Analysis of mortality rate after cerebral strokes at the angioneurology department of the Military Medical Clinical Center of the Western Region from 2013 to 2017
Background. The purpose of the investigation was to study the dynamics of the overall mortality rate in patients with cerebral stroke, who were hospitalized in the intensive care unit of the neurosurgery and neurology clinic of the Military Medical Clinical Center of the Western Region from 2013 to 2017. Materials and methods. Fifty seven records of patients who died from cerebral stroke have been worked out. The analysis of the indicators of total mortality from 2013 to 2017 years has been carried out. Results. Compared to 2013 and 2017, there is a reduction in mortality from cerebral stroke by 4.5 %. The highest number of deaths from cerebral stroke was in 2013. The background for both subgroups of fatal brain stroke was hypertension combined with cerebral atherosclerosis, diabetes mellitus, ischemic heart disease, atrial fibrillation. The cause of death in these patients was cerebral edema with secondary ischemic lesions of the stem structures due to compression-dislocation syndrome. In 13 patients who died, myocardial infarction was a concomitant disease. Nine patients had repeated cerebral stroke. In 7 patients, death occurred during the first day due to the stroke severity because of decompensation of cerebral circulation, cerebral edema and the presence of severe concomitant somatic pathology. Conclusions. The number of deaths from stroke is 57, the proportion of autopsies is 40. The highest death rate from cerebral stroke was in the age group more than 70 years. Total mortality from stroke was 11 %. Twelve (21 %) patients died with depressed level of consciousness (sopor) and 45 (79 %) — with brain comas. Mortality from cerebral stroke among men was 4.7 times higher than in women. Differences in clinical and anatomical pathology diagnosis were noted in 2 cases.
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Katz R.T., Rovai G.P., Brait C., Rymer W.Z. Objective quantification of spastic hypertonia: correlation with clinical findings / R.T. Katz, G.P. Rovai, C. Brait, W.Z. Rymer // Archives of Physical Medicine and Rehabilitation. – 1992. – Vol. 73. – P. 339-347.
Wu J., Kohlno T., Georgiev S.K., Ikoma M., Ishii H., Petrenko A.B., Baba H. Taurine activates glycine and gamma-aminobutyric acid A receptors in rat substancia gelatinosa neurons / J. Wu, T. Kohlno, S.K. Georgiev, M. Ikoma, H. Ishii, A.B. Petrenko, H. Baba // Neuroreport. – 2008. – Vol. 19. – P. 333-337.
Zozulya I.S. The main tasks of improving the provision of medical care at cerebral stroke / I.S. Zozulya, A.I. Zozulya // Ukrainian medical journal. – 2014. - № 4 (102). – P. 114-118.
Features of epidemiology of disability in diseases of the nervous system in Ukraine / N. K Khobzey, T. S. Myshchenko, V. A. Holyk, N. A. Hondulenko // International Neurological Journal. – 2011. - № 5 (43). – P .15-19.
Global and regional burden of stroke during 1990 – 2010: findings from the Global Burden of Disease Study 2010 / V. L. Feigin, M. H. Forouzanfar, R. Krishnamurthi et al. // Lancet. – 2014. – Vol. 383 (9913). – P. 245 – 254.
Heart disease and stroke statistics – 2014 update: a report from the American Heart Association / A. S. Go, D. Mozaffarian, V. L. Roger et al. // Circulation. – 2013. – Vol. 129. – P. 28 – 292.
Incidence of stroke in Europe at the beginning of the 21st century / The European Registers of Stroke (EROS) Investigators // Stroke. – 2009. – Vol. 40. – P. 1557 – 1563.
Ovbiagele B. Stroke epidemiology: advancing our understanding of disease mechanism and therapy / B. Ovbiagele, M. Nguyen-Huynh // Neurotherapeutics. – 2011. – Vol. 8. – P. 319 – 329.
Remarkable decline in ischemic stroke mortality is not matched by changes in incidence / I. Vaartjes, M. O’Flaherty, S. Capewell et al. // Stroke. – 2013. – Vol. 44. – P. 591 – 597.
Factors influencing the Decline in Stroke Mortality: a statement from the American Heart Association / American Stroke Association / D. L. Lackland, E. J. Roccella, A. F. Deutsch et al. // Stroke. – 2014. – Vol. 45. – P. 315 – 353.
Mendis S. Stroke disability and rehabilitation of stroke: World Health Organization perspective / S. Mendis // International Journal of Stroke. – Vol. 8 (1). – P. 3 – 4.
Ukraintseva S. Increasing rates of dementia at time of declining mortality from stroke / S. Ukraintseva, F. Sloan, K. Arbeev, A. Yashin // Stroke. – 2009. – Vol. 37. – P. 1155 – 1159.
Sokolova L. I. Epidemiology and risk factors for stroke in the blood vessels vertebral-basilar basin / L. I. Sokolova, K. V. Antonenko, I. H. Savchenko // Ukrainian Neurological Journal. – 2012. - №3. – P. 47-52.
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