Tendencies and features of cerebral stroke mortality according to the data of Tomsk Regional Vascular Center

Introduction. In Tomsk Region specialized medical care for the patients with acute cerebrovascular disorders has been provided and coordinated since 2012 by the Regional Vascular Center of Tomsk Regional Clinical Hospital where more than three-quarters of all stroke patients in the region are admitted annually.Aim: To study the dynamics of mortality rates in different nosological forms of stroke, gender and age characteristics of the patients who died from stroke, the example of the work of the Regional Vascular Center of Tomsk Regional Clinical Hospital being used, and to determine the directions for further improvement of medical care organization.Materials and Methods. At the first stage, the assessment of the dynamics of mortality rates from different nosological forms of stroke in Tomsk Regional Clinical Hospital according to the Federal Statistical Observation Form No. 14 from 2018 to 2022 was performed. At the second stage of the study, based on data from registration form No. 066/u of the Regional Vascular Center, the structure of gender and age of the patients who died from stroke was analyzed, the average age of death of the patients with stroke, their gender and age characteristics, taking into account the form of stroke, were determined.Results. Mortality rates from stroke in Tomsk Regional Clinical Hospital were relatively stable and quite high - 23.6-24.8%; the greatest fluctuations in mortality rates (36.0-59.6%) and (46.7-56.9%) were observed in hemorrhagic forms. The average age of death from stroke in men at the Regional Vascular Center was 12 years lower than in women - 67.0 (59.0-76.0) years. Distinct gender differences were revealed among deceased patients with a significant predominance of men - 73.0 and 68.6% in the age groups 18-44 years and 45-59 years.Conclusion. Directions for further improvement of medical care organization have been identified: opening an additional vascular center, developing mechanisms for timely re-evacuation of patients, optimizing the system for managing stroke risk factors.