Incidence of cerebrovascular diseases in the Russian Federation in 2010–2022

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Background. Mortality from cerebrovascular diseases in Russia is one of the highest in the world.

Aim. To determine trends in the incidence of cerebrovascular pathology, including in connection with the pandemic of the new coronavirus infection COVID-19.

 

Material and methods. The structure, indicators of primary and general incidence of cerebrovascular pathology in 2010–2022 in Russia as a whole according to statistical observation form No. 12 were analyzed. Intensive, extensive, and standardized indicators were calculated and regression analysis was performed.

Results. The share of newly diagnosed cerebrovascular diseases in the structure of circulatory system diseases in Russia during the study period decreased from 21.7 to 17.4%. The overall incidence of cerebrovascular pathology ranged from 4371.1 to 4938.1, primary — from 599.8 to 791.2 per 100 thousand population. The primary incidence rate of stroke in the period from 2010 to 2019 increased from 270.1 to 296.6 per 100 thousand population, with a subsequent decrease in 2022 to 275.3 per 100 thousand population. When standardizing the primary incidence of stroke by age, no significant changes in the indicator were detected over the entire observation period. During the COVID-19 pandemic, the incidence of cerebrovascular diseases (general and primary), as well as the incidence of their individual units, decreased or deviated from the upward trend. The proportion of strokes not specified as hemorrhage or infarction decreased from 10.2 to 1.8%. During the pandemic period (2020–2022), there was an increase in the risk of developing cerebral infarction compared to intracranial and intracerebral hemorrhages (from 1.7:1 to 1.9:1; p=0.0000). The primary incidence of hemorrhagic and ischemic strokes increased from 161.3 (2010) to 238.1 (2019) per 100 thousand population; in 2022 it was 225.7 per 100 thousand population. During the study period, there was no trend towards an increase in the standardized incidence of strokes.

Conclusion. From 2010 to 2019 in Russia there was an increase in the primary incidence of cerebrovascular pathology, a decrease in overall and primary incidence in 2020–2022.

Full Text

Restricted Access

About the authors

Aleksej Yu. Abramov

Medical Institute of the Federal State Autonomous Educational Institution of Higher Education Peoplesʼ Friendship University of Russia named after Patrice Lumumba

Email: abramov-au@rudn.ru
ORCID iD: 0000-0001-7178-1260

M.D., D. Sci. (Med.), Assoc. Prof., Director, Medical Institute

Russian Federation, Moscow, Russia

Alla A. Muravyeva

Stavropol State Medical University

Author for correspondence.
Email: Muravyeva81@mail.ru
ORCID iD: 0000-0002-4460-870X

M.D., Cand. Sci. (Med.), Assoc. Prof., Department of Anesthesiology, Resuscitation with a Course of DPO

Russian Federation, Stavropol, Russia

Yuliya V. Mikhaylova

Central Research Institute for Organization and Informatization of Health Care

Email: mikhaylova@mednet.ru
ORCID iD: 0000-0001-6779-726X

M.D., D. Sci. (Med.), Prof., Chief Researcher

Russian Federation, Moscow, Russia

Sergej A. Sterlikov

Central Research Institute for Organization and Informatization of Health Care

Email: Sterlikov@list.ru
ORCID iD: 0000-0001-8173-8055

M.D., D. Sci. (Med.), Chief Researcher

Russian Federation, Moscow, Russia

References

  1. World Health Statistics 2022. Monitoring Health for the SDGss, sustainable development goals. WHO; 2022. 125 р. http://apps.who.int/iris/bitstream/handle/10665/356584/9789240051140-eng.pdf (access date: 29.06.2023).
  2. Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, Fisher M, Pandian J, Lindsay P. World Stroke Organization (WSO): Global stroke fact sheet 2022. Int J Stroke. 2022;17(1):18–29. doi: 10.1177/17474930211065917.
  3. Thayabaranathan T, Kim J, Cadilhac DA, Thrift AG, Donnan GA, Howard G, Howard VJ, Rothwell PM, Feigin V, Norrving B, Owolabi M, Pandian J, Liu L, -Olaiya MT. Global stroke statistics 2022. Int J Stroke. 2022;17(9):946–956. doi: 10.1177/17474930221123175.
  4. Kamyshnikova KA, Maslova NN, Dovgan YеV. Modern problems of secondary prevention of cerebrovascular diseases. Vestnik Smolenskoy gosudarstvennoy meditsinskoy akademii. 2018;17(1):171–178. (In Russ.)
  5. World Health Statistics 2023: Monitoring health for the SDGs, Sustainable Development Goals. WHO; 2023. 119 р.
  6. Kotova EG, Kobyakova OS, Starodubov VI, Aleksandrova GA, Golubev NA, Ogryzko EV, Shelepova EA, Kucheravaya DA, Polikarpov AV. Sbornik statisticheskikh materialov po boleznyam sistemy krovoobrashcheniya v Rossiyskoy Federatsii v 2021 godu. (Collection of statistical materials on diseases of the circulatory system in the Russian Federation in 2021.) M: TsNIIOIZ Minzdrava Rossii; 2022. 306 р. (In Russ.) doi: 10.21045/978-5-94116-102-7.
  7. Tereshkova AYu, Filatov VN, Pivovarova GM. Dynamics of mortality of the entire population of the Russian Federation from cerebrovascular diseases in 2015–2020, taking into account gender. In: Zdorov'e naseleniya i kachestvo zhizni. (Population health and quality of life.) Vol. 2. Saint-Petersburg: Severo-Zapadnyy gosudarstvennyy me-ditsinskiy universitet imeni II Mechnikova; 2022. p. 181–190. (In Russ.)
  8. Pourciau P, Smith BC. Stroke risk related to coronavirus disease-2019: What have we learned? Crit Care Nurs Clin North Am. 2023;35(1):53–65. doi: 10.1016/j.cnc.2022.10.001.
  9. Sterlikov SA, Belilovsky EM, Golubev NA, Kucheravaya DA. Calculation of the age and sex-standardized incedence rates Ver.1.21 URL: https://t.me/+ANfiYvtocj8wYmY6 (access date: 29.06.2023). (In Russ.)
  10. Methods for standardization of general indicators of the vital movement of the population. Methodological provisions on statistics (issue 1–5). https://www.gks.ru/bgd/free/B99_10/IssWWW.exe/Stg/d000/i000050r.htm (access date: 29.06.2023). (In Russ.)
  11. On the approval of the methodology for determining the age groups of the population. Order of the Federal State Statistics Service of July 17, 2019 No. 409. https://rosstat.gov.ru/storage/mediabank/pr-409.pdf (access date: 23.06.2024). (In Russ.)
  12. Wildfires and heat-wave in the Russian Federation — Public health advice 19 August 2010. WHO/EURO: 2010-4095-43854-61747. https://iris.who.int/bitstream/handle/10665/350383/WHO-EURO-2010-4095-43854-61747-eng.pdf?sequence=1 (access date: 07/10/2023).
  13. Frolova IA, Abaeva OP, Romanov SV, Tarlovskaya EI. Changes in the availability of medical care to patients with chronic non-infectious diseases during the COVID-19 pandemic: a literature review. Sociology of medicine. 2022;21(2):211–222. (In Russ.) doi: 10.17816/socm109320.
  14. Tsivgoulis G, Palaiodimou L, Zand R, Lioutas VA, Krogias C, Katsanos AH, Shoamanesh A, Sharma VK, Shahjouei S, Baracchini C, Vlachopoulos C, Gournellis R, Sfikakis PP, Sandset EC, Alexandrov AV, Tsiodras S. COVID-19 and cerebrovascular diseases: A comprehensive overview. Ther Adv Neurol Disord. 2020;13:1756286420978004. doi: 10.1177/1756286420978004.
  15. Zabolotnaya SV, Bogolepova AN, Tairova RT. COVID-19-associated stroke. Zhurnal Nevrologii i Psikhiatrii imeni SS Korsakova. 2021;121(8–2):5–10. (In Russ.) doi: 10.17116/jnevro20211210825.
  16. Stein LK, Mayman NA, Dhamoon MS, Fifi JT. The emerging association between COVID-19 and acute stroke. Trends Neurosci. 2021;44(7):527–537. doi: 10.1016/j.tins.2021.03.005.
  17. Shcherbak SG, Kamilova TA, Golota AS, Vologzhanin DA. Risk factors of the severe course and fatal outcome in COVID-19. Physical and rehabilitation medicine, medical rehabilitation. 2022;4(1):14–36. (In Russ.) doi: 10.36425/rehab104997.
  18. Tsukurova LA, Bursa YuA. Risk factors, primary and secondary prevention of acute disorders of cerebral circulation. RMZh. 2012;(10):494. (In Russ.)
  19. Muravyeva AA, Mikhaylova YuV, Sterlikov SA. Peculiarities of incidence and prevalence with cerebrovascular diseases in the Stavropol region in the context of the implementation of the regional program “Fight against cardiac diseases in the Stavropol region”. Current problems of health care and medical statistics. 2023;(3):903–929. (In Russ.) doi: 10.24412/2312-2935-2023-3-903-929.
  20. Arablinskii AV. Differential diagnosis of non-traumatic acute brain diseases in the emergency department using CT and MRI. Russian Electronic Journal of Radiology. 2020;10(4):60–74. (In Russ.) doi: 10.21569/2222-7415-2020-10-4-60-74.
  21. Shatokhin YuV, Snezhko IV, Ryabikina EV. Violation of hemostasis in coronavirus infection. Yuzhno-Rossiyskiy zhurnal terapevticheskoy praktiki. 2021;2(2):6–15. (In Russ.) doi: 10.21886/2712-8156-2021-2-2-6-15.
  22. Galstyan GM. Coagulopathy in COVID-19. Pulmonologiya. 2020;30(5):645–657. (In Russ.) doi: 10.18093/0869-0189-2020-30-5-645-657.
  23. Kaerova EV, Zhuravskaya NS, Matveeva LV, Shestera AA. Major risk factors of the heart stroke development. Sovremennye problemy nauki i obrazovaniya. 2017;(6):262. (In Russ.)
  24. Shchederkina IO, Zavadenko NN, Koltunov IE. Stroke in children and adolescents: a formation of a pediatric registry. Zhurnal nevrologii i psikhiatrii imeni SS Korsakova. 2016;116(9):24–29. (In Russ.) doi: 10.17116/jnevro20161169124-29.
  25. De Veber G. The epidemiology of childhood stroke. In: Stroke and cerebrovascular disease in childhood. Ganesan V, Kirkham F, editors. London: Mac Keith Press; 2011. р. 22–26.
  26. Rivkin MJ, Bernard TJ, Dowling MM, Amlie-Lefond C. Guidelines for urgent management of stroke in children. Pediatr Neurol. 2016;56:8–17. doi: 10.1016/j.pediatrneurol.2016.01.016.
  27. On the basics of protecting the health of citizens in the Russian Federation. Federal Law of November 21, 2011 No. 323-FZ. https://minzdrav.gov.ru/documents/7025-federalnyy-zakon-323-fz-ot-21-noyabrya-2011-g (access date: 29.06.2023). (In Russ.)
  28. Meshkova KS, Gudkova VV, Stakhovskaya LV. Risk factors and prevention of stroke. Zemskiy vrach. 2013;(2):16–19. (In Russ.)
  29. Zhetishchev RR, Mikhailova NA, Ivashchenko RA, Kamchatnov PR. Asymptomatic cerebral infarctions: Risk factors and cognitive impairment. Zhurnal nevrologii i psikhiatrii imeni SS Korsakova. 2014;114(3-2):3–6.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Рис. 1. Динамика показателей общей и первичной заболеваемости -цереброваскулярными болезнями в РФ в 2010–2022 гг.

Download (42KB)
Indexing metadata
3. Рис. 2. Динамика первичной и стандартизованной по возрасту первичной заболеваемости инсультом в РФ в 2010–2022 гг. Пунктирной линией показана линия тренда показателей

Download (32KB)
Indexing metadata
4. Рис. 3. Динамика первичной и стандартизованной по возрасту первичной заболеваемости геморрагическим инсультом в РФ в 2010–2022 гг. Пунктирной линией показана линия тренда изменения показателей.

Download (37KB)
Indexing metadata
5. Рис. 4. Динамика первичной и стандартизованной по возрасту первичной заболеваемости инфарктом мозга в РФ в 2010–2022 гг. Пунктирной линией показана линия тренда изменения показателей.

Download (31KB)
Indexing metadata
6. Рис. 5. Динамика первичной и стандартизованной по возрасту первичной заболеваемости окклюзией и стенозом прецеребральных и церебральных артерий, не приводящей к инфаркту мозга, в 2010–2022 гг. в РФ. Пунктирной линией показана линия тренда изменения показателей.

Download (35KB)
Indexing metadata

© 2023 Eco-Vector




This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies