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.
2018 № 8 Sanitary aviation in road accidents and its economic feasibility
Relevance: The organization of emergency medical advice, especially in road accidents is an important as¬pect in preserving the health and life of the victims. Purpose of the study: analysis of the frequency of road accidents and fatalities in the Vologda region for the period from 2006 to 2017. Material and methods: the data of medical documentation on the registration of road accidents and the provision of medical care in their presence. Results and discussion: a list of emergency medical care for road traffic incidents is defined by a number of Government Decrees and orders of the Ministry of Health at various levels. The number of dead children at the scene of the accident increased by 1 case, died at the prehospital stage and in the first seven days after admission was reduced to zero, in the period after hospitalization from 0 to 30 days decreased by 3 cases. Conclusions: during the analyzed peri¬od, the number of deaths in road accidents decreased by 34.0%, the number of deaths in the hospital for the first 7 days after hospitalization by 45.2%, from 0 to 30 days – by 46.3%. Mortality at the prehospital stage is 40.0%.
2018 № 9 Morbidity of adult population with acute cerebrovascular diseases and mortality from them
Relevance: the progress achieved in the treatment of stroke is now evident, but the prevalence of this pathology, both in Russia and throughout the world, remains at a high level. The aim of the study was to To analyze the incidence of adult cerebrovascular diseases in the adult population and mortality from them in the Russian Federation for the period from 2012 to 2016. Materials and methods: the incidence of acute cerebrovascular diseases among adults was based on data from a form of federal statistical observation. Statistical, analytical and descriptive methods of statistical analysis are used in the work. Results: the increase in the total incidence of acute cerebrovascular diseases among the population aged 18 and over is 13,6%. However, a 2,1% increase in deaths from intracerebral and intracranial hemorrhage was noted. Conclusion: an increase in the total incidence of acute cerebrovascular diseases among the population aged 18 years and older by 13.6% and deaths from intracerebral and intracranial hemorrhage by 2,1%. Against this background, the mortality of adults from acute cerebrovascular diseases decreases. In their structure of cerebrovascular diseases more