Stroke. Realities and needs of neurosurgical care providing in Ukraine
Keywords:stroke, neurosurgical care, vascular neurosurgical beds, surgical activity, overall mortality, postoperative mortality
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.
1. Zivin JA. Approach to сerebrovascular diseases. In: Goldman L, Schafer AI, editors. Goldman’s Cecil Medicine. Amsterdam: Elsevier, 2012. p.2304-10.
2. The world health report 2002 — Reducing Risks, Promoting Healthy Life [Internet]. Available at: http://www.who.int/whr/2002/en/
3. Kaul S. Stroke in India: are we different from the world? Pak. J. Neurol. Sci. 2007;2(3):158-64.
4. Ingall T. Stroke-incidence, mortality, morbidity and risk. J Insur Med. 2004;36(2):143-52. [PubMed]
5. Ohaegbulam SC. Geographical neurosurgery. Chapter 5: Cerebrovascular disorders. On-Line Book of the Congress of Neurological Surgeons USA, 2005. [Internet]. Available at: http://book.neurosurgeon.org/
6. New Jersey University Hospital. Stroke Center. Stroke Statistics [Internet]. Available at: http://www.theuniversityhospital.com/stroke/stats.htm.
7. The top 10 causes of death [Internet]. Available at:http://www.who.int/mediacentre/factsheets/fs310/en/index.html.
8. The population of Ukraine (1990–2011). Statistical information from State Statistics Service of Ukraine [Internet]. Available at: http://www.ukrstat.gov.ua/operativ/operativ2007/ds/nas_rik/nas_u/nas_rik_u.html)
9. Mirzaei M, Truswell AS, Arnett K, Page A, Taylor R, Leeder SR. Cerebrovascular disease in 48 countries: secular trends in mortality 1950-2005. J Neurol Neurosurg Psychiatry. 2012 Feb;83(2):138-45. [CrossRef] [PubMed]
10. Stroke. Death Rate Per 100,000. [Internet]. Available at. http://www.worldlifeexpectancy.com/cause-of-death/stroke/by-country/
11. Biller J, Wijdicks EFM, Misulis KE, Ferri FF Stroke - ischemic. First Consult. Last Updated: 05 Mar 2011. Elsevier: Electronic Products. [Internet]. Available at: www.clinicalkey.com.
12. Adams J. Emergency Medicine: Clinical Essentials. — London: W.B. Saunders, 2012. 2nd ed.
13. Wijdicks EF. Subarachnoid hemorrhage. First Consult. Last Updated: 11 Jan 2013. Elsevier: Electronic Products. [Internet]. Available at: www.clinicalkey.com.
14. Vincent J-L, Abraham E, Moore FA, Kochanek PM, Fink MP. Nontraumatic intracerebral and subarachnoid hemorrhage. In: Vincent J-L, editor. Textbook of Critical Care. Amsterdam: Elsevier, 2011. 6th ed. p.191-202.
16. Zozulia YuA, Pedachenko EG. Comment on the article Sapon NA, Nikiforova AN, Chytaeva GE, Kyrychenko VM. [Statistics data analysis on specialized neurosurgical care giving in cerebrovascular diseases in Ukraine]. Ukrainian Neurosurgical Journal. 2010;(1):64-5. Ukrainian.
17. Kharakteristika osnovnykh pokazateley otsenki meditsinskoy deyatel'nosti statsionarnykh uchrezhdeniy [Characteristics of the main indicators for assessing the medical activity of stationary institutions]. Zamestitel glavnogo vracha. 2009;11. [Internet]. Available at: http://www.zdrav.ru/articles/practice/detail.php?ID=76091.
18. Gusev EI, Skvortsova VI, Stakhovskaia LV. [Stroke in the Russian Federation: time for united concentrated activities]. Zh Nevrol Psikhiatr Im S S Korsakova. 2007;107(8):4-10. Russian.[PubMed]
How to Cite
Copyright (c) 2013 Nikolay Sapon, Andriy Huk, Anna Nikiforova, Galina Chitaeva, Tatiana Yovenko
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.