Cerebrovascular diseases epidemiology in the Stavropol region rural residents in the implementation context of the regional program «Fighting mediavascular diseases in the Stavropol region»

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Abstract

Relevance. During the implementation of the program for the prevention and treatment of cardiovascular diseases in the Stavropol Territory, measures were taken to prevent hemorrhagic and ischemic strokes, train medical personnel in methods of timely detection of cerebrovascular diseases (CVD), recognition (including through training of the general population) and routing patients with acute cerebrovascular accidents; during a pandemic, opening specialized departments. This organizational experiment required an assessment of its impact on the most medically complex group of the population - rural residents. The aim was to study in dynamics the epidemic situation of CVD among the rural population in the Stavropol Territory in comparison with the Russian Federation. Materials and Methods. Information from official statistical observation forms on the incidence of CVD and mortality from them was studied. Results and Discussion. In the period from 2010 to 2022, there was an increase in the incidence of CVD in the rural population from 464.6 to 1045.1 per 100,000 rural population, which is partly due to the aging of the population, and partly due to improved diagnosis of CVD. The overall incidence of CVD increased from 1275.5 to 3416.1, which suggests an improvement in patient survival. The incidence of strokes of all types tended to decrease, which indicates the effectiveness of the impact on the risk factors for their development. The incidence of unspecified strokes decreased significantly, which led to an increase in the primary incidence of cerebral infarctions (which, however, grew more slowly in the Stavropol Territory than in the Russian Federation as a whole; the coefficients of the regression equations were 2.5 and 4.3, respectively). Between 2015 and 2022. the mortality rates (from 208.4 to 161.1) and mortality (from 5.8 to 2.8) from CVD decreased rapidly (relative to mortality from CVD in the Russian Federation). Conclusion. The proposed set of measures for the prevention and treatment of CVD, including preventive measures, a system of social mobilization, FAST-test, patient routing systems with the delivery of eligible persons to vascular centers within an hour, timely response to new risk factors for the development of CVD, was effective and can be recommended for implementation in similar areas with a high proportion of rural population.

About the authors

Alexei Y. Abramov

RUDN University

Email: Muravyeva81@mail.ru
ORCID iD: 0000-0001-7178-1260

Alla A. Muravyeva

Stavropol State Medical University

Author for correspondence.
Email: Muravyeva81@mail.ru
ORCID iD: 0000-0002-4460-870X

Julia V. Mikhaylova

Russian Research Institute of Health

Email: Muravyeva81@mail.ru
ORCID iD: 0000-0001-6779-726X

Sergey A. Sterlikov

Russian Research Institute of Health

Email: Muravyeva81@mail.ru
ORCID iD: 0000-0001-8173-8055

References

  1. Murav’eva AA, Mikhaylova YuV, Sterlikov SA. Features of the incidence of cerebrovascular diseases in the Stavropol Territory in the context of the implementation of the regional program «fighting cardiovascular diseases in the Stavropol Territory». Modern problems of health care and medical statistics. 2013;(3): 903–929. doi: 10.24412/2312-2935-2023-3-903-929
  2. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9 th edition. Diabetes Res Clin Pract. 2019;157:107843. doi: 10.1016/j.diabres.2019.107843
  3. Gafurova DU. Cerebral strokes and their features in rural residents of the Republic of Dagestan. PhD Thesis. Saint Petersburg; National Medical Research Center named after V.A. Almazov, Russia, 2019. 156 p. (In Russian).
  4. Bylina SG. Mortality of the urban and rural population of the Russian Federation by cause of death: a comparative analysis. International Scientific Research Journal. 2020;10(100):95–103. doi: 10.23670/IRJ.2020.100.10.054 (In Russian).
  5. Zubko AV, Sabgayda TP, Semenova VG, Muzykantova NN. Losses of the Russian population from preventable causes of cardiovascular mortality in the periods before and during the pandemic. Social aspects of public health. 2023;69(1). doi: 10.21045/2071-5021-2023-69-1-6 (In Russian).
  6. Wu S, Wu B, Liu M, Chen Z, Wang W, Anderson CS, Sandercock P, Wang Y, Huang Y, Cui L, Pu C, Jia J, Zhang T, Liu X, Zhang S, Xie P, Fan D, Ji X, Wong KL, Wang L. China Stroke Study Collaboration. Stroke in China: advances and challenges in epidemiology, prevention, and management. Lancet Neurol. 2019;18(4):394–405. doi: 10.1016/S1474-4422(18)30500-3
  7. Jackson SM, Neibling BA, Barker RN. Stroke survivors’ perspectives on recovering in rural and remote Australia: A systematic mixed studies review. Aust Occup Ther J. 2022;69(2):214–230. doi: 10.1111/1440-1630.12779
  8. Leira EC, Hess DC, Torner JC, Adams HP Jr. Rural-urban differences in acute stroke management practices: a modifiable disparity. Arch Neurol. 2008;65(7):887–91. doi: 10.1001/archneur.65.7.887
  9. Ermolaev DO, Ermolaeva Yu N. Regional features of mortality from diseases of the circulatory system in the context of a regional program to reduce cardiovascular mortality. Medical and pharmaceutical journal Pulse. 2021;23(8):21–27 (In Russian).
  10. Klochikhina OA, Shprakh VV, Stakhovskaya LV, Polunina EA. Analysis of the average long-term morbidity and mortality from stroke in the regions of the Russian Federation included in the federal program for the reorganization of care for patients with stroke. Journal of Neurology and Psychiatry. S.S. Korsakov. Special Issues. 2020;120(122):3741. (In Russian).
  11. On the approval of the regional program «Fight against cardiovascular diseases in the Stavropol Territory». Decree of the Government of the Stavropol Territory dated June 25, 2019 No. 277-p. URL: https://shpakrb.ru/files/ZAKON/Regionalnoe/2020/277-p.pdf (Cited: 01.07.2023) (In Russian).
  12. Lou M, Yuan D, Liao S, Tong L, Li J. Potential mechanisms of cerebrovascular diseases in COVID-19 patients. J. Neurovirol. 2021;27(1):35–51. doi: 10.1007/s13365-021-00948-2
  13. Tsivgoulis G, Palaiodimou L, Zand R, Lioutas VA, Krogias C, Katsanos AH, Shoamanesh A, Sharma VK, Shahjouei S, Baracchini C, Vlachopoulos C, Gournellis R, Sfikakis PP, Sandset EC, Alexandrov AV, Tsiodras S. COVID-19 and cerebrovascular diseases: a comprehensive overview. Ther Adv Neurol Disord. 2020;13:1756286420978004. doi: 10.1177/1756286420978004. (In Russian).
  14. Stein LK, Mayman NA, Dhamoon MS, Fifi JT. The emerging association between COVID-19 and acute stroke. Trends Neurosci. 2021 Jul;44(7):527–537. doi: 10.1016/j.tins.2021.03.005
  15. Belozerov VS, Shhitova NA, Turun PP, Jeshrokov VM, Panin AN. Stavropol region. Social portrait of the region // Social atlas of Russian regions. http://www.ecoross.ru/files/atlas/stavr.shtml (Cited: 01.07.2023) (In Russian).
  16. Byzov NS, Nozhkina NV. Modern issues of medical and demographic consequences of health conservation in cerebrovascular diseases. Collection of articles of the IX Ural Demographic Forum. Ekaterinburg: Institute of Economics, Ural Branch of the Russian Academy of Sciences. Ekaterinburg. 2018: 494–505 (In Russian).
  17. Report on the state and trends of the demographic situation in the Stavropol Territory. Ministry of Labor and Social Protection of the Population of the Stavropol Territory. Stavropol. 2018: 76 p. (In Russian).
  18. Mukhametzyanov AM. Incidence of cerebrovascular diseases according to the population of Ufa/Modern problems of science and education. Modern problems of science and education. 2014;(3). https://science-education.ru/ru/article/view?id=13095. (Cited 25.08.2023) (In Russian).
  19. Socially significant diseases of the Russian population in 2009 (Statistical materials). M.: TsNIIOIZ, 2010. 66 p. (In Russian).
  20. Kakorina EP, Starodubov VI, Aleksandrova GA, Polikarpov AV, Golubev NA, Ogryzko EV, Kadulina NA, Belyaeva IM, Avdeeva LN, Semenova TA, Oblomova MV, Pronina TV. Socially significant diseases of the Russian population in 2009 (Statistical materials). M.: TsNIIOIZ Minzdrava Rossii. 2010. 64 p. (In Russian).
  21. Kotova EG, Kobyakova OS, Starodubov VI, Aleksandrova GA, Golubev NA, Kucheryavaya DA, Ogryzko EV, Polikarpov AV, Shelepova EA. Socially significant diseases of the Russian population in 2021 (Statistical materials). M.: TsNIIOIZ Minzdrava Rossii, 2022. 78 p. (In Russian).
  22. Gurov AN. The incidence rate of cerebrovascular diseases, mortality and mortality in the Moscow region in 2014. Almanac of Clinical Medicine. 2015;39:11–14. (In Russian).

Supplementary files

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1. Fig. 1. Dynamics of the primary incidence of CVD among rural residents in the Russian Federation as a whole and in the Stavropol Territory in 2010–2022

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2. Fig. 2. Dynamics of age-standardized indicators of primary incidence of CVD in rural residents in the Russian Federation as a whole and in the Stavropol Territory in 2010–2022

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3. Fig. 3. Dynamics of the overall incidence of CVD among rural residents in the Russian Federation as a whole and in the Stavropol Territory in 2010–2022

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4. Fig. 4. Dynamics of the rate of primary incidence of strokes in the rural population (hemorrhagic, cerebral infarctions and unspecified as hemorrhage or heart attack) in the whole of the Russian Federation and the Stavropol Territory in 2010–2022

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5. Fig. 5. Dynamics of the incidence of hemorrhagic, unspecified strokes and cerebral infarction in the rural population as a whole in the Russian Federation and the Stavropol Territory in 2010–2022

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6. Fig. 6. Mortality from CVD (per 100,000 population) and mortality from CVD (per 100 people who applied to medical organizations during the year) of the rural population of the Russian Federation and Stavropol Territory from 2015 to 2022

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Copyright (c) 2023 Abramov A.Y., Muravyeva A.A., Mikhaylova J.V., Sterlikov S.A.

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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