CEREBROVASCULAR MORBIDITY, LETHALITY AND MORTALITY IN THE MOSCOW REGION IN 2014

Abstract

Background: Cerebrovascular disorders are major contributors into mortality of the population. Annually, more than 14 000 subjects die of cardiovascular disorders in the Moscow Region, 50% of them when being in a hospital. Aim: Informational support of the programs aimed at decreasing of populational morbidity, lethality and mortality from cerebrovascular disorders, including stroke, improvement of healthcare quality and finally maintenance of patients’ health and quality of life. Materials and methods: We calculated rates of mortality, in-hospital lethality, total (according to referrals) and hospital incidence of cerebrovascular disorders in the Moscow Region in 2014. The sources of information were report forms of the Federal statistical surveillance #12 and #14, as well as materials of the State Statistical Service of the Moscow Region, related to mortality of the population. Changes of the parameters during the last years were monitored. Results: The leading cause of total morbidity (registered according to referrals) among the adult population of the Moscow Region is “other cerebrovascular disorders” category (ICD-10) that include cerebrovascular atherosclerosis and other chronicdiseases (35.3 per 1000 of population). The same group of disorders was the main cause of hospitalization among adults (5.2‰). The highest in-hospital lethality was registered for intracerebral and other intracranial hemorrhage (53.3% of cases), for subarachnoid hemorrhage (29.8%), and for cerebral infarction (23%). During the last years, there was a decrease in population cerebrovascular mortality rates, especially mortality from strokes. Conclusion: The medical and statistical analysis allowed quantification of amount and changes in populational cerebrovascular morbidity, lethality and mortality in the Moscow Region as a whole in 2014. Regional monitoring would allow for determination of the efficacy of implementation of the planned measures aimed at lowering of these parameters. Such analysis performed at the level of a medical district or at municipal level would make it possible to assess a “contribution” of a territory into the general problem and to determine its rank.