MEDICAL AND SOCIAL SIGNIFICANCE OF STROKE AND RISK FACTORS OF THEIR DEVELOPMENT
DOI:
https://doi.org/10.11603/1681-2786.2021.1.12150Keywords:
cerebrovascular diseases, strokes, morbidity, mortality, risk factorsAbstract
Purpose: to explore the medical and social significance of strokes for the world community and to assess the risk factors for their development.
Materials and Methods. The analysis of scientific and statistical sources of information (PI "Center for Medical Statistics of the Ministry of Health of Ukraine") about medical and social problem of strokes. Bibliosemantic, analytical research methods are used.
Results. According to the WHO, stroke affects about 20 million people worldwide each year, 5 million of them die from stroke. About a third patients from 15 million survivors become disabled as a result of a stroke and need outside help in their daily lives. The type of stroke affects the severity of the course. In the European region, the ratio of ischemic strokes to hemorrhagic strokes is 7: 1, in Ukraine – 5: 1, which leads to a more severe course and a higher mortality rate in our country in contrast to European countries (2.3 times). In Ukraine, about 100 thousand people get strokes every year. Mortality due to CVD tends to decrease from 186.6 per 100 thousand population in 2015 to 179.5 per 100 thousand population in 2019. Determining factors which cause an increasing of strokes number are: aging of population and increasing prevalence in the population of such vascular risk factors for stroke as atherosclerosis, hypertension, hypodynamics, obesity, smoking and etc.
Conclusions. Strokes remains a significant medical and social problem in the modern health care system. To overcome it, a number of programs have been developed at the WHO and regional levels to reduce morbidity, mortality and disability and eliminate the economic burden on the world's economies.
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