THE CHARACTERISTICS OF MORBIDITY OF PATIENTS SURVIVED A TRANSITORY ISCHEMIC ATTACK

Abstract


The actuality. The transitory ischemic attacks very often are considered as precursors of the stroke. The individual prognosis of risk of development of stroke after transitory ischemic attacks is unequal and is determined by differences in causes and risk factors of patients. The important place in establishing individual approach to treatment of patients with transitory ischemic attacks belongs to analysis of corresponding concomitant pathology. The analysis of morbidity is conditioned by necessity of differentiated analysis of characteristics of morbidity for development of personalized approach to treatment and restoration of health of this category of patients. The purpose of study is to investigate and analyze characteristics of morbidity of patients survived transitory ischemic attacks. Material and methods. The analysis was applied to morbidity of 351 patients survived transitory ischemic attacks, including 227 females (average age 59,6 ± 3,6 years) and 124 males (average age 57,6 ± 2,2 years). Results and discussion. It is demonstrated that level of morbidity increases with age from 233,9 до 605,9 cases of diseases per 100 examined. The analysis of rank distribution of diseases according classes of diseases demonstrated that teh first place belongs to diseases of blood circulation system (32.6%), the second place - to mental disorders (31.5%) and the third place - to diseases of endocrine system (15.5%). The positive correlation is established between availability of teo and more diseases of blood circulation system and development of recurrent transitory ischemic attacks (r = 0,688, p < 0,05). Conclusion. The availability of combined pathology in patients with transitory ischemic attacks dictates necessity of its registration at complex evaluation of health state of the given category of patients and development of multi-disciplinary approach to diagnostic and treatment of patients.

Full Text

Restricted Access

About the authors

Elena V. Kostenko

"The N.I. Pirogov Russian National Research Medical University" of the Ministry of Health of the Russian Federation

Email: ekostenko58@mail.ru
117997, Moscow, Russian Federation
doctor of medical sciences, associate professor of the Chair of Public Health and Health Care, Health Care Economic «The N.I. Pirogov Russian National Research Medical University», 117997, Moscow, Russian Federation

V. G Kravchenko

"The N.I. Pirogov Russian National Research Medical University" of the Ministry of Health of the Russian Federation

117997, Moscow, Russian Federation

V. V Polunina

"The N.I. Pirogov Russian National Research Medical University" of the Ministry of Health of the Russian Federation

117997, Moscow, Russian Federation

References

  1. Стаховская Л.В., Котов С.В., ред. Инсульт. Руководство для врачей. М.: МИА; 2013
  2. Rothwell P.M., Warlow C.P. Timing of TIAs preceding stroke: time window for preventing is very short. Neurology. 2005; 64(5): 817-20
  3. Тул Д.Ф. Сосудистые заболевания головного мозга. Пер с англ. М.: ГЭОТАР-Медиа; 2007
  4. Учияма Ш., ред. Транзиторные ишемические атаки. Пер. с англ. М.: ГЭОТАР-Медиа; 2016
  5. Amarenco P., Lavallée P.C., Labreuche J., Albers G.W., Bornstein N.M., Canhão P., et al. One-Year Risk of Stroke after Transient Ischemic Attack or Minor Stroke. N. Engl. J. Med. 2016; 374(16): 1533-42
  6. Скворцова В.И., Алексеева Г.С. Медико-организационные принципы различных методов реабилитации больных после инсульта. М.: Сам Полиграфист; 2013.
  7. Суслина З.А., Варакин Ю.Я. Клиническое руководство по ранней диагностике, лечению и профилактике сосудистых заболеваний головного мозга. М.: МЕДпресс-информ; 2015.

Statistics

Views

Abstract - 37

PDF (Russian) - 1

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

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

About Cookies