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Comparison of the incidence rate of stroke in the different regions of Russian federation (population-based register of stroke, 2009–2014)

[Neurology]
Lyudmila Stakhovskaya; Olga Klochikhina; Madina Bogatyreva; Vladimir Koshel; Rostislav Mozheyko; Oleg Strakhov;

The aim of the study was to evaluate the incidence rate of stroke in the six regions of Russia. A multicenter study carried out population-based register, on the basis of Monitoring Trendsand Determinants in Cardiovascular Disease (MONICA).The study was conducted among an urban population of six Russian regions from 2009 to 2014, located in different geographical areas (Federal Districts: Sakhalin, Siberia, Ural, Privolzky, Central, North Caucasian). The age group from 25 to 74 years was analysed. The total population studied was 1 013 382 people, where each new case of stroke was recorded. During the six years of study, 12,256 cases of stroke have been reported. The highest incidence rates are registered in Sverdlovsk region (Me=3.303, QR=2.833÷3.657), lowest – in the Stavropol region (Me=1.894; QR 0.927÷2.175). Since 2009 the reorganization of care for patients with stroke was carried out in the regions studied within the framework of a unified national program, the results of the study were the criterion of the effectiveness of the integrated program. The comparison study of stroke incidence in the urban population regions demonstrated the effectiveness of integrated stroke management activities in six
regions located in the different parts of the country.

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Keywords: stroke, incidence, register, regions


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