MEDICAL AND SOCIAL CHARACTERISTICS OF POST-STROKE PATIENTS UNDERGOING MEDICAL REHABILITATION IN OUTPATIENT SETTINGS

Background: According to the statistics of death rates in the Russian Federation in recent years, diseases of the circulatory system are regarded as the leading cause of mortality (50.07%, or 653.9 per 100 thousand in 2015). Identification of the main trends specific to the dynamics of the health state of post-stroke patient provides an opportunity to conduct substantiated medical and rehabilitation measures focused on the improvement of health status and life quality of this category of people with the greatest economic efficiency which is essential and relevant under the conditions of permanent financial limitation in medical and social care.

Aims: To assess the medical and social characteristics of patients who had acute cerebrovascular accidents and underwent medical rehabilitation in outpatient settings.

Materials and methods: A retrospective research was performed; the subject of the study is post-stroke patients who received medical rehabilitation in outpatient settings in the period 2011−2015. The data was obtained by collecting information from the outpatient’s medical documents and processed by statistical and analytical methods of investigation.

Results: The study analyzed 400 records of post-stroke patients who underwent medical rehabilitation in outpatient settings. The investigated data revealed some medical and social characteristics of the “typical” patient undergoing medical rehabilitation: working-age patient with first stroke who had no defined disability category but had comorbid pathology in past medical history and high-stress intellectual profession.

Conclusions: The analysis allows selecting the priority areas of medical and preventive work aimed at improving the quality of life and health of the population. Specification of the patient’s medical and social characteristics is the key element in the formation of targeted programs of preventive and rehabilitation measures.