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Cardiovascular mortality: quality diagnostics analysis and causal statistics of lethal outcomes

Year: 2011, volume 7 Issue: №1 Pages: 091-096
Heading: Internal Diseases Article type: Original article
Authors: Nikulina N.N.
Organization: Ryazan State Medical University n.a. I.L.Pavlov
Summary:

The high cardiovascular mortality (CVM) proves the necessity of verification analysis of cardiovascular death causes. The research goal is to determine the quality, facilities and peculiarities of cardiovascular diseases (CVD) of postmortem diagnostics and statistical recording as a cause of death. 1972 successive cases of CVM in Voronezh, Ryazan and Khanty-Mansiysk have been analyzed. The majority of deaths caused by CVD were classified as fatalities occurring outside hospital and in the absence of medical care (88.0%). Incidence of cardiovascular deaths was confirmed by autopsy in 28.3% cases. With increasing age, the incidence of detecting CVD as a cause of death increased, while the frequency of referral to autopsy consistently decreased. Chronic Ischemic Heart Disease (IHD) forms comprising 48.3% of all CVM were confirmed by autopsy results only in 29.5% of cases. Acute IHD forms (including myocardial infarction) accounted for only 11.6% of CVM; however this diagnosis was based on autopsy results in 72.4% of cases. The high death rate outside hospital and in the absence of medical care with the rare referral to autopsy, especially for elderly having chronic CVD, does not provide reliable statistical information on CVM

Keywords: cause of death, cardiovascular mortality, autopsy

References (including transliteration from Cyrillic to Roman script)

1.  Mediko-demograficheskie pokazateli Rossijskoj Federacii 2006 g.: stat. mater. M.: Rosstat, 2007. 188 s.
2.  Owepkova E.V. Smertnost' naselenija ot serdechnososudistyh zabolevanij v Rossijskoj Federacii v 2001 -2006 gg. i puti po ee snizheniju // Kardiologija. 2009. № 2. S. 67-72.
3.  Strategija profilaktiki i kontrolja neinfekcionnyh zabolevanij i travmatizma v Rossijskoj Federacii / Minz-dravsocrazvitija RF; Gos. NIC profilakticheskoj mediciny. M., 2009. 24 s.
4.  Skvorcova V.I., Stahovskaja L.V. Kompleks meroprijatij po sovershenstvovaniju medicinskoj pomowi bol'nym s sosudistymi zabolevanijami v Rossijskoj Federacii // Serdechno-sosudistaja patologija: sovremennoe sostojanie problemy: sb. tr. k 80-letiju akad. E.I. Chazova. M.: Media Medika, 2009. S. 266-273.
5.  Vysokotehnologichnaja medicinskaja pomow' pri IBS / L.A. Bokerija [i dr.] // Zdravoohranenie. 2009. № 1. S. 28-37.
6.  Zabolevaemost' naselenija Rossii v 2006 godu: stat. mater. Ch. I. M.: Rosstat, 2007. 121 s.
7.  Zabolevaemost' naselenija Rossii v 2006 godu: stat. mater. Ch. II. M.: Rosstat, 2007. 172 s.
8.   Heart disease and stroke statistics - 2007 update: a report from the American Heart Association Statistics Committee
and Stroke Statistics Subcommittee / W. Rosamond [et al.] // Circulation. 2007. Vol. 115. P. 69-171.
9. Mezhdunarodnaja statisticheskaja klassifikacija boleznej i problem, svjazannyh so zdorov'em. 10-j peresmotr. T. 1 (ch. 1). Zheneva: VOZ, 1995. 698 s.
10.  Mezhdunarodnaja statisticheskaja klassifikacija boleznej i problem, svjazannyh so zdorov'em. 10-j peresmotr. T. 1 (ch. 2). Zheneva: VOZ, 1995. 633 s.
11.  Zajrat'janc O.V. Analiz smertnosti, letal'nosti, chisla autopsij i kachestva klinicheskoj diagnostiki v Moskve za poslednee desjatiletie (1991-2000 gg.) // Prilozhenie k Arhivu patologii. 2002. 64 s.
12.   Zajrat'janc O.V.. Kakturaskij L.V., Avtandilov GG. Pravila postroenija patologoanatomicheskogo diagnoza, oformlenija medicinskogo svidetel'stva o smerti, sopostavlenija klinicheskogo i patologoanatomicheskogo diagnozov v sootvetstvii s trebovanijami MKB-10: metod, rekomendacii / Rossijskaja AMN. M.: CPAL NII morfologii cheloveka RAMN, 2001. 142 s.
13.  Mezhdunarodnaja statisticheskaja klassifikacija boleznej i problem, svjazannyh so zdorov'em. 10-j peresmotr. T. 2: sb. instrukcij. Zheneva: VOZ, 1995. 179 s.
14.  Osnovy zakonodatel'stva Rossijskoj Federacii ob ohrane zdorov'ja grazhdan (v red. federal'nyh zakonov ot 02.03.1998 № 30-FZ, ot 20.12.1999 № 214-FZ, ot 02.12.2000 № 139-FZ, ot 10.01.2003 № 15-FZ, ot 27.02.2003 № 29-FZ, ot 30.06.2003 № 86-FZ, ot 29.06.2004 № 58-FZ, ot 22.08.2004 № 122-FZ, s izm., vnesennymi Ukazom Prezidenta RF ot 24.12.1993 №2288). M., 2004.
15.  Prikaz MZ RF № 82 ot 29.04.1994 g. «O porjadke provedenija patologoanatomicheskih vskrytij». M., 1994.
16.  Pulvers R. Pondering the process of filling in the final page of a person's life // The Japan Times. http://www.search. japantimes.co.jp/cgi-bin/fl20081102rp.html
 

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