COMPARISON OF GENERAL CLINICAL DATA FROM TWO INDEPENDENT REGISTERS AMONG MALE SUBJECTS IN ONE AREA TASHKENT CITY

Abstract

The register is an organized system for collecting information about patients with specific diseases. Functions of registers on acute coronary diseases allow using them to characterize therapeutic approaches and assess their quality. It is with the help of registers that help to identify the status and deficiencies in the management of patients at individual stages of specialized care, you can see the most optimal ways to improve the quality of treatment. Carrying out registers and estimation of their dynamics for today are poorly covered in the literature, and in this connection we conducted a comparative analysis of the database of two independent registers (in 2009 and 2015) in one of the districts of Tashkent (a total of 894 patients with acute coronary syndrome and acute myocardial infarction). The analysis revealed that the incidence of ACSAMI in the 2nd register among men younger than 40 years decreased, but the number of obese individuals increased. In the 2nd register, the number of men with HR> 90 beats/min decreased, but the mean values of blood pressure increased. Among men with ACS/ АMI, an increase in the level of triglycerides of blood was registered in the 2nd register, but the percentage of men with hypertriglyceridemia was less. In the 2nd register, the number of troponin determinations has increased, which indicates an increase in the coverage of laboratory studies. The results of the 2nd register on ACS/ АMI among males revealed a significant increase in the groups of drugs used in the treatment, not only those included in the basic therapy of IHD, but also the main ones in the treatment of ACS/ АMI, which indicates positive qualitative shifts in treatment acute cardiac pathology. Thus, the use of the population methodologies of the Registers allows the creation of a program for predicting the outcome of the disease, and also to improve the volume and quality of medical care, taking into account individual risk factors and the potential of their interrelationships

Keywords

• acute coronary syndrome
• acute myocardial infarction
• male population
• comparative analysis of two registers