Improving the organization of specialized and high-tech medical care for patients with acute cerebral circulatory disorders on the example of the Almaty region

Authors

DOI:

https://doi.org/10.56294/saludcyt2024.583

Keywords:

Stroke, Cerebrovascular Diseases, Telemedicine, Thrombolytic Therapy, Non-Traumatic Intracranial Haemorrhage

Abstract

Introduction: acute disorders of cerebral circulation are currently one of the main socio-medical problems of clinical neurology.
Objective: to conduct a comprehensive review of relevant literature sources regarding the state of the organisation of medical care for patients with acute cerebral circulatory disorders in the Almaty region, the role of stroke centres in providing high-tech medical services, the results of the application of telemedicine achievements in this area and the search for ways to improve established practices.
Method: analysis, systematisation, induction, bibliographic, generalisation, method of analogy, and synthesis.
Results: examines the features of the organisation of assistance to people with acute cerebral circulatory disorders in the Almaty region and analyses the model of a stratified three-level system of stroke centres in the Republic of Kazakhstan. The prospects of applying modern achievements of telemedicine in the field of emergency neurology and neurosurgery are analysed. The main global trends in the organisation of assistance to people with acute cerebral circulatory disorders are highlighted, and the prospects for further integration of a number of information technologies and mobile stroke centres in Kazakhstan in general and the Almaty region in particular are highlighted.
Conclusions: the result of the study is a comprehensive analysis of modern scientific literature on the topic of optimising the provision of specialised and high-tech care to patients with acute cerebral circulatory disorders in the example of the Almaty region

References

1. Shamsutdinova AF, Iskakova FYe, Polatbekov AA, Mamyrbekova SA. Current status of care in ischemic stroke: Literature review. West Kazakh Med J..2023;65(1):19-28. Available in: http://zkmu.edu.kz/wp-content/uploads/2023/06/%D0%9A%D0%BD%D0%B8%D0%B3%D0%B0-65.1.2023.pdf.

2. Kastey RM, Dusembekov EK, Zetov ASh, Tamasauskas A, Zhukov YS, Nikatov KA, et al. Epidemiological aspects and factors of development of acute disorders of cerebral circulation (literary review). Bull Asfendiyarov Kazakh Nat Med Univ: Sci-Pract J Med. 2020;2(1):591-6. Available in: https://cyberleninka.ru/article/n/epidemiologicheskie-aspekty-i-faktory-razvitiya-ostryh-narusheniy-mozgovogo-krovoobrascheniya-literaturnyy-obzor/viewer.

3. Pulatova A, Mamedaliyeva N, Omarova G, Urazbayeva G, Veliyeva A. Pelvic floor muscle exercises plus biofeedback versus pelvic floor muscle exercises for patients with stress urinary incontinence: A systematic review and meta-analysis of randomized controlled trials. Elect J Gen Med. 2023;20(5):em520. doi: 10.29333/ejgm/13411.

4. Talasbaev MG, Mammadinova IZ, Dyusenbaev NN, Kali ED, Zholbarysov RA, Duisenbaev EN, et al. Surgical treatment of intracerebral hematoma with videoendoscopic system and Artemis Neuroevacation device. Neurosurg Neurol Kazakh. 2022;67(2):37-42. doi: 10.53498/24094498_2022_2_37.

5. Kurmanova A, Urazbayeva G, Terlikbayeva A, Salimbaeva D, Ayazbekov A. Diagnostic significance of blood lymphocyte activation markers in pre-eclampsia. Clin Exp Immunol. 2024;215(1):94-103. doi: 10.1093/cei/uxad121.

6. Siddiqui MF, Alam A, Kalmatov R, Mouna A, Villela R, Mitalipova A, et al. Leveraging healthcare system with nature-inspired computing techniques: An overview and future perspective. In K. Raza (ed.), Nature-Inspired Intelligent Computing Techniques in Bioinformatics. Singapore: Springer; 2023. pp. 19-42. doi: 10.1007/978-981-19-6379-7_2.

7. Easa HK, Majid A, Al-Hatem AI, Othman NA, Bloh AH, Ali AH, et al. Sustainability in irrigation practices through 5G optimization of water resources. In 2024 35th Conference of Open Innovations Association (FRUCT). Tampere: Institute of Electrical and Electronics Engineers; 2024. pp. 201-210. doi: 10.23919/FRUCT61870.2024.10516407.

8. Zotaj A, Myderrizi N, Krasniqi M, Kalaja R. Parkinson’s disease, early physiotherapeutic rehabilitation during the period January-December 2022 at the Central Polyclinic, Durres. J Adv Pharm Educ Res. 2023;13(4):104-8. doi: 10.51847/VhemLjEYy6.

9. Makarov V, Yessentayeva S, Kadyrbayeva R, Irsaliev R, Novikov I. Modifications to the video-assisted thoracoscopic surgery technique reduce 1-year mortality and postoperative complications in intrathoracic tumors. Eur J Cancer Prev. 2024;33(1):53-61. doi: 10.1097/cej.0000000000000825.

10. Ilderbayev O, Zharmakhanova G, Rakhyzhanova S, Musaynova A, Ilderbayeva G, Nursafina A, et al. Immune system response after immobilization stress in the background of ionizing radiation. Trends Sci. 2022;19(13):4637. doi: 10.48048/tis.2022.4637.

11. Order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 809 “On Approval of the Standard of Organisation of Neurological Care in the Republic of Kazakhstan”; 2015 [cited Apr 10, 2024]. Available in: https://adilet.zan.kz/rus/docs/V1500012311.

12. Herpich F, Rincon F. Management of acute ischemic stroke. Critic Care Med. 2020;48(11):1654-63. doi: 10.1097/2FCCM.0000000000004597.

13. Adeoye O, Nyström KV, Yavagal DR, Luciano J, Nogueira RG, Zorowitz RD, et al. Recommendations for the establishment of stroke systems of care: A 2019 update: A policy statement from the American Stroke Association. Stroke. 2019;50(7):187-210. doi: 10.1161/STR.0000000000000173.

14. Mathur S, Walter S, Grunwald IQ, Helwig SA, Lesmeister M, Fassbender K. Improving prehospital stroke services in rural and underserved settings with mobile stroke units. Front Neurol. 2019;10:159. doi: 10.3389/fneur.2019.00159.

15. Shaprynskyi V, Nazarchuk O, Faustova M, Mitiuk B, Dmytriiev D, Dobrovanov O, et al. Some aspects of infectious complications in patients with surgical diseases mult icentr trials. Med Rev. 2020;69(7-8):257-260. Available in: https://www.lekarskyobzor.sk/2020/282-lekarsky-obzor-7-8-2020/937-some-aspects-of-infectious-complications-in-patients-with-surgical-diseases-multicentr-trials.

16. Messina A, McCormick LM, Paradiso S. Wernicke–Korsakoff Syndrome and dementia. In C.R. Martin, V.R. Preedy (eds.), Diet and Nutrition in Dementia and Cognitive Decline. Amsterdam: Academic Press; 2015. pp. 167-176. doi: 10.1016/B978-0-12-407824-6.00016-1.

17. Bechri I, Derkaoui A, Shimi A, Khatouf M. Low cardiac output syndrome after cardiac surgery: A retrospective analysis. Int J Med Med Res. 2023;9(1):6-14. doi: 10.61751/ijmmr.2413-6077.2023.1.06.

18. Harrington RA, Califf RM, Balamurugan A, Brown N, Benjamin RM, Braund WE, et al. Call to action: Rural health: A presidential advisory from the American Heart Association and American Stroke Association. Circulat. 2020;141(10):615-44. doi: 10.1161/CIR.0000000000000753.

19. Prior SJ, Reeves NS, Campbell SJ. Challenges of delivering evidence‐based stroke services for rural areas in Australia. Australian J Rural Health. 2020;28(1):15-21. doi: 10.1111/ajr.12579.

20. Walter S, Fassbender K, Easton D, Schwarz M, Gardiner FW, Langenberg F, et al. Stroke care equity in rural and remote areas – Novel strategies. Vessel Plus. 2021;5(27):1-10. doi: 10.20517/2574-1209.2020.102

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Published

2024-09-17

How to Cite

1.
Aitbaeva A. Improving the organization of specialized and high-tech medical care for patients with acute cerebral circulatory disorders on the example of the Almaty region. Salud, Ciencia y Tecnología [Internet]. 2024 Sep. 17 [cited 2024 Dec. 4];4:.583. Available from: https://sct.ageditor.ar/index.php/sct/article/view/583