Acute Cerebrovascular Accident during the pandemic of a new coronavirus infection in the Ural Federal District

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Abstract

Introduction. Acute cerebrovascular accidents are among the leading causes of death and disability in the population. The study of regional features of the incidence of acute disorders of cerebral circulation in the context of a pandemic of a new coronavirus infection COVID-19 is an urgent task.

Purpose — to conduct a comparative analysis of the primary incidence of acute disorders of cerebral circulation, including transient ischemic attacks, in the adult population of Russia, the Urals Federal District and the constituent entities of the Russian Federation as part of the Urals Federal District.

Materials and methods. A comparative analysis of the primary incidence of acute cerebrovascular accidents in the adult population in the Urals Federal District and in individual subjects of the district during the 2020 pandemic was carried out relative to the average long-term indicators for 2015–2019. Transient transient cerebral ischemic attacks, intracerebral and other intracranial hemorrhages, cerebral infarctions and strokes not specified as hemorrhage or infarction were taken into account. Average long-term levels of primary morbidity, standard deviation, coefficient of variation were calculated. Statistical data analysis was carried out using Microsoft Excel software products.

Results. During the COVID-19 pandemic, the levels of primary incidence of certain acute cerebrovascular accidents in the Russian Federation and the Urals Federal District as a whole decreased compared to the long-term averages of 2015–2019.

Conclusions. Indicators of primary morbidity of the adult population of the Ural Federal District with certain acute cerebrovascular accidents, including transient ischemic attacks, in different subjects of the district have pronounced regional features. Regional peculiarities of morbidity should be taken into account when planning the volume and financial parameters of territorial programs for the provision of free medical care to citizens. Significant differences in morbidity rates should be in the focus of attention of the chief neurologists of the Ministry of Health of the Russian Federation and the constituent entities of the Russian Federation.

Compliance with ethical standards. This type of study does not require the submission of a biomedical ethics committee or other documents, since the main material is based on statistical reporting.

Contribution of the authors:
Shirokov V.A. — research concept and design, material collection and processing, editing.
Shastin A.S. — research concept and design, material collection and processing, statistical processing, text writing, editing.
Gazimova V.G. — material collection and processing, text writing.
Mityukova M.N. — statistical processing, editing. 
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors claim no conflict of interest.

Received: August 26, 2022
Accepted: September 05, 2022
Published: October 17, 2022

About the authors

Vasiliy A. Shirokov

Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing

Author for correspondence.
Email: vashirokov@gmail.com
ORCID iD: 0000-0002-5308-2025

MD, PhD, DSci., Неad Researcher at the Institute of General and Occupational Pathology, Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing, Mytishchi, Moscow region, 141014, Russian Federation.

e-mail: vashirokov@gmail.com

Russian Federation

Alexandr S. Shastin

Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers is a Research Institute of the Russian Agency for Consumers Rights Protection

Email: noemail@neicon.ru
ORCID iD: 0000-0001-8363-5498
Russian Federation

Venera G. Gazimova

Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers is a Research Institute of the Russian Agency for Consumers Rights Protection

Email: noemail@neicon.ru
ORCID iD: 0000-0003-3591-3726
Russian Federation

Marina N. Mityukova

Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing

Email: noemail@neicon.ru
ORCID iD: 0000-0001-5372-8626
Russian Federation

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Copyright (c) 2022 Shirokov V.A., Shastin A.S., Gazimova V.G., Mityukova M.N.

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