BEDROOM FOUNDATION OF CARDIOVASCULAR AND RENGENOENDOVA-SUSCUINE SURGERY FOR NON-INFLAMMABLE ASSISTANCE TO PATIENTS WITH MYOCARDIAL INFARCTION IN UKRAINE
DOI:
https://doi.org/10.11603/1681-2786.2017.2.8102Keywords:
bed fund, stenting of coronary arteries, myocardial infarction.Abstract
The purpose of the study is to calculate the recommended number of beds in cardiovascular and X-ray and endovascular surgery departments for SCA with BAP in patients with MI.
Materials and methods of research. The material of the study was the data of the Center of Medical Statistics of the Ministry of Health of Ukraine on the prevalence of MI among the population of Ukraine and its quantitative composition in 2015. The paper uses epidemiological, demographic, analytical, and statistical methods of research.
Results. The study proposes an adapted method for calculating the recommended number of beds in cardiovascular and X-ray and endovascular surgery departments for conducting SKA with BAP in patients with MI, depending on the prevalence of this pathology and the quantitative composition of the population. Their calculation for separate regions and districts of Ukraine was carried out. In districts, the maximum number of beds is required for the South-East region - 30.2%, Central - 21.5% and Western - 21.0% of the rayons.
Conclusions. The necessity of inclusion in cardiovascular and X-ray and endovascular surgery departments with X-ray operating unit for SCA with BAP in patients with MI was included in the multi-profile hospital. The recommended number of beds for them in Ukraine is 205. The proposed number of beds in districts will allow for a differentiated approach in the planning of a bed fund of medical and preventive institutions.
References
Bugro, V. I. (2016) Obhruntuvannya optymizovanoyi funktsionalʹno-orhanizatsiynoyi modeli vtorynnoyi medychnoyi dopomohy v statsionarnykh umovakh [Justification of the optimized functional and organizational model of secondary medical care in stationary conditions]. Zbirnyk naukovykh pratsʹ spivrobitnykiv NMAPO imeni P.L.Shupyka – Collection of scientific works of NMAPE employees named after P.L. Shupik, 25, 427-435 [in Ukrainian].
Zhilina, Yu.V. (2010). Obgruntuvannya potreb naselennya u likarnyanykh lizhkakh na rivni administratyvnoho rayonu Kharkivsʹkoyi oblasti [Rationale for the needs of the population in hospital beds at the level of the administrative district of the Kharkiv region]. Visnyk problem biolohiyi i medytsyny – Bulletin of Biology and Medicine, 1, 73-77 [in Ukrainian].
Medvedovska N.V. (2010). Otsinka zalezhnosti dynamiky stanu zdorov'ya dorosloho naselennya vid merezhi ta kadrovoho zabezpechennya zakladiv okhorony zdorov'ya Ukrayiny [Dependence estimation of dynamics level of health adult population from network and personnel maintenance of establishments health care of Ukraine]. Ukrayina. Zdorovʺya natsiyi – Ukraine. Nation’s Health, 4(16), 55-59 [in Ukrainian].
Sokolov, M. Yu. (2016). Reyestr perkutannykh koronarnykh vmeshatel'stv: sravnitel'nyy analiz 2014 – 2015 gg. Regional'nyye reperfuzionnyye seti v Ukraine – dinamika razvitiya [Percutaneous Coronary Interventions Registry: comparative analysis of 2014 — 2015 years. The dynamics of regional reperfusion networks in Ukraine (RUS)]. Sertse i sudyny – Heart and Vessels, 3 (55), 7-29 [in Ukrainian].
Nakaz MOZ Ukrayiny № 164 Unifikovanyy klinichnyy protokol ekstrenoyi, pervynnoyi, vtorynnoyi (spetsializovanoyi) ta tretynnoyi (vysokospetsializovanoyi) medychnoyi dopomohy ta medychnoyi reabilitatsiyi «Hostryy koronarnyy syndrom bez elevatsiyeyu sehmenta ST»: zatv. vid 02.07.2014roku [Approved by Order of the Ministry of Health of Ukraine No 164 Unified clinical protocol of emergency, primary, secondary (specialized) and tertiary (highly specialized) care and medical rehabilitation "Acute coronary syndrome non ST-segment elevation»: of 03.03.2016]. K.:DSMPDP «Derzh. eksp. tsentr MOZ Ukrayiny», 79 [in Ukrainian].
Nakaz MOZ Ukrayiny № 455 Unifikovanyy klinichnyy protokol ekstrenoyi, pervynnoyi, vtorynnoyi (spetsializovanoyi) ta tretynnoyi (vysokospetsializovanoyi) medychnoyi dopomohy ta medychnoyi reabilitatsiyi «Hostryy koronarnyy syndrom z elevatsiyeyu sehmenta ST»: zatv. vid 02.07.2014roku [Approved by Order of the Ministry of Health of Ukraine No 455 Unified clinical protocol of emergency, primary, secondary (specialized) and tertiary (highly specialized) care and medical rehabilitation "Acute coronary syndrome with ST-segment elevation»: of 02.07.2014]. K.:DSMPDP «Derzh. eksp. tsentr MOZ Ukrayiny», 92 [in Ukrainian].
Ustinov O.V. (2015). V Ukrayini startuvala Yevropeysʹka initsiatyva «Stent for Life» [European Initiative "Stent for Life"]. Ukrayinsʹkyy medychnyy chasopys – Ukrainian Medical Journal, 6, 23-24 [in Ukrainian].
Shyshatska, N.F. (2014). Rozvytok oriyentatsiyi system okhorony zdorovʺya na patsiyentiv [Development of orientation of health care systems on patients]. Visnyk sotsialʹnoyi hihiyeny ta orhanizatsiyi okhorony zdorov'ya Ukrayiny – Bulletin of Social Hygiene and Health Protection Organization of Ukraine, 4, 72-75 [in Ukrainian].
Badheka, A.O., Patel, N.J. & Grover, P. (2014). Impact of annual operator and institutional volume on circutaneous coronary intervention outcomes: a 5-year nited States experience (2005-2009). Circulation, 130(16), 1392-1406
Kontos, M.C., Wang, Y., Chaudhry, S.I., Vetrovec, G.W., Curtis, J. & Messenger, J. (2013). Lower Hospital Volume Is Associated With Higher In-Hospital Mortality in Patients Undergoing Primary Percutaneous Coronary Intervention for 5T- Segment-Elevation Myocardial Infarction: A Report From the NCDR. Circ. Cardiovascqual Outcomes, 6(6), 659-667.
Golyachenko, O.M., Shulgay, A.H., Panchyshyn, N.Y., Romaniuk, L.M., Smirnova, V.L., Terenda, N.O., Lytvynova, O.N., Fedchyshyn N.Y. & Petrashyk, Y.M. (2013) Norms of the population’s hospital bed requirement. Visnyk sotsialʹnoyi hihiyeny ta orhanizatsiyi okhorony zdorov'ya Ukrayiny – Bulletin of Social Hygiene and Health Protection Organization of Ukraine, 4(58), 5-8 [in Ukrainian].
Maddox, T.M., Stanislawski, M.A., O'Donnell, C., Plomondon, M.E., Bradley, S.M., Ho, P.M., Tsai, T.T., Shroff, A.R., Speiser, B., Jesse, R.J. & Rumsfeld, J.S. (2014). Patient access and 1-year outcomes of percutaneous coronary intervention facilities with and without On- Site Caraiothoracic Surgery: Insights From the Veterans Affairs (VA) Clinical Assessment, Reporting, and Tracking (CART) Program. Circulation, 130(16), 1383-1391.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).