Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Cerebrovascular disease mortality rates in the population over 50 years of age in Russia and the USA over a 15-year period

Full Text:


Objective: to compare standardized mortality ratios (SMRs) from cerebrovascular diseases (CVD) among populations aged 50 years or older in Russia and the USA; to discuss the reasons for the differences.

Patients and methods. The investigators calculated SMRs from CVD for men and women aged 50 years or older in Russia (2000–2014) and the USA (1999 to 2013), which corresponded to the 3- and 4-digit codes of the International Statistical Classification of Diseases and Health-Related Problems, 10t h edition (ICD-10). The European standard (European Standard Population, ESP-2013) was used to standardize SMRs.

Results and discussion. The SMRs per 100,000 population from all CVD forms for men aged 50 years or older are 1353 in Russia and 185 in the USA; these for women are 1080 and 175, respectively. The CVD SMRs in percentage of SMRs of all circulatory diseases in Russia were 33.5 for men and 39.6 for women and those in the United States are 14.6 and 19.6, respectively. In Russia, the highest death rates due to CVD fall in the category «Other Cerebrovascular Diseases» (I67) are 35.5% for men and 41.3% for women (about 6% for men and women in the USA); those followed by the rubrics «Cerebral Infarction» (I63) (20.1% for men and 19.2% for women (about 6% for both men and women in the USA)); «Stroke, Not Specified as Hemorrhage or Infarction» (I64) (26% for men and women (about 55% for men and women in the USA)). The death rates from non-traumatic intracranial hemorrhage (I61–I62) in the USA are 18.9% for men and 16.3% for women; those in Russia are 9.5 and 8.6%, respectively. As for all 3-digit codes, SMRs are higher in Russia than those in the USA, with the exception of «Other Nontraumatic Intracranial Hemorrhage» (I62).

The reasons for the revealed differences are discussed. The differences in CVD mortality rates in the United States and Russia are linked to a number of reasons, most of which are due to the peculiarities of selecting the underlying cause of death and using the ICD-10 codes. 

About the Authors

I. V. Samorodskaya
State Research Center of Preventive Medicine, Ministry of Health of Russia, Moscow
Russian Federation

Laboratory for Demographic Aspects of Population Health

10, Petroverigsky Lane, Build. 3, Moscow 101990

E. M. Andreev
National Research University «Higher School of Economics»
Russian Federation

International Laboratory for Population and Health Studies

within the 5-100 Project framework of state support of leading universities of the Russian Federation

100A, Novaya St., Skolkovo, Moscow 143025

O. V. Zaratyants
Department of Pathological Anatomy, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow
Russian Federation
20, Delegatskaya St., Build. 1, Moscow 127473

O. V. Kosivtsova
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow
Russian Federation

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Moscow 119021

E. P. Kakorina
Department of Health Monitoring, Analysis, and Strategic Development, Ministry of Health of Russia, Moscow
Russian Federation
3, Rakhmanovsky Lane, Moscow 127994


1. WHO Mortality Database (WHO MD).

2. The Human Mortality Database (HMD).

3. Koennecke HC, Belz W, Berfelde D, et al; Berlin Stroke Register Investigators. Factors influencing in-hospital mortality and morbidity in patients treated on a stroke. Neurology. 2011 Sep 6;77(10):965-72. doi: 10.1212/WNL.0b0 13e31822dc795. Epub 2011 Aug 24.

4. Lee WC, Joshi AV, Wang Q, et al. Morbidity and mortality among elderly Americans with different stroke subtypes. Adv Ther. 2007 Mar-Apr;24(2):258-68.

5. Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Intracerebral hemorrhage versus infarction: stroke severity, risk factors, and prognosis. Ann Neurol. 1995 Jul;38(1):45-50.

6. Парфенов ВА, Хасанова ДР. Ишемический инсульт. Москва: МИА; 2012. 288 с. [Parfenov VA, Khasanova DR. Ishemicheskii insul't [Ischemic stroke]. Moscow: MIA; 2012. 288 p.]

7. Парфенов ВА, Вербицкая СВ. Первичная профилактика ишемического инсульта: перспективы и реальность. Русский медицинский журнал. 2003;(14):823-5. [Parfenov VA, Verbitskaya SV. Primary prevention of ischemic stroke: promise and reality. Russkii meditsinskii zhurnal. 2003;(14):823-5. (In Russ.)].

8. Парфенов ВА, Батышева ТТ, Вербицкая СВ. Повторный ишемический инсульт у больных с артериальной гипертонией и его профилактика. Клиническая геронтология. 2003;(10):3-9. [Parfenov VA, Batysheva TT, Verbitskaya SV. Recurrent ischemic stroke in patients with arterial hypertension and its prevention. Klinicheskaya gerontologiya. 2003;(10):3-9. (In Russ.)].

9. Ватолина МА, Самородская ИВ, Бойцов СА. Потерянные годы жизни и смертность в результате болезни Альцгеймера в России. Психиатрия. 2014;(1):49-54. [Vatolina MA, Samorodskaya IV, Boitsov SA. Lost years of life and mortality in the result of Alzheimer's disease in Russia. Psikhiatriya. 2014;(1):49-54. (In Russ.)].

10. Tejada-Vera B. Mortality from Alzheimer's disease in the United States: Data for 2000 and 2010. NCHS Data Brief. 2013;(116):1-7.

11. Stuart Harris, Davidson Ho, Julia Verne. Deaths from Alzheimer's disease, dementia and senility in England. National End of Life Care Intelligence Network; 2010. 36 p.

12. Орехов ОО, Полянко НИ, Михалева ЛМ. Основные результаты работы патологоанатомической службы Департамента здравоохранения г. Москвы в 2014 году и планы на 2015 год. В кн.: Заратьянц ОВ, редактор. Сборник презентаций докладов Московского общества патологоанатомов. Вып. III (март-май 2015 г.). Москва: Новик; 2015. С. 17-58. [Orekhov OO, Polyanko NI, Mikhaleva LM. The main results of pathoanatomical service of the Department of health of Moscow in 2014 and plans for 2015. In: Zarat'yants OV, editor. Sbornik prezentatsii dokladov Moskovskogo obshchestva patologoanatomov [A collection of presentations of the reports of the Moscow society of pathologists]. Issue III (March-May 2015). Moscow: Novik; 2015. P. 17-58.]


For citations:

Samorodskaya I.V., Andreev E.M., Zaratyants O.V., Kosivtsova O.V., Kakorina E.P. Cerebrovascular disease mortality rates in the population over 50 years of age in Russia and the USA over a 15-year period. Neurology, Neuropsychiatry, Psychosomatics. 2017;9(2):15-24. (In Russ.)

Views: 697

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

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