Stakhovskaia L V, Klochikhina O A, Bogatyreva M D, Kovalenko V V
Zh Nevrol Psikhiatr Im S S Korsakova. 2013;113(5):4-10.
An epidemiological study of stroke based on a territory's population registry, which is, according to WHO recommendations, a scientific basis of treatment organization and medical-social rehabilitation of stroke patients as well as stroke prevention, has been launched in the Russian Federation in 2009. Duration of the project is 5 years. Main epidemiological indices of stroke (morbidity, mortality and lethality) for 2009-2010 are presented. Morbidity of stroke was 3.52 and 3.27 cases per 1000 population in 2009 and 2010, respectively. Mortality was 1.19 and 0.96 per 1000. Significant differences in morbidity, mortality and lethality between different regions of the country were identified. The maximal morbidity was recorded in Chistopol (Tartar Republic) - 6.14 per 1000 and the minimal one in the Altai krai (1.39 per 1000). The decrease in the number of hemorrhagic stroke (HS) in 2009 was noted. The ratio of ischemic strokes to HS was 5:1 compared to 3.5:1 in the registry of 2001-2003. Neuroimaging methods (computed tomography and magnetic-resonance tomography) were used for differential diagnosis of stroke character in 63.1% of cases in 2009 and in 74.2% in 2010. There was 91.1% of stroke patients who received treatment in a hospital in 2010.
基于地区人口登记开展的一项中风流行病学研究于2009年在俄罗斯联邦启动，根据世界卫生组织的建议，该研究是中风患者治疗组织、医疗社会康复以及中风预防的科学依据。该项目为期5年。文中给出了2009 - 2010年中风的主要流行病学指标（发病率、死亡率和致死率）。2009年和2010年中风发病率分别为每1000人中有3.52例和3.27例。死亡率分别为每1000人中有1.19例和0.96例。研究发现该国不同地区在发病率、死亡率和致死率方面存在显著差异。发病率最高的是奇斯托波尔（鞑靼斯坦共和国）——每1000人中有6.14例，最低的是阿尔泰边疆区（每1000人中有1.39例）。2009年出血性中风（HS）数量有所下降。2009年缺血性中风与HS的比例为5:1，而在2001 - 2003年的登记中这一比例为3.5:1。2009年63.1%的病例和2010年74.2%的病例采用神经影像学方法（计算机断层扫描和磁共振断层扫描）进行中风类型的鉴别诊断。2010年有91.1%的中风患者在医院接受了治疗。
