2 research outputs found
ΠΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΡΠ΅ ΠΏΡΠΈΡΠΈΠ½Ρ ΡΠΌΠ΅ΡΡΠΈ Π² ΠΠΎΡΠΊΠ²Π΅ ΠΈ ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ
Rationale: Cardiovascular disorders play a leading role in populational mortality, but they are not synonymous to cardiac pathology. The city of Moscow and the Moscow Region are one of the biggest urban agglomeration worldwide.Aim: Analysis of cardiac-related mortality in Moscow and the Moscow Region.Materials and methods: We calculated standardized mortality coefficients (SMC) for 23Β death causes given as separate lines in the Short List of Death Causes by the Russian Agency of Statistics (Rosstat) in 2019.Results: In 2019, SMC for cardiac causes was 171.2 per 100 000 of the population in Moscow (27.6% of all causes) and 248.7 per 100 000 of the population in the Moscow Region (26.9% of all causes). More than 60% of deaths both in Moscow and in the Moscow Region were caused by chronic variants of ischemic heart diseases, whose criteria are not well-defined or are absent. In Moscow, SMC for myocardial infarction is significantly lower, whereas that for unspecified cardiomyopathy (the code by International Classification of Diseases and Health-related Conditions, version 10 (ICD10) I42.9) is higher. SMC from the groups of death causes related to chronic illness possibly unrelated to atherosclerosis, are comparable: 29.64 in Moscow and 24.59 in the Moscow Region. SMC from arterial hypertension (ICD10 I10-13) are 8.7 and 5.6 per 100000 of the population, respectively.Conclusion: Despite higher total cardiac mortality in the Moscow Region, SMCs for individual death causes in Moscow are significantly higher. SMC variability is mostly related to different algorithms for determination of primary death cause. ICD10 and the Rosstat the Short List of Death Causes seem to be suboptimal sources to understand the contribution of cardiac causes into the mortality structure. Any correct comparison would become possible after a consensus of expert positions by specialists in Moscow and Moscow Region on the criteria of diagnosis, choice of primary death cause and corresponding disease code.Β ΠΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠ΅. ΠΠΎΠ»Π΅Π·Π½ΠΈ ΡΠΈΡΡΠ΅ΠΌΡ ΠΊΡΠΎΠ²ΠΎΠΎΠ±ΡΠ°ΡΠ΅Π½ΠΈΡ ΠΈΠ³ΡΠ°ΡΡ Π²Π΅Π΄ΡΡΡΡ ΡΠΎΠ»Ρ ΡΡΠ΅Π΄ΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ, Π½ΠΎ Π½Π΅ ΡΠ²Π»ΡΡΡΡΡ ΡΠΈΠ½ΠΎΠ½ΠΈΠΌΠΎΠΌ ΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ. ΠΠΎΡΠΊΠ²Π° ΠΈΒ ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠ°Ρ ΠΎΠ±Π»Π°ΡΡΡ ΡΠΎΡΡΠ°Π²Π»ΡΡΡ ΠΎΠ΄Π½Ρ ΠΈΠ· ΠΊΡΡΠΏΠ½Π΅ΠΉΡΠΈΡ
Π³ΠΎΡΠΎΠ΄ΡΠΊΠΈΡ
Π°Π³Π»ΠΎΠΌΠ΅ΡΠ°ΡΠΈΠΉ Π² ΠΌΠΈΡΠ΅.Π¦Π΅Π»ΡΒ β Π°Π½Π°Π»ΠΈΠ· ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ ΠΎΡ ΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΡΡ
ΠΏΡΠΈΡΠΈΠ½ Π² ΠΠΎΡΠΊΠ²Π΅ ΠΈ ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈΒ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠ° ΠΏΠ΅ΡΠΈΠΎΠ΄ 2019Β Π³. ΡΠ°ΡΡΡΠΈΡΠ°Π½Ρ ΡΡΠ°Π½Π΄Π°ΡΡΠΈΠ·ΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΊΠΎΡΡΡΠΈΡΠΈΠ΅Π½ΡΡ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ (Π‘ΠΠ‘) ΠΎΡ 23Β ΠΏΡΠΈΡΠΈΠ½, ΡΠΊΠ°Π·Π°Π½Π½ΡΡ
ΠΎΡΠ΄Π΅Π»ΡΠ½ΠΎΠΉ ΡΡΡΠΎΠΊΠΎΠΉ Π² ΠΡΠ°ΡΠΊΠΎΠΉ Π½ΠΎΠΌΠ΅Π½ΠΊΠ»Π°ΡΡΡΠ΅ ΠΏΡΠΈΡΠΈΠ½ ΡΠΌΠ΅ΡΡΠΈ Π ΠΎΡΡΡΠ°ΡΠ°. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π 2019 Π³. Π‘ΠΠ‘ ΠΎΡ ΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΡΡ
ΠΏΡΠΈΡΠΈΠ½ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ Π²Β ΠΠΎΡΠΊΠ²Π΅ 171,2 Π½Π° 100Β ΡΡΡ. Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ (27,6% ΠΎΡ Π²ΡΠ΅Ρ
ΠΏΡΠΈΡΠΈΠ½), Π² ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ β 248,7 Π½Π° 100 ΡΡΡ. Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ (26,9% ΠΎΡ Π²ΡΠ΅Ρ
ΠΏΡΠΈΡΠΈΠ½). ΠΠΎΠ»Π΅Π΅ 60%Β ΡΠΌΠ΅ΡΡΠ΅ΠΉ ΠΈΒ Π²Β ΠΠΎΡΠΊΠ²Π΅, ΠΈΒ Π²Β ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ ΠΏΡΠΈΡ
ΠΎΠ΄ΠΈΠ»ΠΈΡΡ Π½Π° Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΎΡΠΌΡ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΡΠ΅ΡΠ΄ΡΠ°, ΠΊΡΠΈΡΠ΅ΡΠΈΠΈ ΠΊΠΎΡΠΎΡΡΡ
ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Ρ Π½Π΅ΡΠ΅ΡΠΊΠΎ ΠΈΠ»ΠΈ ΠΎΡΡΡΡΡΡΠ²ΡΡΡ. ΠΒ ΠΠΎΡΠΊΠ²Π΅ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎ Π½ΠΈΠΆΠ΅ Π‘ΠΠ‘ ΠΎΡ ΠΈΠ½ΡΠ°ΡΠΊΡΠ° ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π°, Π½ΠΎ Π²ΡΡΠ΅ ΠΎΡ ΠΊΠ°ΡΠ΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°ΡΠΈΠΈ Π½Π΅ΡΡΠΎΡΠ½Π΅Π½Π½ΠΎΠΉ (ΠΊΠΎΠ΄ ΠΠ΅ΠΆΠ΄ΡΠ½Π°ΡΠΎΠ΄Π½ΠΎΠΉ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠ»Π°ΡΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΈ Π±ΠΎΠ»Π΅Π·Π½Π΅ΠΉ ΠΈΒ ΠΏΡΠΎΠ±Π»Π΅ΠΌ, ΡΠ²ΡΠ·Π°Π½Π½ΡΡ
ΡΠΎ Π·Π΄ΠΎΡΠΎΠ²ΡΠ΅ΠΌ, 10- Π³ΠΎΒ ΠΏΠ΅ΡΠ΅ΡΠΌΠΎΡΡΠ° (ΠΠΠ-10) I42.9). Π‘ΠΠ‘ ΠΎΡ Π³ΡΡΠΏΠΏΡ ΠΏΡΠΈΡΠΈΠ½, ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»Π΅Π½Π½ΡΡ
Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ, Π²Π΅ΡΠΎΡΡΠ½ΠΎ, Π½Π΅ ΡΠ²ΡΠ·Π°Π½Π½ΡΠΌΠΈ ΡΒ Π°ΡΠ΅ΡΠΎΡΠΊΠ»Π΅ΡΠΎΠ·ΠΎΠΌ, ΡΠΎΠΏΠΎΡΡΠ°Π²ΠΈΠΌΡ: 29,64 Π²Β ΠΠΎΡΠΊΠ²Π΅ ΠΈΒ 24,59Β Π²Β ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ. Π‘ΠΠ‘ ΠΎΡ Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ (ΠΊΠΎΠ΄Ρ ΠΠΠ-10 I10β13) ΡΠΎΡΡΠ°Π²Π»ΡΡΡ 8,7 ΠΈ 5,6 Π½Π° 100 ΡΡΡ. Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ΅ΡΠΌΠΎΡΡΡ Π½Π° Π±ΠΎΠ»Π΅Π΅ Π²ΡΡΠΎΠΊΡΡ ΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΡΡ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΡ Π²Β ΡΠ΅Π»ΠΎΠΌ ΠΏΠΎ ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ, Π‘ΠΠ‘ ΠΎΡ ΠΎΡΠ΄Π΅Π»ΡΠ½ΡΡ
ΠΏΡΠΈΡΠΈΠ½ Π²Β ΠΠΎΡΠΊΠ²Π΅ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎ Π²ΡΡΠ΅. ΠΠ°ΡΠΈΠ°Π±Π΅Π»ΡΠ½ΠΎΡΡΡ Π‘ΠΠ‘ Π² Π±ΠΎΠ»ΡΡΠΎΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»Π΅Π½Π° ΡΠ°Π·Π½ΡΠΌΠΈ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄Π°ΠΌΠΈ ΠΊΒ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΠ΅ΡΠ²ΠΎΠ½Π°ΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½Ρ ΡΠΌΠ΅ΡΡΠΈ. ΠΠΠ-10 ΠΈ ΠΡΠ°ΡΠΊΠ°Ρ Π½ΠΎΠΌΠ΅Π½ΠΊΠ»Π°ΡΡΡΠ° ΠΏΡΠΈΡΠΈΠ½ ΡΠΌΠ΅ΡΡΠΈ Π ΠΎΡΡΡΠ°ΡΠ° ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»ΡΡΡΡΡ Π½Π΅ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΡΠΌΠΈ ΠΈΡΡΠΎΡΠ½ΠΈΠΊΠ°ΠΌΠΈ Π΄Π»Ρ ΠΏΠΎΠ½ΠΈΠΌΠ°Π½ΠΈΡ Π²ΠΊΠ»Π°Π΄Π° ΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΡΡ
ΠΏΡΠΈΡΠΈΠ½ Π²Β ΡΡΡΡΠΊΡΡΡΡ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ. ΠΠΎΡΡΠ΅ΠΊΡΠ½ΠΎΠ΅ ΡΠΎΠΏΠΎΡΡΠ°Π²Π»Π΅Π½ΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ ΠΏΡΠΈ ΡΠΎΠ³Π»Π°ΡΠΎΠ²Π°Π½ΠΈΠΈ ΡΠΊΡΠΏΠ΅ΡΡΠ½ΡΡ
ΠΏΠΎΠ·ΠΈΡΠΈΠΉ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡΠΎΠ² ΠΠΎΡΠΊΠ²Ρ ΠΈΒ ΠΠΎΡΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ ΠΏΠΎ ΠΊΡΠΈΡΠ΅ΡΠΈΡΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, Π²ΡΠ±ΠΎΡΡ ΠΏΠ΅ΡΠ²ΠΎΠ½Π°ΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½Ρ ΡΠΌΠ΅ΡΡΠΈ ΠΈΒ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠ΅Π³ΠΎ ΡΡΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½Π΅ ΠΊΠΎΠ΄Π°