Abstract:
Determining importance in discussing the consequences of acute cerebrovascular
accident (death, disability, complicated and severe course) is given to age, time since
the onset of the disease, level of consciousness, severity of stroke, tactics and
organization of medical and diagnostic process. The purpose of the work is to establish
the dependence of medical and demographic indicators with risk factors for stroke and
the organization of treatment and diagnostic process in patients of hospitals in Vinnytsia
for the period 2017-2019, participating in the international program of the European
Stroke Organization. The stroke register was created on the basis of the RES-Q report
form of Vinnytsia hospitals, which are the most typical for the Podillia region of Ukraine.
Estimation of correlations of medical and demographic indicators with unmodified
factors of stroke, tactics of its management and condition of the patient at hospitalization
was carried out by means of a statistical package "Statistica 5.5" with use of Pearson's
statistics. The main features of the studied correlations are: with unmodified stroke
factors - regardless of sex, patients of both hospitals have inverse weak correlations
age of patients with the ability to pass 10 m and direct weak correlations with mortality;
with patient status on admission - regardless of sex, patients in both hospitals have
reversed mean strength correlations of ability to pass 10 m with level of consciousness,
NIHSS stroke severity and NIHSS stroke scores, and direct, mostly medium-strength
correlations with scores on the Glasgow scale, and with a mortality rate established a
symmetrically opposite picture of correlations, in addition, with the duration of treatment
established multidirectional reliable weak strength correlations; with indicators of quality
of medical care - regardless of sex, patients of both hospitals have weak correlations, the
ability to walk 10 m with an indicator or hospitalized patient to stroke block and the
appointment of antithrombolytics and direct weak force correlations with statins, with an
indicator of treatment duration regardless from sex in patients of both hospitals established
weak direct correlations with the appointment of antithrombolytic drugs, and with the
mortality rate in both hospitals, more pronounced in men, established direct weak and
medium strength correlations with the appointment of antithrombolytic drugs and inverse
weak and medium strength correlations with the appointment of statins and antihypertensivedrugs. Thus, numerous direct and inverse, mainly weak strength correlations of age,season, admission status and specifics of treatment and diagnostic measures withduration of treatment, functional outcome and stroke mortality for each hospital in generaland individually in men and women of relevant medical institutions.
