[Various problems in the organization of medical services to stroke patients based on information from the stroke registry].
On the basis of the data of the Cerebral Stoke Register some problems of the medical aid delivery to patients with cerebral stroke in the acute phase are analyzed. It was found that in 30% of all calls the first aid was given by the local doctor; in all other calls the aid was given by emergency and urgent aid teams. The necessity of improving the diagnosis of the stroke type is emphasized. 61.5% of the patients were hospitalized: the indications for the hospitalization were determined with consideration for the clinical picture gravity and the stroke type. Within the first 3 days of the stroke a comatose state was registered in 18.6%; a soporous one, in 11.6%; a stunning, in 19.8%; and clear consciousness, in 50% of the patients. The mortality in the acute period of the stroke was higher among patients who were left for the treatment at home, than among those who were hospitalized. The relationship between the mortality and the patients' age was analyzed incomparable groups. It is stressed that a local doctor has to do a lot od diagnostic, therapeutic, and organizational work. In this connection it is suggested to specialize local doctors at large hospitals or chairs of medical schools (by giving them lectures on the principal problems of diagnosing cerebral stroke, organizing and giving the first medical aid). To raise the level of the cerebral stroke, diagnosis and the quality of the medical aid to be given to patients at home, the work of the local therapist and neuropathologist should be better coordinated.
D000368:Aged; D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D003695:Delivery of Health Care / Q000458:organization & administration*; D004632:Emergency Medical Services / Q000458:organization & administration*; D006699:Home Care Services; D006760:Hospitalization; D006801:Humans; D008875:Middle Aged; D009031:Moscow; D012042:Registries
Nekotorye voprosy organizatsii meditsinskoĭ pomoschi bol'nym s mozgovym insul'tom (po dannym registra insul'ta).