Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot44810.32687/0869-866X-2020-28-6-1298-1303Научная статьяThe indices of Morbidity and Mortality of acute pancreatitis as indicator of medical care condition on regional levelImaevaA. K.alfia.imaeva@mail.ruMustafinT. I.-PolovinkinaS. R.-The Federal State Budget Educational Institution of Higher Education «The Bashkir State Medical University of Minzdrav of RussiaThe Baskortostanstat151220202861298130306042021Copyright © 2020,2020The high digital incidence rates of acute pancreatitis world-wide and the death rates from its destructive forms explain the great interest to this problem. Among diseases of gastrointestinal tract, this pathology is characterized by variety of clinical manifestations, frequent severe complications, difficult choice of proper tactics of treatment and severe prognosis of development of disease. The gallstone disease, alcohol abuse are among most common causes of development of disease. However, it is important to study statistical indices of prevalence and mortality of acute pancreatitis at the regional level. The purpose of study was to analyze incidence and mortality of acute pancreatitis in 2010-2018. The indices were analyzed in the region as a whole and as well as in the Medical Districts of the Republic of Bashkortostan. The incidence of acute pancreatitis had period of acute upraise in 2010 (86.5) and 2018 (76.6). At the same time, mortality since 2011 (4.7) was characterized by slight increasing and up to 2018 it almost doubled (8.1). The overall picture demonstrates increasing of mentioned indices in the region. In case of acute pancreatitis, mortality increased from 7.4 in 2010 to 10.5 in 2018. It can be explained by increasing incidence of destructive forms of disease, when severe and sometimes fatal complications often develop. In the republic nine medical districts were organized making possible to judge more clearly the change in morbidity and mortality depending on the territorial affiliation. The analysis of these statistical indices for medical districts demonstrated objectivity of assessing state of medical care. In particular districts (Birsk, Neftekamsk), timely retrospective assessment of morbidity and mortality rates of acute pancreatitis and the comprehensive measures resulted in their stabilization and even decreasing. A clear record of medical records, considering all sick and dead from acute pancreatitis, helps to improve organizational, preventive and therapeutic measures.acute pancreatitisstatisticsincidencemortalityострый панкреатитстатистиказаболеваемостьсмертность1.Новиков С. В. Статистика панкреатита. Режим доступа: http://pancreonecrosis.ru/statistika-pankreatita/ (дата обращения 27.02.2020).2.Имаева А. К., Мустафин Т. И., Шарифгалиев И. А. Вопросы оптимизации патологоанатомической диагностики при остром деструктивном панкреатите. Профилактическая и клиническая медицина. 2013;3(48):82-4.3.Подолужный В. И. Острый панкреатит: современные представления об этиологии, патогенезе, диагностики и лечении. Фундаментальная и клиническая медицина. 2017;2(4):62-71.4.Singh P., Garg P. K. Pathophysiological mechanisms in acute pancreatitis: Current understanding. Indian J. Gastroenterol. 2016;35(3):153-66. doi: 10.1007/s12664-016-0647-y. Epub 2016 May 21.5.Анищенко В. В., Ким Д. А., Ковган Ю. М. Тактические аспекты в лечении больных с тяжелым острым некротическим панкреатитом. В кн.: Актуальные вопросы современной хирургии. Кемерово; 2016. С. 18-21.6.Митряков П. С. Современные методы лечения больных панкреонекрозом. Международный журнал экспериментального образования. 2016;9(2):221-4. Режим доступа: http://www.expeducation.ru/ru/article/view?id=10484 (дата обращения 19.02.2020).7.Maheshwari R., Subramanian R. M. Severe Acute Pancreatitis and Necrotizing Pancreatitis. Crit. Care Clin. 2016;32(2):279-90. doi: 10.1016/j.ccc.2015.12.006. Epub 2016 Feb 18.