Stroke. Realities and needs of neurosurgical care providing in Ukraine

Authors

  • Nikolay Sapon Romodanov Neurosurgery Institute, Kiev, Ukraine https://orcid.org/0000-0001-8775-9033
  • Andriy Huk Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Anna Nikiforova Romodanov Neurosurgery Institute, Kiev, Ukraine https://orcid.org/0000-0002-9927-3521
  • Galina Chitaeva Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Tatiana Yovenko Romodanov Neurosurgery Institute, Kiev, Ukraine

DOI:

https://doi.org/10.25305/unj.55414

Keywords:

stroke, neurosurgical care, vascular neurosurgical beds, surgical activity, overall mortality, postoperative mortality

Abstract

The purpose. To determine the state and needs of neurosurgical care providing to patients with stroke in Ukraine.

Materials and methods. We analyzed results of continuous analysis of neurosurgical departments’ activity in Ukraine in 1998–2012, and materials of the Center for Health Statistics of Ministry of Health of Ukraine.

Results and discussion. In 2012 11 039 patients with stroke (24 per 100 000 population) have been treated in neurosurgical units, 4 666 of them (10 per 100 000 population) were operated, surgical activity was 42.3%, total lethality — 8.5%, postoperative lethality — 12%.

In general in Ukraine 17% patients with stroke get specialized neurosurgical care. People in Kiev (about 46% of the needs), in Dnepropetrovsk (21%) and Ivano-Frankovsk (15%) regions are provided by neurosurgical help the best. None of the patients with stroke get neurosurgical care in Sumy and Chernovtsy regions.

Conclusions. 1. Opportunities and quality of neurosurgical care to patients with stroke increased significantly. Improving the quality and quantity indicators is mainly due to neurovascular units’ activity in Kiev, Dnepropetrovsk, Donetsk.

2. Existing neurovascular beds do not provide the need of patients with stroke in specialized care.

3. To satisfy the need of patients with stroke in neurosurgical care 972 functioning neurovascular beds in regions of Ukraine are needed.

Author Biographies

Nikolay Sapon, Romodanov Neurosurgery Institute, Kiev

Scientific Organizing Department

Andriy Huk, Romodanov Neurosurgery Institute, Kiev

Scientific Organizing Department

Anna Nikiforova, Romodanov Neurosurgery Institute, Kiev

Scientific Organizing Department

Galina Chitaeva, Romodanov Neurosurgery Institute, Kiev

Scientific Organizing Department

Tatiana Yovenko, Romodanov Neurosurgery Institute, Kiev

Scientific Organizing Department

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Published

2013-12-05

How to Cite

Sapon, N., Huk, A., Nikiforova, A., Chitaeva, G., & Yovenko, T. (2013). Stroke. Realities and needs of neurosurgical care providing in Ukraine. Ukrainian Neurosurgical Journal, (4), 43–48. https://doi.org/10.25305/unj.55414

Issue

Section

Original articles