Medical and organizational aspects of prehospital care for patients with acute disorders of cerebral circulation, delivered to the hospital

In Russia, there is a steady increase in the frequency of cerebrovascular diseases (CVD): in 1999, this figure was 393.4 per 100 thousand of the population (Yakhno N.N., Valenkova V.A., 1999). In the Republic of Tatarstan (RT), this figure for 1999 was even higher - 467.0 per 100,000 population. At the same time, CVD mortality in the Republic of Tatarstan is 25–30% lower than in the general Russian population: according to 1999 data, it was 208.0 and 320.0, respectively (Ismagilov M.F., 2003). The frequency of disability after a cerebral stroke (MI) in the Republic of Tatarstan (5.49 per 10 thousand of the population) exceeds the national figures (3.2 per 10 thousand). No more than 20% of patients who have had MI return to work, and 1/3 of stroke patients are people of working age. CVD and their most severe forms - acute cerebrovascular accident (ACC) - cause significant damage to the country's economy, taking into account the costs of treatment, medical rehabilitation, and losses in production.