310 Mira Street, Stavropol, Russia, 355017
+7 8652 352524; +7 8652 353229.
+7 8652 352524.
The journal is included into The list of leading scientific periodicals.
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.
1. Feigin V. L., Lawes C. M., Bennett D. A., Barker-Collo S. L., Parag V. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. The Lancet Neurology. 2009;8(4):355-369. https://doi.org/10.1016/S1474-4422(09)70025-0
2. Roth G. A., Huffman M. D., Moran A. E., Feigin V. L., Mensah G. A. [et al.]. Global and Regional Patterns in Cardiovascular Mortality From 1990 to 2013. Circulation. 2015;132(17):1667-1678. https://doi.org/10.1161/CIRCULATIONAHA.114.008720
3. Cadilhac D. A., Kim J., Lannin N. A., Kapral M. K., Schwamm L. H. [et al.]. Meretoja A. National stroke registries for monitoring and improving the quality of hospital care: A systematic review. International Journal of Stroke. 2016;11(1):28-40. https://doi.org/10.1177/1747493015607523
4. Feigin V. L., Abajobir A., Abate K., Abd-Allah F., Abdulle A. [et al.]. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet Neurology. 2017;16(11):877-897. https://doi.org/10.1016/S1474-4422(17)30299-5
5. Liu M., Wu B., Wang W. Z., Lee L. M., Zhang S. H. [et al.]. Stroke in China: epidemiology, prevention, and management strategies. The Lancet Neurology. 2007;6(5): 456-464. https://doi.org/10.1016/S1474-4422(07)70004-2
6. WHO. WHO STEPS Stroke manual: the WHO STEP wise approach to stroke surveillance. Geneva: World Health Organization, 2006. Available at: http://www.who.int/chp/steps/Manual.pdf Accessed December 27, 2018.
7. Gusev E. I., Skvorcova V. I. Programma epidemiologicheskogo monitorirovaniya «Registr insul`ta» (dlya aprobacii na territoriyax Rossijskoj Federacii). Moscow, Pirogov Russian National Research Medical University, 2000. (In Russ.).
8. Asplund K., Rajakangas A. M., Kuulasmaa K., Thorvaldsen P., Bonita R. [et al.]. Multinational comparisonof diagnostic procedures and management of acute strokethe WHO MONICA Study. Cerebrovascular. Diseases. 1996;6:66-74. https://doi.org/10.1159/000108000
9. Feigin V. L. Epidemiologiya i profilaktika cerebrovaskulyarnyh zabolevanij v usloviyax Sibiri. M.; 1991. (In Russ.).
10. Ayriyan N. Y. Analiz dannyh ehpidemiologicheskogo monitoring insul’ta v Rossijskoj Federacii. M.; 2006. (In Russ.).
11. Shamalov N. A., Ramazanov G. R., Anisimov K. V., Skvortsova V. I. Reperfusion therapy for ischemic stroke. Nevrologiya, nejropsihiatriya, psihosomatika. – Neurology, Neuropsychiatry, Psychosomatics. 2011;3(3):4-7. (In Russ.). https://doi.org/10.14412/2074-2711-2011-158
Keywords: stroke, incidence, register, regions