Healthcare system for patients with stroke in Russia. Results of 10-years implementation of the measures aimed at improvement of medical care for patients with acute cerebrovascular events

Abstract

The implementation of measures aimed to improve medical care for patients with acute cerebrovascular accidents in the Russian Federation has made it possible to establish a unified healthcare system for patients with stroke, to provide regional vascular centers with modern equipment, to train medical personnel, to introduce modern effective methods of treatment of acute cerebrovascular accidents-thrombolytic therapy and thrombus extraction. The extent of operative treatment of brain aneurysms and hemorrhagic stroke increased more than 7 times. A positive experience has been gained in the arrangement of medical care for a patient with acute cerebrovascular accident at the pre-hospital stage. Measures for reduction of mortality from the main causes are being monitored, and a geo-information map embracing the main statistical parameters of each region is uploaded into the healthcare unified state information system. In the period of 20052016, the death rate from cerebrovascular diseases decreased by more than 40%, including 41% reduction of the death rate from stroke.

Keywords

• stroke
• acute cerebrovascular accident
• mortality
• disability
• reperfusion therapy
• thromboembolectomy
• thrombus extraction