Analysis of risk factors and stroke structure according to the hospital register of clinics in Vinnytsia for 2017-2019

  • D.O. Fiks National Pirogov Memorial Medical University, Vinnytsya, Ukraine
Keywords: stroke, gender differences, stroke risk factors, register method.


Due to the analysis of a whole set of indicators of the quality of medical care for acute cerebrovascular accident (ACA), and above all, the identification of major shortcomings in the maintenance of stroke register, it is possible to reduce morbidity, mortality and disability from this nosology. The purpose of the work is to study and compare the structure and risk factors of stroke according to the hospitals of Vinnytsia for the period 2017-2019. The stroke register was created on the basis of medical documentation of hospitals of the municipal non-profit enterprise “Vinnytsia Regional Clinical Psychoneurological Hospital named after Academician O.I. Yushchenko of Vinnytsia Regional Council” (VRCPNH) and Vinnytsia City Clinical Hospital of Emergency Medical Services (VCCHEMS), which are the most typical for this region of Ukraine. Statistical processing of the results was performed using the licensed statistical package “Statistica 5.5” using parametric evaluation methods. Between the two medical institutions in Vinnytsia and in the dynamics of time there were significant differences in different age, sex, type of stroke contingent of patients. When comparing the data of the territorial-population register of stroke in hospitals in Vinnytsia in 2017-2019, it was found that in both studied institutions the percentage of young and middle-aged patients, especially men, increased. The percentage of young and middle-aged patients in VRCPNH is higher than in VCCHEMS. Modified risk factors, which are currently the most important medical and social problem, are analyzed. There were no significant differences in the dynamics of stroke in both hospitals. The percentage of patients who had a stroke in hospital has decreased over time. The meteorological dependence of stroke has been proved, which points to the importance of preventive measures for people at risk. The main shortcomings in the collection of anamnestic data are analyzed. Analysis of risk factors for stroke suggests that the disease is based on various causes.


[1] Bokeryia, L. A., Pokrovskyi, A. V., Sokurenko, G. Yu., Samorodskaia, I. V., Abuhov, S. A., & Alekian, B. G. (2013). National guidelines for the management of patients with brachiocephalic artery disease. Russian consensus document.

[2] Chechulov, P. V., Vozniuk, I. A., Soroka, V. V., Varaksyna, E. A., Aidaev, S. S., & Zenyn, A. V. (2013). Carotid endarterectomy in the first days after an ischemic stroke is safe and warranted. Thoracic and Cardiovascular Surgery, 3, 24-29.

[3] Christensen, A. L., Rasmussen, L. H., Baker, M. G., Lip, G. Y. H., Dethlefsen, C., & Larsen, T. B. (2012). Seasonality, incidence and prognosis in atrial fibrillation and stroke in Denmark and New Zealand. BMJ, 2(4), 1-8. doi:

[4] Cordonnier, C., Sprigg, N., Sandset, E. C., Pavlovic, A., Sunnerhagen, K. S., & Caso, V. (2017). Women Initiative for Stroke in Europe (WISE) Group. Stroke in women – from evidence to inequalities. Nat. Rev. Neurol., 13, 521-532.

[5] de Steenhuijsen Piters, W. A., Algra, A., van den Broek, M., F., Dorhout Mees, S. M., & Rinkel, G. J. (2013). Seasonal and meteorological determinants of aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. J Neurol., 260(2), 614-619. doi: 10.1007/s00415-012-6687-z

[6] Dolhusheva, Yu. A. (2015). Study of the influence of environmental risk factors on the development of stroke in residents of Rostov-on-Don. In the materials of the VI International Scientific and Practical Conference: Rostov-on-Don.

[7] Dolhusheva, Yu. A. (2016). Comprehensive analysis of the influence of exogenous risk factors on various types of cerebral stroke, considering the phases of the solar cycle. In the collection of materials of the Youth Scientific Society of Rostov State Medical University, Rostov-on-Don (61-63 pp.). Rostov-on-Don.

[8] Etches, V., Frank, J., Ruggiero, E. D., & Manuel, D. (2006). Measuring population health: a review of indicators. Ann. Rev. Public Health, 27, 29-55. doi: 10.1146/annurev.publhealth.27.021405.102141

[9] Feigin, V. L., Roth, G. A., Naghavi, M., Parmar, P., Krishnamurthi, R., Chugh, S., ... Estep, K. (2016). Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet Neurology, 15(9), 913-924. doi:

[10] Foiht, N. A. (2002). Life expectancy in old age: Evolution, modernity, prospects. К.

[11] Furie, K. L., Kasner, S. E., Adams, R. J., Albers, G. W., Bush, R. L., Fagan, S. C., ... Mitchell, P. H. (2011). Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 42(1), 227-276. doi: 10.1161/STR.0b013e3181f7d043

[12] George, M. G., Tong, X., & Bowman, B. A. (2017). Prevalence of Cardiovascular Risk Factors and Strokes in Younger Adults. JAMA Neurology, 74(6), 695-703. doi: 10.1001/jamaneurol.2017.0020

[13] Kaerova, E. V., Zhuravskaia, N. S., Matveeva, L. V., & Shestjora, A. A. (2017). Analysis of the main risk factors for stroke. Modern problems of science and education, 6.

[14] Khan, F. A., Engstrom G., Jerntorp I., Pessah-Rasmussen, H., & Janzon, L. (2005). Seasonal patterns of incidence and case fatality of stroke in Malmo, Sweden: The STROMA Study. Neuroepideimology, 24(1-2), 26-31. doi: 10.1159/000081046

[15] Kliuchykhyna, O. A., & Stakhovskaia, L.V. (2014). Analysis of epidemiological indicators of stroke according to the data of territorial population registers 2009-2012. Journal of Neurology and Psychiatry named after S. S. Korsakov, 114(6), 63-69.

[16] Kuročka, M., Rusňák, F., Beňo, P., Horný, L., Podolec, M., & Rusňák, M. (2016). Urgentné a emergentné operácie karotických artérií. Vask. Med., 8(1), 17-20.

[17] Martirosyan, V., & Krupskaya, J. (2013). Study of the Factors Influencing Mortality from the Cerebral Stroke in Patients of Different Ages. Journal of Medicine and Medical Research, 3(4), 1530-1557. doi:

[18] Martsevych, S. Yu., Kutyshenko, N. P., Suvorov, A. Yu., Gynzburh, M. L., Deev, A. D., & Boitsov, S. A. (2015). Analysis of anamnestic factors and their role in determining the closest (hospital) prognosis in patients after a stroke or transient ischemic attack. LIS-2 register results. Russian Journal of Cardiology, 6(122), 14-19.

[19] Martyrosian, V. V., & Dolhusheva, Yu. A. (2016). A probabilistic analysis of the influence of exogenous risk factors on the incidence of hemorrhagic strokes, considering the period of solar activity. Journal of Fundamental Medicine and Biology, 1, 52-59.

[20] Sipilä, J. O., Ruuskanen, J. O., Kauko, T., Rautava, P., & Kytö, V. (2017). Seasonality of stroke in Finland. Ann Med., 49(4), 310-318. doi:

[21] Starodubtseva, O. S., Behycheva, S. V., Shyrokov, V. A., Osynkyn, G. A., & Rzhanykova, D. D. (2017). The influence of meteorological factors on the seasonality of stroke in Yekaterinburg. Ural Medical Journal, 10, 66-70.

[22] Steshenko, V. S. (2003). Birth rate/Population of Ukraine–2002. Annual analytical report. К.: Institute of Demography and Social Research of the National Academy of Sciences of Ukraine, 50-51.

[23] Takizawa, S., Shibata, T., Takagi, S., Kobayashi, S., & Japan Standard Stroke Registry Study Group. (2013). Seasonal variation of stroke incidence in Japan for 35631 stroke patients in the Japanese Standard Stroke Registry, 1998-2007. Journal of Stroke and Cerebrovascular Diseases, 22(1), 36-41. doi: 10.1016/j.jstrokecerebrovasdis.2011.06.005

[24] Thrift, A. G., Thayabaranathan, T., Howard, G., Howard, V. J., Rothwell, P. M., Feigin, V. L., ... Cadilhac, D. A. (2017). Global stroke statistics. Int. J. Stroke, 12(1), 13-32. doi: 10.1177/1747493016676285

[25] Turin, T. C., Kita, Y., Murakami, Y., Rumana, N., Sugihara, H., Morita, Y., … Ueshima, H. (2008). Abbott and Hirotsugu Ueshima Higher Stroke Incidence in the Spring Season Regardless of conventional Risk Factors: Takashima Stroke Registry, Japan, 1988-2001. Stroke, 39(3), 745-752. doi: 10.1161/STROKEAHA.107.495929
How to Cite
Fiks, D. (2020). Analysis of risk factors and stroke structure according to the hospital register of clinics in Vinnytsia for 2017-2019. Reports of Morphology, 26(1), 24-31.