Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot100910.32687/0869-866X-2022-30-5-782-787Научная статьяASSESSMENT OF NOSOLOGICAL STRUCTURE ASSOCIATED WITH ANEMIC SYNDROMELetnikovaL. I.-BudnevskyA. V.-NatarovA. A.-SaurinaO. S.-ShapovalovaM. M.rishka79@mail.ruDepartment of Public Health, Communications and Expert Activity of Minzdrav of RussiaN. N. Burdenko Voronezh State Medical University of Minzdrav of Russia1512202230578278729102022Copyright © 2022,2022The anemic syndrome at the stage of primary health care delivery on an outpatient basis is a risk factor for an unfavorable outcome in patients with chronic somatic diseases, primarily cardiovascular and oncological pathologies. In order to understand the true prevalence of anemia among outpatients it is necessary to improve the registration of patients with this disease.Aim: to analyze the features of managing patients with anemia in the primary health care system using a computerized patient monitoring system.The study included 1498 patients aged 18 to 80 who were under dispensary observation by family physicians. For the analysis of the medical records, a computer program developed by the authors "Monitoring system for patients with anemic syndrome" was used.The structure of morbidity in two selected areas of the outpatient department in the context of the main classes of diseases of ICD-10 is analyzed. According to the analysis of the medical records carried out using the program developed by us, anemia was recorded in 208 patients (13.89%), while in the analysis using the computer register according to the WHO criteria, 500 people had anemic syndrome (33.38%), which indicates the underdiagnosis of this pathological condition and the need to direct the efforts of healthcare organizers to the early revealing of patients with anemia.anemic syndromecomputer registerprimary health careанемический синдромкомпьютерный регистрпервичная медико-санитарная помощь[Сидорук С. П., Петрова Е. Б., Митьковская Н. П. Анемия при сердечно-сосудистых заболеваниях. Неотложная кардиология и кардиоваскулярные риски. 2017;1(1):38-45.][Федеральная служба государственной статистики. Здравоохранение в России. М.: Росстат; 2019. 170 с.][Богданов А. Н., Мазуров В. И. Железодефицитные анемии в XXI веке. Вестник Северо-Западного государственного медицинского университета им. И. И. Мечникова. 2016;(4):106-12.][World Health Organization. WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. - 2020. Режим доступа: https://apps.who.int/iris/bitstream/handle/10665/331505/9789240000124-eng.pdf?sequence=1&isAllowed=y][Fonseca C., Marques F., Robalo Nunes A., Belo A., Brilhante D., Cortez J. Prevalence of anaemia and iron deficiency in Portugal: the EMPIRE study.Int. Med. J. 2016;46(4):470-8.][Вёрткин А. Л., Ларюшкина Е. Д., Ховасова Н. О. Железодефицитная анемия: этапный эпикриз. Амбулаторный прием. 2017;3(1):6-11.][Kip M. M., Schop A., Stouten K. et al. Assessing the cost-effectiveness of a routine versus an extensive laboratory work-up in the diagnosis of anaemia in Dutch general practice. Ann. Clin. Biochem. 2018;55(6):630-8.][Cecchi F., Pancani S., Vannetti F. Hemoglobin concentration is associated with self-reported disability and reduced physical performance in a community dwelling population of nonagenarians: the Mugello Study.Intern. Emerg. Med. 2017;12(8):1167-73.][Röhrig G. Anemia in the frail, elderly patient Clin.Int. Aging. 2016;11:319-26.][Xu X. Mapping the global research landscape and knowledge gaps on multimorbidity: a bibliometric study. J. Glob. Health. 2017;7(1):010414.][Кривонос О. В. Усовершенствование мероприятий по организации своевременного выявления больных болезнью Паркинсона. Современные проблемы науки и образования. 2014;(3):444.][Мохирева Л. В., Скачков В. В., Веретенцева Н. А., Колпакова Л. В. Организация работы с группами риска по заболеванию туберкулезом в медицинских организациях первичной медико-санитарной помощи. Туберкулез и социально-значимые заболевания. 2015;(1):32-5.]