2019 № 3 The role of air ambulance in reducing mortality in acute myocardial infarction in the Vologda region
The incidence of acute myocardial infarction (AMI) in the Vologda region exceeds the average Russian indicators and the average in the North-West Federal District. The Vologda region has a number of geographical features, which makes it relevant to use air ambulance services to evacuate patients with acute myocardial infarction from remote locations to regional clinics. Purpose. To study the role of air ambulance in reducing the mortality of patients with acute myocardial infarction. Material and methods: statistical data on the frequency of hospitalization of patients with acute myocardial infarction in medical institutions of the Vologda region and data on the use of air ambulance to evacuate patients with the specified diagnosis for the period from 2015 to 2018. Results and its discussion. Mortality rates from acute myocardial infarction of the Vologda region exceed the average Russian level. There are significant differences in certain areas of the region, Vologda and Cherepovets, where regional vascular centers are deployed. However, mortality rates remain high in many remote and inaccessible areas of the region. Analysis of the work of air ambulance showed that with its help, at best, up to 12.5% of patients with acute myocardial infarction from among those who need to be transferred to specialized vascular centers from central regional hospitals are evacuated. Conclusion. Air ambulance is a tool of “point” medical care for people living in hard-to-reach settlements. The real improvement of statistical indicators is possible only with a complex of organizational measures.
2015 № 6 Improving system specialized medical care in acute coronary syndromes: experience at the level of the Russian Federation, outstanding issues
A review is presented of the Kemerovo regional experience improving specialized medical care in acute coronary syndrome. Marked the problematic issues in the health care in acute coronary syndrome in modern conditions (late hospitalization, poor interaction of medical organizations). To improve the social and economic efficiency of medical care is necessary to strengthen the preventive orientation in the activities of the primary health care, to create organizational, economic conditions compliance with the order of care in hospitals, to carry out external control of health care health insurance organizations, to provide a system of care in acute coronary syndrome information and statistical tools.