3 research outputs found
Π Π°Π·Π²ΠΈΡΠΈΠ΅ ΠΌΠ°Π»ΠΎΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΡΡ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠ΅Ρ Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ ΠΊΠ°ΠΊ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΠ΅, Π²Π»ΠΈΡΡΡΠ΅Π΅ Π½Π° ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ ΠΎΡ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ (Π½Π° ΠΏΡΠΈΠΌΠ΅ΡΠ΅ ΠΠΈΠΆΠ΅Π³ΠΎΡΠΎΠ΄ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ)
Background.Cardiovascular diseases (CVD) are the leading cause of death in the population. It is necessary to assess the priority areas of investment and development of medical technologies that can effectively influence the reduction of mortality.
Aims to study the impact of minimally invasive surgical interventions on population mortality.
Materials and methods.During the period from 2009 to 2019 was conducted analysis and assessment of the effect of the number of percutaneous coronary interventions (PCI) performed in the Nizhny Novgorod region, on mortality, including mortality from CVD, ischemic heart disease (IHD) and acute myocardial infarction (AMI) To study the relationship between these indicators were calculated the Spearman rank correlation coefficient. The prediction was performed using the multiple regression method. To evaluate the initial and predicted data (regression model), we used the cook and Mahalanobis distance indicators.
Results.Over 11 years, the region has seen a significant increase in the number of PCI-from 220 to 6048 (27.5 times). During the same time, the total death rate in the region decreased from 17.42 to 14.60 per 1000 population (by 16.2%), fromΠ‘ΠΠby 30.7%. A strong negative correlation was found between the number of PCI and mortality from CVD (r = 0.892), from CHD (r = 0.856), and from AMI (r = 0.904). A regression model of the result was developed, taking into account mortality rates and the number of PCI. The cook and Mahalanobis distance indicators indicate a change in the development vector of data variance since 2014, which may be due to changes in the infrastructure and volumes of cardiological and cardiac surgery care.
Conclusion.The results of the analysis indicate the high feasibility of further development of cardiac surgery in the region. The resulting regression model can be used in planning the volume of medical care, taking into account the achievement of target demographic indicators and available health resources.ΠΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠ΅.Π‘Π΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ (Π‘Π‘Π) ΡΠ²Π»ΡΡΡΡΡ Π²Π΅Π΄ΡΡΠ΅ΠΉ ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ. ΠΠ΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠ° ΠΎΡΠ΅Π½ΠΊΠ° ΠΏΡΠΈΠΎΡΠΈΡΠ΅ΡΠ½ΡΡ
Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΠΉ ΠΈΠ½Π²Π΅ΡΡΠΈΡΠΈΠΉΠΈΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠΈΡ
ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎ Π²Π»ΠΈΡΡΡΠ½Π°ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ.
Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ Π²Π»ΠΈΡΠ½ΠΈΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΌΠ°Π»ΠΎΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΡΡ
Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π½Π°ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ.
ΠΠ΅ΡΠΎΠ΄Ρ.ΠΠ°ΠΏΠ΅ΡΠΈΠΎΠ΄Ρ2009ΠΏΠΎ2019 Π³. Π±ΡΠ» ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ·ΠΈΠΎΡΠ΅Π½ΠΊΠ° Π²Π»ΠΈΡΠ½ΠΈΡ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° ΡΡΠ΅ΡΠΊΠΎΠΆΠ½ΡΡ
ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΡΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ² (Π§ΠΠ), Π²ΡΠΏΠΎΠ»Π½Π΅Π½Π½ΡΡ
Π²ΠΠΈΠΆΠ΅Π³ΠΎΡΠΎΠ΄ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ,Π½Π°ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ, Π²ΠΊΠ»ΡΡΠ°Ρ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΡΠΎΡΠ‘Π‘Π, ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΡΠ΅ΡΠ΄ΡΠ° (ΠΠΠ‘)ΠΈΠΎΡΡΡΠΎΠ³ΠΎ ΠΈΠ½ΡΠ°ΡΠΊΡΠ° ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° (ΠΠΠ).ΠΠ»ΡΠΈΠ·ΡΡΠ΅Π½ΠΈΡ ΡΠ²ΡΠ·ΠΈ ΠΌΠ΅ΠΆΠ΄Ρ ΡΠΊΠ°Π·Π°Π½Π½ΡΠΌΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌΠΈ Π²ΡΡΠΈΡΠ»ΡΠ»ΡΡ ΠΊΠΎΡΡΡΠΈΡΠΈΠ΅Π½Ρ ΡΠ°Π½Π³ΠΎΠ²ΠΎΠΉ ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΈ Π‘ΠΏΠΈΡΠΌΠ΅Π½Π°. ΠΡΠΎΠ³Π½ΠΎΠ·ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡΡΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΌΠ΅ΡΠΎΠ΄Π° ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΡΠ΅Π³ΡΠ΅ΡΡΠΈΠΈ.ΠΠ»ΡΠΎΡΠ΅Π½ΠΊΠΈ ΠΈΡΡ
ΠΎΠ΄Π½ΡΡ
ΠΈΠΏΡΠ΅Π΄ΡΠΊΠ°Π·Π°Π½Π½ΡΡ
Π΄Π°Π½Π½ΡΡ
(ΡΠ΅Π³ΡΠ΅ΡΡΠΈΠΎΠ½Π½ΠΎΠΉ ΠΌΠΎΠ΄Π΅Π»ΠΈ) ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»ΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΡΠ°ΡΡΡΠΎΡΠ½ΠΈΡ ΠΡΠΊΠ°ΠΈΠΠ°Ρ
Π°Π»Π°Π½ΠΎΠ±ΠΈΡΠ°.
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ.ΠΠ°11 Π»Π΅ΡΠ²ΡΠ΅Π³ΠΈΠΎΠ½Π΅ ΠΏΡΠΎΠΈΠ·ΠΎΡΠ΅Π» Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΡΠΎΡΡ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° Π§ΠΠ Ρ220Π΄ΠΎ6048 (Π²27,5 ΡΠ°Π·Π°).ΠΠ°ΡΡΠΎ ΠΆΠ΅ Π²ΡΠ΅ΠΌΡ ΠΎΠ±ΡΠ°Ρ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡΠ²ΠΎΠ±Π»Π°ΡΡΠΈ ΡΠ½ΠΈΠ·ΠΈΠ»Π°ΡΡΡ17,42Π΄ΠΎ14,60Π½Π°1000 Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ (Π½Π° 16,2%),ΠΎΡΠ‘Π‘Π Π½Π°30,7%. ΠΡΡΠ²Π»Π΅Π½Π° ΡΠΈΠ»ΡΠ½Π°Ρ ΠΎΡΡΠΈΡΠ°ΡΠ΅Π»ΡΠ½Π°Ρ ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΎΠ½Π½Π°Ρ ΡΠ²ΡΠ·Ρ ΠΌΠ΅ΠΆΠ΄Ρ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²ΠΎΠΌ Π§ΠΠΠΈΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΡΡΠΎΡΠ‘Π‘Π (r = 0,892),ΠΎΡΠΠΠ‘ (r = 0,856),ΠΎΡΠΠΠ (r = 0,904). ΠΡΠ»Π° ΡΠ°Π·ΡΠ°Π±ΠΎΡΠ°Π½Π° ΡΠ΅Π³ΡΠ΅ΡΡΠΈΠΎΠ½Π½Π°Ρ ΠΌΠΎΠ΄Π΅Π»Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°ΡΡΡΠ΅ΡΠΎΠΌ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈΠΈΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° Π§ΠΠ. ΠΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΡΠ°ΡΡΡΠΎΡΠ½ΠΈΡ ΠΡΠΊΠ°ΠΈΠΠ°Ρ
Π°Π»Π°Π½ΠΎΠ±ΠΈΡΠ° ΡΠΊΠ°Π·ΡΠ²Π°ΡΡΠ½Π°ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π²Π΅ΠΊΡΠΎΡΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ Π΄ΠΈΡΠΏΠ΅ΡΡΠΈΠΈ Π΄Π°Π½Π½ΡΡ
Ρ2014 Π³.,ΡΡΠΎΠΌΠΎΠΆΠ΅Ρ Π±ΡΡΡ ΡΠ²ΡΠ·Π°Π½ΠΎΡΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡΠΌΠΈΠ²ΠΈΠ½ΡΡΠ°ΡΡΡΡΠΊΡΡΡΠ΅ΠΈΠΎΠ±ΡΠ΅ΠΌΠ°Ρ
ΠΊΠ°ΡΠ΄ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉΠΈΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ.
ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π° ΡΠΊΠ°Π·ΡΠ²Π°ΡΡΠ½Π°ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΡΡΡ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅Π³ΠΎ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΠΈΠ²ΡΠ΅Π³ΠΈΠΎΠ½Π΅. ΠΠΎΠ»ΡΡΠ΅Π½Π½Π°Ρ ΡΠ΅Π³ΡΠ΅ΡΡΠΈΠΎΠ½Π½Π°Ρ ΠΌΠΎΠ΄Π΅Π»Ρ ΠΌΠΎΠΆΠ΅Ρ Π±ΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½Π°ΠΏΡΠΈΠΏΠ»Π°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΠΈ ΠΎΠ±ΡΠ΅ΠΌΠΎΠ² ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈΡΡΡΠ΅ΡΠΎΠΌ Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΡ ΡΠ΅Π»Π΅Π²ΡΡ
Π΄Π΅ΠΌΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉΠΈΠΈΠΌΠ΅ΡΡΠΈΡ
ΡΡ ΡΠ΅ΡΡΡΡΠΎΠ² Π·Π΄ΡΠ°Π²ΠΎΠΎΡ
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