State Research Centre for Preventive Medicine, Federal Agency on High Medical Technologies

Abstract

Aim. То analyze the quality of medical help to Vologda citizens with acute cerebral stroke (S), considering healthcare continuum at ambulatory, pre-hospital and hospital levels in the first 28 days from S development.Material and methods. In the Vologda City healthcare system, the technology for registering acute S cases (S register) has been developed, with 2001—2005 results analyzed.Results. During the whole follow-up period, early S cases (<30 years) have been registered among Vologda City citizens. In patients with arterial hypertension (AH), pharmaceutical therapy quality deteriorated after S. Most S patients (approximately 75 %) were hospitalized in the first 24 hours. Many patients applied for emergency medical help (EMH) late, and about 25 % applied to their general practitioner, via home visits or ambulatory appointments. In various years of follow-up, acute S was diagnosed by EMH doctors in 65,6—68,2 % of the cases, and by general practitioners — in 17,9—23,1 %. During the first 28 days, about 25’fi of the S patients died, during the first year — 46,6 %. AH control effectiveness was high in S individuals during their hospital treatment.Conclusion. S register demonstrated the defects of ambulatory S treatment, especially in patients with high cardiovascular risk. AH control effectiveness was high in hospitalized hypertensive patients with acute S.

Keywords

• epidemiology
• cerebral stroke
• register
• healthcare quality