AGE/SEX-SPECIFIC MORTALITY RATES FROM CIRCULATORY SYSTEM DISEASES AMONG OUTPATIENTS OF A KRASNODAR POLYCLINIC
https://doi.org/10.25207/1608-6228-2019-26-3-99-107
Abstract
Aim. In this work, we undertook a study of age/sex-specific mortality rates from circulatory system diseases and certain nosological forms in 2015 and 2018 among outpatients of Research Institute — Ochapovsky Regional Clinical Hospital No. 1 delivering primary healthcare services.
Materials and methods. We studied age/sex-specific mortality rates from circulatory system diseases among adult population using the data from the medical records of deceased outpatients (Form 025/u), extracts from autopsy reports, as well as medical certificates of death for 2015 and 2018. Non-standardised and standardised mortality rates were calculated.
Results. In 2015, all-cause mortality rate by the medical organisation reached 6.2 per 1,000 population, with the total number of deaths from circulatory system diseases amounting to 49.6%. The non-standardised mortality rates from the circulatory system diseases totalled 307.81 per 100,000 population, including the non-standardised mortality rates from cerebrovascular diseases (44.68), ischemic heart disease (129.08) and myocardial infarction (4.96). Standardised mortality rates from circulatory system diseases amounted to 201.96 (men — 70.58, women — 131.38). In 2015, chronic ischemic heart disease (41.94%) ranked first as the cause of mortality among circulatory system diseases followed by diagnoses requiring additional interpretation and examination of primary medical documentation (35.48%), i.e. not clearly defined causes of death; and cerebrovascular diseases (14.52%). In 2018, chronic ischemic heart disease also ranked first (47.54%) followed by cerebrovascular (36.21%) and other diseases (16.39%) (ICD codes I26, I71.1, R00.8).
Conclusion. It is shown that more attention from the cardiological and therapeutic services of primary health care is required in coding death-causing circulatory system diseases.
About the Authors
Elena V. Bolotova
Kuban State Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Dr. Sci. (Med.), Assoc. Prof., Department of Therapy No. 1, Faculty of Advanced Training and Occupational Retraining,
Mitrofanа Sedina str., 4, Krasnodar, 350063
Anna V. Kontsevaya
National Medical Research Centre for Preventive Medicine, Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Dr. Sci. (Med.), Assoc. Prof., Deputy Director for Research and Analytical Work,
Petroverigsky per., 10, Moscow, 101990
Irina V. Kovrigina
Research Institute — Regional Clinical Hospital 1 n.a. Prof. S.V. Ochapovsky,
Ministry of Healthcare of Krasnodar Krai
Russian Federation
Russian Federation
Head of the Outpatient Department,
1 Maya str., 67, Krasnodar, 350086;
tel.: + 7 (918) 294-92-32; Vostochno-Kruglikovskaya str., 69–70, Krasnodar, 350000
Larisa P. Lyuberitskaya
Main Bureau of Medical and Social Expertise in Krasnodar Krai
Russian Federation
Russian Federation
Cand. Sci. (Med.), Head of Bureau No. 5,
Chapayeva str., 58, Krasnodar, 350000
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Review
For citations:
Bolotova E.V., Kontsevaya A.V., Kovrigina I.V., Lyuberitskaya L.P. AGE/SEX-SPECIFIC MORTALITY RATES FROM CIRCULATORY SYSTEM DISEASES AMONG OUTPATIENTS OF A KRASNODAR POLYCLINIC. Kuban Scientific Medical Bulletin. 2019;26(3):99-107. (In Russ.) https://doi.org/10.25207/1608-6228-2019-26-3-99-107
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