Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot17710.32687/0869-866X-2019-27-5-808-812Научная статьяThe efficiency of functioning of regional vascular center in case of acute disorder of cerebral blood circulationShchepinV. O.-LebedevaD. I.j.lebedeva1965@mail.ruReshetneykovaIu. S.-KniazhevaN. N.-OrlovaA. S.-N. A. Semashko National Research Institute of Public HealthThe Federal State Budget Educational Institution of Higher Education “The Tyumen State Medical University” of Minzdrav of RussiaThe State Autonomous Health Care Institution of Tyumen Oblast “The Oblast Medical Rehabilitation Center”The Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia1512201927580881206042021Copyright © 2019,2019The acute stroke is one of leading causes of mortality and disability both in Russia Federation and worldwide. The specialized vascular centers and units proved to be effective in improving diagnostics, treatment and functional outcome inpatients in various countries. The purpose of article is to evaluate efficacy of regional vascular center (RVC) in Tyumen. The functioning of RVC in 2011-2017 was assessed using purposefully developed and implemented score card of medical care quality assessment in vascular centers. The epidemiological data for 2007-2017 was obtained from statistical materials of the Department of Health of Tyumen oblast. The epidemiological parameters were calculated both in absolute units by simple summing up of cases of illness and in relative units per number of population. It was established that all diagnostic and treatment procedures in RVC were implemented according actual medical standards. The significant increase of the percentage of patients hospitalized during first three hours after the onset of stroke symptoms was established. The patients receiving thrombolytic therapy was observed, with an improvement of functional status of patients upon discharge. The significant improvement of early diagnosis of cerebrovascular diseases (CVD) in the service area of RVC was demonstrated. The development and implementation of the plan of a regional vascular center placement and stroke patient routing enabled optimization of medical care accessibility to this group of patients and increased identification of CVD.acute strokeregional vascular centercerebrovascular diseasemorbiditymortalityострое нарушение мозгового кровообращениярегиональный сосудистый центрцереброваскулярная болезньзаболеваемостьсмертность1.Mozaffarian D., Benjamin E. J., Go A. S. 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