7 in 2010 to 17.1 million in 2019. The rate of growth in the detection of new cases of arterial hypertension actively increased with initiation of the state program on medical examination of certain groups of the adult population (state checkup for non-communicable diseases). Coverage with follow-up of patients with arterial hypertension increased from 905.7 thous. in 2015 (69.5%) to 1321.4 thous. (77.0%) in 2019, including among newly detected cases during medical examination from 74.9 to 83.4%. Decrease in mortality from arterial hypertension, diseases of the circulatory system and total mortality over the period under study (2010-2019) in Russia is primarily associated with the improved detection of arterial hypertension, increased effectiveness of drug treatment and control of arterial hypertension. Conclusion. Improved detection, drug treatment and control of arterial hypertension have contributed to the decrease in mortality from arterial hypertension, diseases of the circulatory system and total mortality in the Russian adults.

PROVIDING REHABILITATION ACTIVITIES TO PATIENTS WHO UNDERWENT CARDIOVASCULAR EVENTS IN THE ASTRAKHAN REGION

2021 ◽  
pp. 88-94
Author(s):  
Ermolaev D.O. ◽  
Ermolaeva Yu.N. ◽  
Zolotokopova Zh.Yu.
Keyword(s):  
Cardiovascular Diseases ◽  
Adult Population ◽  
Circulatory System ◽  
Medical Rehabilitation ◽  
General Situation ◽  
Insurance Fund ◽  
Rehabilitation Care ◽  
Coronary Syndrome ◽  
Annual Reporting ◽  
Rehabilitation Measures

The relevance of the study is explained by the need to increase attention to the situation with acute cardiovascular diseases and the creation of an accessible system of medical rehabilitation for patients with cardiovascular diseases in the region. The aim of the study is to analyze the provision of rehabilitation measures for patients who have suffered cardiovascular accidents in the Astrakhan region. Materials and methods - based on the data of the annual reporting statistical forms No. 12 "Information on the number of diseases registered in patients living in the service area of the medical institution" and No. 14 "Information on the activities of the hospital", the calculation and analysis of indicators of general and primary morbidity was carried out ( on appeal), hospitalized morbidity, hospital mortality, the need for rehabilitation measures and their provision of adult patients aged 18 years and older with diseases of the circulatory system, including cardiovascular accidents in the Astrakhan region. Results and discussion - the article shows the general situation with the incidence of diseases of the circulatory system of the adult population, including acute coronary syndrome and acute cerebrovascular accident in dynamics from 2014 to 2020, discloses the organizational and structural aspects of the existing system of organizing rehabilitation care in the region. The results of assessing the satisfaction of the needs of the adult population of the region in neuro- and cardiac rehabilitation by medical organizations licensed for medical activities with an indication of the work (services) for medical rehabilitation and participating in the federal and territorial program of state guarantees of free provision of medical care to citizens in the region are presented. It was revealed that less than half of those in need receive medical rehabilitation assistance at the expense of the mandatory medical insurance fund. Proposals have been formulated to increase the availability of rehabilitation care for patients who have undergone cardiovascular accidents. Conclusion. The obtained research data can be used for further organizational, methodological and coordination work to provide modern medical and rehabilitation care to patients with acute cardiovascular accidents at the regional level.

scholarly journals COVID-19 Impact and Vaccination Willingness among Romanian Patients with Autoimmune/Immune-Mediated Diseases

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1707
Author(s):  
Larisa Pinte ◽  
Simona Caraiola ◽  
Daniel Vasile Balaban ◽  
Camelia Badea ◽  
Diana Mazilu ◽  
...  
Keyword(s):  
Medical Care ◽  
Adverse Reactions ◽  
Cross Sectional ◽  
Information Campaigns ◽  
Factors Associated ◽  
The Past ◽  
Flu Vaccination ◽  
Immune Mediated ◽  
Increased Risk ◽  
Access To Medical Care

Background: During the COVID-19 pandemic, patients with immune diseases are a vulnerable population. We aimed to evaluate their access to medical care, as well as their awareness and willingness to obtain the vaccine after a year of the SARS-CoV-2 pandemic. Methods: A cross-sectional, multicenter study was conducted on a questionnaire basis, handled both online as well as in person. Results: 651 patients with autoimmune or immune mediated diseases were enrolled. More than half (339/641 [53%]) reported difficulties in obtaining medical care throughout the pandemic and 135/651 ([21%]) of them were confirmed with COVID-19; 442/651, ([68%]) expressed their willingness to be vaccinated against SARS-CoV-2. The factors associated with an increased probability of vaccination were the male gender (OR = 2.01, CI95% 1.2–3.7, p = 0.001), the patient’s opinion that she/he was well informed (OR = 3.2, CI 95% 2.1–6.01, p < 0.001), physician’s advice (OR = 2.1, CI 95% 1.3–3.5, p < 0.001), and flu vaccination in the past (OR = 1.5, CI 95% 1.1–2.3, p < 0.001), while those associated with a decreased probability of vaccination were COVID-19 disease in the past medical history (OR = 0.7, CI 95% 0.3-0.95, p = 0.02), and the opinion that patients with autoimmune diseases are at increased risk for adverse reactions (OR = 0.7, CI95% 0.53–0.89, p = 0.001). Conclusions: Given the fact that considering themselves informed regarding vaccination is the most important factor in order to be immunized against SARS-CoV-2, effective information campaigns would substantially increase willingness.

scholarly journals The impact of Covid-19 on hospitalizations and deaths due to stroke: a comparison between the regions of Brazil

2021 ◽  
Author(s):  
Vanessa Saling Guglielmi ◽  
Gabriela Kreutz Ferrari ◽  
Julia Estrazulas Falcetta ◽  
Júlia Bortolini Roehrig ◽  
Ana Luiza Savioli Ribeiro ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Health System ◽  
Medical Care ◽  
Cause Of Death ◽  
Epidemiologic Study ◽  
Medical Assistance ◽  
The World ◽  
Using Data ◽  
The Impact ◽  
Brazilian Health System

Background: Stroke is the second leading cause of death in the world and in Brazil. During the Corona Virus pandemic, patients may have been neglecting stroke symptoms, inducing a drop in the search for medical assistance. Objectives: Analyze the prevalence of hospitalizations and deaths due to stroke in Brazil during the COVID-19 pandemic compared to the previous year. Design and setting: Transversal, descriptive Epidemiologic study between the years of 2019 and 2020 in Brazil. Methods: Study realized using data from the Department of Information of the Brazilian Health System (DATASUS). Results: There were 163.120 hospitalizations for stroke in the year of 2019, and in the year of 2020 this number had a decrease of approximately 6%. In 2019, Household deaths due to unspecified Cardiovascular Diseases had 85 records. In 2020, there was an increase of 7% in home deaths due to unspecified Cardiovascular Diseases. Conclusion: There is a decrease in notifications of hospitalizations and deaths in Brazil due to unspecified stroke during the year of the pandemic. It is also noticed, during this period, an increase in home deaths due to unspecified Cardiovascular Diseases, of which stroke is a prominent cause. This fact suggests interference of the pandemic in the search for medical care.

Regional Features of the Incidence of Diseases of the Circulatory System in the Population of the Orenburg Region

2021 ◽  
pp. 4-9
Author(s):  
EL Borshchuk ◽  
DN Begun ◽  
YuV Varennikova ◽  
Duisembaeva AN
Keyword(s):  
Cardiovascular Diseases ◽  
Information Technologies ◽  
Medical Information ◽  
Adult Population ◽  
Circulatory System ◽  
Practical Implementation ◽  
Orenburg Region ◽  
National Healthcare ◽  
Regional Features ◽  
Regional Project

Introduction: At present, National Healthcare and Demography Projects are being implemented in the Russian Federation and in the Orenburg Region, including the Regional Project for Prevention of Cardiovascular Diseases. Within the National Healthcare Project, the task has been set to reduce the mortality rate from diseases of the circulatory system to 450 per 100,000 population by the year 2024 (from 573.6 per 100,000 population registered in 2018). The regional goal is 477 per 100,000 population in 2024 (against 635.5 per 100,000 population in the year 2018). However, practical implementation of the project shows that in 2019–2020, the targets were not achieved. It is, therefore, important to monitor this indicator and to assess preventable losses associated with diseases of the circulatory system by all possible means including with the use of information technologies. Our objective was to establish regional features of the structure, dynamics, and rates of diseases of the circulatory system among the population of the region and to determine municipalities with high rates of cardiovascular disorders. Materials and methods: We used data of the Russian statistical collections “Medical and Demographic Indicators”, “Morbidity of the Population of Russia”, and annual information and analytical collections of the Orenburg Medical Information and Analytical Center for the years 2009–2018 to conduct a time series analysis. Results: We observed an increase in the incidence rate of diseases of the circulatory system in the population of the Orenburg Region over the ten-year period. The maximum regional rate of 67.0 ± 1.8 per 1,000 population was registered in 2018 while the minimum rate was observed in 2009 and equaled 27.0 ± 0.27 per 1,000 population. Conclusion: The study period was characterized by an increase in the incidence of diseases of the circulatory system accompanied by a statistically significant decrease in the prevalence of cardiovascular diseases in the adult population of the Orenburg Region. The diseases related to high blood pressure ranked first.

scholarly journals THE INFLUENCE OF THE LEVEL OF TRAINING OF PRIMARY WORKERS ON THE QUALITY OF PREVENTIVE WORK (ON THE EXAMPLE OF DISEASES OF THE CIRCULATORY SYSTEM)

2021 ◽  
Vol 1 (15) ◽  
pp. 4-11
Author(s):  
I.M. Kremsar
Keyword(s):  
Medical Care ◽  
Medical Equipment ◽  
Health Workers ◽  
Healthy Lifestyle ◽  
Adult Population ◽  
Circulatory System ◽  
Technical Equipment ◽  
Preventive Work ◽  
Level Of Training

One of the main resources of the health care system is medical staff, the quantity and quality of which is the key to ensuring the availability, quality and efficiency of medical care, even with 100% provision of medical equipment. The purpose of the study: analysis of the impact of the level of training of primary care physicians on the prevention of diseases of the circulatory system on the quality of medical care for adults (on the example of Zaporozhye region). Material and methods. An analysis of the health of the adult population of Zaporozhye region in connection with diseases of the circulatory system, the use of medical equipment in accordance with the standards of medical care for patients with circulatory diseases and to stratify their risk, adherence to a healthy lifestyle by adults. Results. The results of the survey showed low activity of health workers in preventive work among the adult population, which is confirmed not only by their insufficient use of material and technical equipment in accordance with the standards of medical care for patients with circulatory system diseases and for stratification of their risk. 10-20 minutes (82.2 ± 3.72%), 17.2 ± 7.01% of the adult population we surveyed consulted their family doctor for prevention, and the leading source of information for knowledge about a healthy lifestyle in the population is Internet (62.1 ± 9.01% of respondents). Insufficient preventive work by health workers among the adult population on the prevention of diseases of the circulatory system is due to lack of theoretical knowledge and imperfection of practical skills, which requires constant improvement. Conclusions. Based on the results of the study, gaps in the knowledge of health professionals were identified, on the basis of which a one-day training program on the prevention of diseases of the circulatory system was developed, which proved to be effective.

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