The indices of Morbidity and Mortality of acute pancreatitis as indicator of medical care condition on regional level

• Published in: Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny Vol. 28; no. 6; p. 1298
• Main Authors: Imaeva, A K, Mustafin, T I, Polovinkina, S R
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01-11-2020
• Subjects: Acute Disease; Bashkiria; Humans; Morbidity; Pancreatitis - epidemiology; Pancreatitis - therapy; Retrospective Studies; Bashkiria; mortality; incidence; acute pancreatitis; statistics
• ISSN: 0869-866X
• DOI: 10.32687/0869-866X-2020-28-6-1298-1303

The 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.