Совершенствование статистического учета как мера повышения эффективности профилактики болезней системы кровообращения.

Abstract

Improving the provision of medical care for diseases of the circulatory system, including disease prevention, is an urgent problem, the solution of which is carried out in the Russian Federation at the state level. Purpose of the study is to evaluate information on the features of accounting for peripheral artery diseases and the level of their prevalence on the basis of information contained in official statistical reporting forms. Materials and methods. Based on the information of medical organizations contained in official statistical reporting forms No. 12 and No. 14, an assessment of the features of accounting for peripheral artery diseases and their prevalence in St. Petersburg for the period from 2015 to 2020 was carried out. In order to neutralize the influence of regional peculiarities of the organization of medical care during the pandemic of a new coronavirus infection, 2019 was chosen as the main research period. Extensive and intensive indicators were calculated with an assessment of the reliability of their difference, a correlation analysis was carried out. Results. The official statistical forms take into account a limited list of diseases of the peripheral arteries, which accounts for only 1,2% in the structure of diseases of the circulatory system in St. Petersburg. The proportion of other diseases of the circulatory system that are background is high: high blood pressure – 38,7%, cerebrovascular diseases – 25,5%, coronary heart disease – 22,5%. At the same time, the contribution of peripheral artery diseases in assessing their long–term consequences is significant – there is an increase in the level of surgical interventions, including amputations. In addition, a strong correlation was established between the prevalence of peripheral artery diseases and background diseases (p = 0,78; p < 0,01), which indicates a “cumulative effect” of peripheral artery diseases in the population. Conclusions. It is necessary to develop separate preventive programs for patients with peripheral artery diseases, the instrument of which can be the organization of their effective accounting by means of a register specially created for these purposes.