CHARACTERISTICS OF PATIENTS THAT SOUGHT MEDICAL HELP DUE TO INTRACRANIAL INJURY IN MEDICAL ORGANIZATIONS OF RYAZAN REGION IN 2015
Journal: I.P. Pavlov Russian Medical Biological Herald (Vol.25, No. 1)Publication Date: 2017-03-31
Authors : Artemieva G.B.; Kosolapov A.A.;
Page : 49-55
Keywords : intracranial injuries; neurosurgical help; organization of neurosurgical medical help;
Abstract
The article provides the structure analysis of patients who were admitted to hospitals, time of treatment and its outcomes in the medical organizations of Ryazan region in 2015. Considering the given characteristics of the patients the most common causes of intracranial injuries, the patterns of admissions to medical institutions, average time of treatment and the outcomes of injuries per municipal districts in Ryazan region were educed, and approaches how to organize medical help of «neurosurgery» profile were also suggested. In 2015, non-work, especially domestic, intracranial injuries amounted to the vast majority (98,9%) of casesin the Ryazan region. Men prevailed among injured (55,7%), with men of working age more likely to get a street (60,1%) and transport (67,8%) intracranial injury. The most common cause of intracranial injury in women was domestic trauma. The most severe patients with intracranial injury in Ryazan in the vast majority of cases receive medical help in a specialized neurosurgical department of regional clinical hospital, which improves the quality of care and the effectiveness of medical intervention. This is confirmed by the decrease in mortality from intracranial injuries in both specialized neurosurgical department of regional clinical hospital and medical organizations in the districts of Ryazan region. To improve the efficiency of neurosurgical care in Ryazan region, it is advisable to develop a detailed routing scheme for patients with intracranial injury, considering the equipment and personnel provision of medical organizations, as well as timing indicators of the transport and technological routes.
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