Stroke. Realities and needs of neurosurgical care providing in Ukraine
DOI:
https://doi.org/10.25305/unj.55414Keywords:
stroke, neurosurgical care, vascular neurosurgical beds, surgical activity, overall mortality, postoperative mortalityAbstract
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.References
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Copyright (c) 2013 Nikolay Sapon, Andriy Huk, Anna Nikiforova, Galina Chitaeva, Tatiana Yovenko
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