NOSOLOGICALLY AND AGE-STRATIFIED MORTALITY STRUCTURE FROM CARDIOVASCULAR DISEASES IN THE YEARS 2006 AND 2014

Aim. To study structure and dynamics of standardized mortality parameters (SMP) from cardiovascular diseases (CVD) inRussia, during 2006-2014; to compare mortality in 5-year age strates from CVD and myocardial infarction (MI).

Material and methods. The RosStat data was used, on the population number by the beginning of the next year, number of died by age groups, for mortality rates, listed in the Short registry of RosStat mortality causes. The SMP from CVD and literally close causes of death was calculated. Comparison was done using visibility indexes.

Results. InRussia, during 2006-2014yy, there is a strong decline of CVD mortality in general population (by 25,5%), as in separate age strates. Lowest decrease of mortality is shown in groups 20-24 (23,9%) and 35-39 y.o. (24,3%), maximum — in the age group 65-69 y.o. (41,1%). Regardless significant decline of CVD deaths (from general deaths) in 2014 comparing with2006, inolder groups this relation is disproportionally high. According to the Short registry of RosStat mortlaity causes, CVD class in 2014 had been presented by 35 nosological groups and/or separate diagnoses of ICD-10, in2006 — 23. Part of deaths from non-clearly defined nosological death causes (codes 129-130, 132, 136, 140, 145, 147-150, 151-152, 155) was in 2014 — 58,8% from CVD and 29,4% from general causes. Most significant decrease of SMP was marked in cerebrovascular diseases group (42,7%); including cases related to stroke. SMP from IHD decreased by 31,1%; mortality from MI — by 12,4%.

Conclusion. The found significant decline of SMP from CVD is determined by the enforced prevention, improvement of medical care organization, increase of amount and accessibility of high-technology medical care. At the same time, it is not possible completely and correctly compare mortality due to changes of approaches for the main cause of death definition, including Ministry of Health guidelines and changes in the Short list of mortality causes of RosStat. 

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