Affiliation:
1. The National Medical Research Center for Cardiology
Abstract
Introduction. Today there is no method to assess whether number of PCI-capable centers in Russia corresponds to the real needs. The aim of the study was to develop a PCI-capable hospitals necessity calculation algorithm. Material and methods. We used population densities, maximum/optimal distances (areas) to which delivery of patients with acute coronary syndrome by sanitary transport is possible and maximum/optimal areas where patients can be transported by ambulance transport. Then we calculated the density threshold values: Group 1: 53 persons/km2 or more; Group 2: 53-27 people/km2; Group 3: 27-18 people/km2; Group 4: 18-8 people/km2; Group 5: 8 persons/km2 and less. Results. Formulas were proposed for calculating the need for PCI-centers. For group 1: population/60000 people, for group 2: area/11,310 km2, group 3: area/31,416 km2, group 4 with functioning of sanitary aviation: area/70,686 km2 (additional strengthening of the prehospital medical care); in the absence of functioning sanitary aviation: area/31,416 km2 (also additional strengthening of the pre-hospital stage of medical care); for group 5: population/600,000 in large cities (in addition, the use of sanitary aviation, increased prehospital medical care, the organization of primary vascular departments). Discussion. The existing amount of percutaneous interventions in Russia is not enough to meet the real needs for this treatment. At the same time, simple multiplying of PCI-centers is not expedient. Conclusion. According to the developed algorithm, in Russia it is necessary to organize 239 PCI-centers 24/7. In regions with a high population density it is possible to combine several cathlabs in one center.
Publisher
Federal Scientific Center for Hygiene F.F.Erisman
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference15 articles.
1. Roth G.A., Johnson C., Abajobir A., Abd-Allah F., Abera S.F., Abyu G., et al. Global, Regional, and National Burden of Cardiovascular Diseases for 10 Causes, 1990 to 2015. J. Am. Coll. Cardiol. 2017; 70(1): 1-25. Doi: https://doi.org/10.1016/j.jacc.2017.04.052.
2. Boitsov S.A., Samorodskaya I.V. Smertnost' i poteryannye gody zhizni v rezul'tate prezhdevremennoi smertnosti ot boleznei sistemy krovoobrashcheniya. Kardiovaskulyarnaya terapiya i profilaktika. 2014; 13(2): 4-11. Doi: https://doi.org/10.15829/1728-8800-2014-2-4-11
3. Oshchepkova E.V. Smertnost' naseleniya ot serdechno-sosudistykh zabolevanii v rossiiskoi Federatsii v 2001-2006 gg. i puti k ee snizheniyu. Kardiologiya. 2009; (2): 63-70.
4. Hackett D. How many cath labs do we need? Heart. 2003; 89(8): 827-9. Doi: https://doi.org/10.1136/heart.89.8.827
5. Federal'naya gosudarstvennaya sluzhba registratsii, kadastra i kartografii (ROSREESTR). Svedeniya o nalichii i raspredelenii zemel' v Rossiiskoi Federatsii na 01.01.2017 (v razreze sub\"ektov Rossiiskoi Federatsii). Available at: https://rosreestr.ru/site/activity/sostoyanie-zemel-rossii/gosudarstvennyy-natsionalnyy-doklad-o-sostoyanii-i-ispolzovanii-zemel-v-rossiyskoy-federatsii/
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献