Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Epidemiology, risk factors, and emergency care for ischemic stroke in the urban center of the north of West Siberia: 20-year study experience

https://doi.org/10.14412/2074-2711-2014-2S-28-33

Full Text:

Abstract

Objective: to study the epidemiology, risk factors, clinical course, and outcomes of ischemic stroke (IS) on the basis of a 20-year follow-up of patients in Surgut (Khanty-Mansi Autonomous District (KMAD)).

Patients and methods. About 9 thousand patients with IS were followed up during the study. The follow-up results obtained in 1990, 2000, and 2012 were compared. The study was conducted in accordance with the procedure described in the Register of Stroke, by using the records of neurological hospitals of the town, its emergency service, urban polyclinics, and forensic medical examination bureau.

Results. The incidence of IS significantly increased in Surgut in the examined period: there were about 300 primary and secondary IS cases in 1990; about 600 in 2000, and above 1,000 in 2012; the increment being nearly 100% per decade. The rise in the incidence of IS was due to the higher prevalence of its major risk factors: hypertension (by 42%), atherosclerosis (by 24%), diabetes mellitus (by 101%), and cardiac arrhythmia (by 18%). Major cerebral artery (MCA) stenosis and occlusion were identified in 162 (43.2%) of 375 IS cases with their neuroimaging diagnosis. The rate of MCA stenotic lesions was not high, increased with age, and assumed considerable significance in patients over 51–55 years of age. There was a seasonal non-uniform pattern of morbidity, its peak (about 70% of IS) occurred in May-June (this is a spring in the KMAD) when there was a dramatic interdiurnal variability in major meteorological factors. The clinical course of stroke was characterized by relatively favorable outcomes, low mortality rates that declined from 14.5% in 1990 to 6.7% in 2012, which stemmed from the improved delivery of health care.

About the Authors

A.N. Bogdanov
Medical Institute, Surgut State University; 14, Energetikov St., Surgut, Tyumen Region, Khanty-Mansi Autonomous District-Yugra 628400
Russian Federation


Yu.V. Dobrynin
Medical Institute, Surgut State University; 14, Energetikov St., Surgut, Tyumen Region, Khanty-Mansi Autonomous District-Yugra 628400
Russian Federation


I.Yu. Dobrynina
Medical Institute, Surgut State University; 14, Energetikov St., Surgut, Tyumen Region, Khanty-Mansi Autonomous District-Yugra 628400
Russian Federation


S.N. Sonina
Surgut District Clinical Hospital, Khanty-Mansi Autonomous District-Yugra, Surgut; 14, Energetikov St., Surgut, Tyumen Region, Khanty-Mansi Autonomous District-Yugra 628400
Russian Federation


References

1. Гусев ЕИ, Скворцова ВИ, Стаховская ЛВ. Эпидемиология инсульта в России. Журнал неврологии и психиатрии им. С.С. Корсакова. 2003;(Приложение Инсульт):4–9. [Gusev EI, Skvortsova VI, Stakhovskaya LV. Stroke epidemiology in Russia. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2003;(Suppl. Stroke):4–9. (In Russ.)]

2. Айриян НЮ. Анализ данных эпидемиологического мониторинга инсульта в Российской Федерации. Автореф. … дисc. канд. мед. наук. Москва; 2006. [Airiyan NYu. Analiz dannykh epidemiologicheskogo monitoringa insul'ta v Rossiiskoi Federatsii. Avtoref. … diss. kand. med. nauk. [The analysis of data of epidemiological monitoring of a stroke in the

3. Russian Federation: Cand. Diss. (Med. Sci.)]. Moscow; 2006.

4. Бойцов СА, Чучалин АГ, Арутюнов ГП и др. Профилактика хронических неинфекционных заболеваний. Методические рекомендации. Москва: МЗ РФ; 2013. 128 с. [Boitsov SA, Chuchalin AG, Arutyunov GP, et al. Profilaktika khronicheskikh neinfektsionnykh zabolevanii. Metodicheskie rekomendatsii [Prevention of chronic noninfectious diseases.

5. Methodical recommendations]. Moscow: MZ RF; 2013. 128 p.]

6. Быкова ОН, Гузева ОВ. Факторы риска и профилактика ишемического инсульта. Вестник Российской военно-медицинской академии. 2013;4(44):46–8. [Bykova ON, Guzeva OV. Risk factors and prevention of ischemic stroke. Vestnik Rossiiskoi voennomeditsinskoi akademii. 2013;4(44):46–8. (In Russ.)]

7. Исмагилов МФ. Ишемический инсульт: терминология, эпидемиология, принципы диагностики, патогенетические подтипы, терапия острого периода заболевания. Неврологический вестник. Журнал им. В.М. Бехтерева. 2005;XXXVII(1–2):67–76. [Ismagilov MF. Ischemic cerebral insult (terminology, epide-miology, principles of diagnosis,

8. pathogenic subtypes and treatment of an acute period of disease). Nevrologicheskii vestnik. Zhurnal im. V.M. Bekhtereva.

9. ;XXXVII(1–2):67–76. (In Russ.)]

10. Катушкина ЭА, Парфенов ВА. 19-я Европейская конференция по инсульту (XIX European stroke conferense, Барселона, 25–28 мая 2010 г.). Неврологический журнал. 2011;16(3):54–9. [Katushkina EA, Parfenov VA. The review of materials of the XIX European Stroke Conference, May 25–28, 2010, Barcelona. Nevrologicheskii zhurnal. 2011;16(3):54–9. (In Russ.)]

11. Гусев ЕИ, Мартынов МЮ, Камчатнов ПР. Ишемический инсульт. Современное состояние проблемы. Доктор. Ру. 2013;5:2–7. [Gusev EI, Martynov MYu, Kamchatnov PR. Ishemicheskii insul't. Sovremennoe sostoyanie problemy. Doktor. Ru. 2013;5:2–7. (In Russ.)]

12. Гусев ЕИ, Скворцова ВИ, Стаховская ЛВ. Проблема инсульта в Российской Федерации: время активных совместных действий. Журнал неврологии и психиатрии им. С.С. Корсакова. 2007;107(8):1–11. [Gusev EI, Skvortsova VI, Stakhovskaya LV. Stroke in the Russian Federation: time for united concentrated activites. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2007;107(8):1–11. (In Russ.)]

13. Сидоров АМ, Лукьянов АЛ, Шамалов НА. Организация медицинской помощи больным церебральным инсультом на догоспитальном этапе. Неврология, нейропсихиатрия, психосоматика. Cпецвыпуск Инсульт. 2013;(2S):4–8. [Sidorov AM, Lukyanov AL, Shamalov NA. Organization of prehospital medical care for patients with cerebral

14. stroke. Nevrologiya, neiropsikhiatriya, psikhosomatika. Cpetsvypusk Insul't = Neurology, Neuropsychiatry, Psychosomatics.

15. Special issue «Stroke». 2013;(2S):4–8. (In Russ.)] DOI: http://dx.doi.org/10.14412/2074-2711-2013-2352.

16. Morris DL, Rosamond WD, Hinn AR, Gorton RA. Time delays in accessing stroke care in the emergency departmentt. Acad Emerg Med. 1999;6(3):218– 23. 11. Barata AD, Ho SY, Brass LM. Long-term mortality in cerebrovascular disease. Stroke. 2003;34:669-704.

17. European Stroke Organisation (ESO) Executive Committee; ESO Writing Committee. Guidelines for management of

18. ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis. 2008;25(5):457–507. DOI: 10.1159/000131083. Epub 2008 May 6.

19. Верещагин НВ, Варакин ЮЯ. Регистры инсульта в России: результаты и методологические аспекты проблемы. Журнал неврологии и психиатрии им. С.С. Корсакова. 2001;(Приложение Инсульт):34–40. [Vereshchagin NV, Varakin YuYa. Stroke registers in Russia: results and methodological aspects of a problem. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2001;(Suppl Stroke):34–40. (In Russ.)]

20. Скворцова ВИ, Стаховская ЛВ, Пряникова НА и др. Программа эпидемиологического мониторирования «Регистр инсульта» для апробации в территориях Российской Федерации. Методические рекомендации.

21. Москва: Минздравсоцразвития РФ; 2005. 28 с. [Skvortsova VI, Stakhovskaya LV, Pryanikova NA. et al. Programma epidemiologicheskogo monitorirovaniya «Registr insul'ta» dlya aprobatsii v territoriyakh Rossiiskoi Federatsii. Metodicheskie rekomendatsii [The program of epidemiological monitoring «The stroke register » for approbation in territories of the Russian Federation. Methodical recommendations]. Moscow: Minzdravsotsrazvitiya RF; 2005. 28 p.]

22. Скворцова ВИ, Стаховская ЛВ, Пряникова НА и др. Госпитальный регистр инсульта. Методические рекомендации. Москва: Минздравсоцразвития РФ; 2006. 24 с. [Skvortsova VI, Stakhovskaya LV, Pryanikova NA,

23. et al. Gospital'nyi registr insul'ta. Metodicheskie rekomendatsii [Hospital register of a stroke. Methodical recommendations]. Moscow: Minzdravsotsrazvitiya RF; 2006. 24 p.]

24. Богданов АН. Ишемический инсульт в городском центре Среднего Приобья. Автореф. дисc. … канд. мед. наук. Пермь; 1990. [Bogdanov AN. Ishemicheskii insul't v gorodskom tsentre Srednego Priob'ya. Avtoref. diss. … kand. med. nauk [Ischemic stroke in Srednego Priobya city center: Cand. Diss. (Med. Sci.)]. Perm'; 1990.]

25. Богданов АН. Хронические цереброваскулярные заболевания и ишемический инсульт в Среднем Приобье. Автореф. дисc. … докт. мед. наук. Иваново; 1998. [Bogdanov AN. Khronicheskie tserebrovaskulyarnye zabolevaniya

26. i ishemicheskii insul't v Srednem Priob'e. Avtoref. diss. … dokt. med. Nauk [Khronicheskie tserebrovaskulyarnye zabolevaniya i ishemicheskii insul't v Srednem Priob'e: Dr. Diss. (Med. Sci.)]. Ivanovo; 1998.]

27. Добрынин ЮВ. Системный анализ и синтез фазового пространства состояний больных с цереброваскулярной патологией. Автореф. дисc. … канд. мед. наук. Тула; 2006. [Dobrynin YuV. Sistemnyi analiz i sintez fazovogo prostranstva sostoyanii bol'nykh s tserebrovaskulyarnoi patologiei. Avtoref. diss. … kand. med. Nauk [The system analysis and synthesis of phase space of conditions of patients with tserebrovaskulyarny pathology: Cand. Diss. (Med. Sci.)]. Tula; 2006.]

28. Богданов АН, Зарайская НГ. Эпидемиология инвалидности в ХМАО-Югре и значение сердечно-сосудистых заболеваний. Наука в современном мире. Материалы VII Международной научно-практической конференции. Москва: 2011. С. 34–7. [Bogdanov AN, Zaraiskaya NG. Disability epidemiology to Khanty-Mansi Autonomous Okrug-Yugra and value of cardiovascular diseases. Materialy VII Mezhdunarodnoi nauchno-prakticheskoi konferentsii [Materials VII of the International scientific and practical conference]. Moscow: 2011. P. 34–7.]

29. Пинчук ЕА. Эпидемиология и вторичная профилактика ишемического инсульта в условиях крупного промышленного центра. Автореф. дисc. … канд. мед. наук. Екатеринбург; 2004. 18 с. [Pinchuk EA. Epidemiologiya i vtorichnaya profilaktika ishemicheskogo insul'ta v usloviyakh krupnogo promyshlennogo tsentra. Avtoref. diss. … kand.

30. med. Nauk [Epidemiology and secondary prevention of an ischemic stroke in the conditions of the large industrial center: Cand. Diss. (Med. Sci.)]. Ekaterinburg; 2004. 18 p].

31. Коваленко АВ, Гилева ОА. Эпидемиология и факторы риска инсульта в Кемерово. Бюллетень сибирской медицины. 2008;5:170–4. [Kovalenko AV, Gileva OA. Epidemiology and risk factors of a stroke in Kemerovo. Byulleten' sibirskoi meditsiny. 2008;5:170–4. (In Russ.)]

32. Хаертдинова РФ, Исмагилов МФ, Гильманов АА. Медицинская помощь больным с острыми нарушениями мозгового кровообращения, оставленным на дому в остром периоде заболевания, и пути ее оптимизации. Неврологический вестник. Журнал им. В.М. Бехтерева. 2011;XLIII(1):58–62. [Khaertdinova RF, Ismagilov MF, Gil'manov AA. Medical help to the patients with acute cerebral circulation impairment (acci), non-hospitalized during the acute period of the disease; ways of its optimization. Nevrologicheskii vestnik. Zhurnal im. V.M. Bekhtereva. 2011;XLIII(1):58–62. (In Russ.)]


For citation:


Bogdanov A., Dobrynin Yu., Dobrynina I., Sonina S. Epidemiology, risk factors, and emergency care for ischemic stroke in the urban center of the north of West Siberia: 20-year study experience. Neurology, Neuropsychiatry, Psychosomatics. 2014;6(2S):28-33. (In Russ.) https://doi.org/10.14412/2074-2711-2014-2S-28-33

Views: 523


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


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)