DOI: https://doi.org/10.25305/unj.60850

Assessment of quality of neurosurgical care rendering in secondary prevention of cerebrovascular diseases in Ukraine

Nikolay Sapon, Andriy Huk, Vasyl Kirichenko, Galina Chitaeva, Anna Nikiforova, Tatiana Yovenko

Abstract


Introduction. Effective measures at cerebrovascular disease (CVD) are primary and secondary measures for prevention of brain blood circulation disorders that are used within global (WHO) and national programs.

Materials and methods. Results of continuous research of treatment work in Ukrainian neurosurgical units in 2001–2010 years, data of WHO, indicators of neurosurgical and neurologic services in Ukraine and Russian Federation were analyzed.

Results and their discussion. In 2010 twice more patients with CVD have been treated than in 2001 (respectively 4837 and 8923). For this period surgical activity grew in 1.4 times  (from 33.8 to 47.2%), the number of operations increased in 2.7 times — from 1637 — in 2001 to 4215 — in 2010, the postoperative lethality decreased from 17.2 to 12.3%.

Conclusions. Specialization of vascular units and centers — is one of the major factors, influencing on improvement of secondary prevention at patients after vascular attack. Level of providing of CVD secondary neurosurgical prevention is highest in Kiev, sufficient — in Dnepropetrovsk and Kharkov regions and nonsufficient — in other regions of the country.


Keywords


cerebrovascular disease; neurosurgical care; secondary prevention

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