Indicators of stroke morbidity and mortality from stroke in the territories included in the Federal program of caring for patients with stroke

Клочихина, О.А.; Шпрах, В. В.; Stakhovskaya, L. V.; Полунина, О. С.; Полунина, Е. А.

doi:10.17116/jnevro202112103222

Cited by 10 publications

(10 citation statements)

References 22 publications

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“…Архангельская область, занимающая по площади примерно 1/3 территории Европейского севера России, несёт своё региональное бремя инсульта. Заболеваемость инсультом в Архангельской области в 2020 и 2021 годах составила 3,93 и 3,96 на 1000 населения соответственно, что соответствует уровню заболеваемости по стране выше среднего [2,3].…”

Section: обоснованиеunclassified

Relationship between sex and age characteristics, comorbid status, and dynamics of recovery in the acute period of stroke in patients living in the Arkhangelsk region

Chernykh,

Khasanova,

Karyakin

et al. 2024

Physical and rehabilitation medicine, medical rehabilitation

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Background: The global burden of stroke continues to rise and is the third leading cause of disability worldwide. The factors influencing the dynamics of recovery and functional outcome in the acute period of stroke remain not fully understood. Aims: to study the relationship between gender-age characteristics, comorbid status and the dynamics of the functional state in the acute period of stroke in patients living in the Arkhangelsk region. Materials and methods: A retrospective cohort study was conducted. We assessed the gender-age structure of patients, functional status (FS) according to the NIHSS and mRS scales at the admission to the hospital and discharge, and its dynamics during the hospitalization period. We analyzed the relationship between FS and gender-age characteristics, type of stroke, and concomitant diseases. The dynamics of recovery were assessed using the rate of decline in NIHSS and mRs points. Results: We analyzed the treatment results of 1617 patients with stroke (mean age 63.8±11.4 years) discharged from the neurological department in 2017-2020, 968 men, 649 women. It was revealed that women were more disabled initially (p0.001), but the dynamics of recovery in the acute period of stroke were better than in men. With increasing age, the rate of decline in scores on rating scales decreased. The best dynamics of recovery were demonstrated by patients with atherothrombotic and lacunar types of stroke, patients with cardioembolic stroke recovered the slowest. High comorbidity burden was associated with poor functional outcome. Independent associations were identified between the presence of atrial fibrillation (AF), cerebral atherosclerosis (CA), chronic heart failure (CHF) and a higher mRs score at the admission. At the time of discharge, AF, CHF, arterial hypertension (AH) and coronary heart disease (CHD) were independently associated with high mRs scores, and the presence of CA was associated with lower mRs scores. Conclusions: women recovered better, despite greater disability upon admission. Age and comorbidity burden served as reasons limiting the rate of recovery. AF, CHF, CHD and AH were the main comorbid problems associated with worse functional outcome at discharge. The results obtained can be used to predict early functional outcome in patients with stroke.

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Section: обоснованиеunclassified

Relationship between sex and age characteristics, comorbid status, and dynamics of recovery in the acute period of stroke in patients living in the Arkhangelsk region

Chernykh,

Khasanova,

Karyakin

et al. 2024

Physical and rehabilitation medicine, medical rehabilitation

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“…It has been established that listening to vocal music is an effective and easily applicable tool for supporting cognitive recovery after a stroke. The rehabilitative effects of vocal music are due to both structural and functional changes in plasticity in the temporo-parietal lobes/ networks, which are critical for processing emotions, language, and memory [19][20][21][22][23][24][25][26][27][28][29]. Why did moderate hypoxia, physical activity and constant intellectual work become the factors that protect the brain?…”

Section: Global Lifestyle Modificationmentioning

confidence: 99%

“…In Russia, the number of cases of stroke in recent decades has amounted to 340 people. per 100 thousand population per year [21][22][23][24][25][26][27][28][29]. This means that approximately every 1.5 minutes a Russian develops this disease, and the mortality rate from it remains one of the highest in the world.…”

Section: General Trends In the Prevention And Treatment Of Strokes In...mentioning

confidence: 99%

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General trends in the prevention and treatment of cerebrovascular disease in the XXI century

Реутов¹

2023

Open J Clin Med Case Rep

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“…Факторами развития сосудистой мозговой недостаточности являются атеросклеротическое поражение сонных артерий и патологическая извитость внутренней сонной артерии (ВСА) [4][5][6][7]. При обеих патологиях с возрастом имеется тенденция к прогрессированию гемодинамических нарушений и нарастанию симптомов сосудистомозговой недостаточности с высоким риском летальности и инвалидизации [8][9][10].…”

Section: Introductionunclassified

Additional ultrasound capabilities for local haemodynamically significant carotid deformity: a one-stage observational study

Поморцев

Baghdasaryan

2022

Kuban. nauсh. med. vestnik

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Background. Despite a wide range of studies, no consensus has been reached on the relative weight of ultrasound parameters for assessing local haemodynamically significant carotid deformations.Objectives. To estimate a diagnostic value for an additional multiparametric ultrasound parameter for local haemodynamically significant carotid deformations.Methods. In the first phase, 388 patients underwent an outpatient multiparametric ultrasound examination of the carotid arteries. The study involved patients of the age of 18 and older with a primary referral for carotid ultrasound by a resident physician, neurologist or cardiologist in order to rule out a carotid pathology. As a supplement to the main haemodynamic significance assessment parameters, we introduced an additional metric — the deformity coefficient – in order to diagnose carotid abnormalities. Based on the first phase results, two cohorts were selected. Cohort 1 (control) consisted of patients with no abnormalities in multiparametric carotid ultrasound. Cohort 2 consisted of patients with isolated unilateral internal carotid artery deformities at no haemodynamically significant stenosis of common and internal carotid arteries in multiparametric carotid ultrasound. In the second phase, the patients underwent transcranial duplex sonography of the middle cerebral arteries, in order to detect regional haemodynamically significant internal carotid artery deformities.Results. Mathematical modelling of abnormal arteries produced the empirical upper deformity coefficient thresholds to distinguish acute angulation. This value is >1.41 for C-shaped and >1.34 — for S-shaped curves.Subsequent statistical analysis revealed a clear positive correlation between angulation and the deformity coefficient at a p < 0.01 significance level. More acute angulation corresponds to higher coefficient values.The Spearman correlation between the deformity coefficient and blood flow asymmetry values for middle cerebral artery was 0.89. This defines a significant positive correlation (higher deformity coefficient corresponds to higher blood flow asymmetry) at a p < 0.01 significance level.Conclusion. The deformity coefficient is an additional ultrasound parameter for assessing local haemodynamically significant carotid abnormalities.

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Indicators of stroke morbidity and mortality from stroke in the territories included in the Federal program of caring for patients with stroke

Cited by 10 publications

References 22 publications

Relationship between sex and age characteristics, comorbid status, and dynamics of recovery in the acute period of stroke in patients living in the Arkhangelsk region

Relationship between sex and age characteristics, comorbid status, and dynamics of recovery in the acute period of stroke in patients living in the Arkhangelsk region

General trends in the prevention and treatment of cerebrovascular disease in the XXI century

Additional ultrasound capabilities for local haemodynamically significant carotid deformity: a one-stage observational study

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