INCIDENCE OF CEREBROVASCULAR DISEASES IN WORKING-AGE POPULATION AND ITS IMPACT ON NON-FATAL LOSS OF LABOUR POTENTIAL
Authors:   Stavropol State Medical University, Stavropol, Russia, Muravyeva Alla , Mikhaylova Yuliya ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia, Sterlikov Sergey ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia, Vvedensky Georgiy ,   A.S. Puchkov First-aid Station of the Moscow Healthcare Department, Moscow, Russia
Published: June 2024

Significance. The incidence of cerebrovascular diseases among working-age population is of medical, social and economic importance, since active working population is a source of income, while the passive one is the public expenditure. The purpose of the study was to evaluate dynamics in indicators of cerebrovascular diseases among working age population and the impact of cerebrovascular diseases to non-fatal (temporary disability and disability) loss of labour potential. Material and methods. The study used data of the official statistical observation forms No 16 BH and 7-social security and evaluated the annual non-fatal loss. Results. The incidence rate of all cerebrovascular diseases among working-age population tends to increase. The stroke incidence rate has been relatively constant over time and equaled to 155.1±3.7 per 100,000 population. The increase in the incidence of hemorrhagic strokes and cerebral infarction is due to the reduced incidence of unspecified stroke; with a better genesis diagnosis of unspecified stroke, the incidence of cerebral infarction among working-age population will add up to 118.2 ± 3.0, hemorrhagic strokes – to 36.8 ± 1.2 with the ration of 3.3:1 (higher among population of the retirement age). There is an increase in the overall incidence of cerebrovascular diseases, which may be associated with accumulation of the contingents subject to examination. The incidence of cerebrovascular diseases with temporary disability during the pre-pandemic period has been declining with the share of patients over 59 in its structure increasing. Conclusion. The share of strokes in cerebrovascular diseases among working-age population is fairly constant adding up to 31.7% ± 0.5 in Russia as a whole. The incidence of stroke among working-age population doesn’t show any upward trend, despite the influence of potential confounding factors (such as the COVID-19 pandemic and the increased upper limit of the working age). Nevertheless, the threat of its growth remains as the upper limit of the working age rises, primarily associated with a higher incidence of cerebral infarctions. So far, the increase in the upper limit of the working age has not produced any significant impact on dynamics in the incidence of cerebrovascular diseases with temporary disability and its age structure, which continued to follow the same change pattern as before its increase. There is a decrease in primary disability due to cerebrovascular diseases among working-age population. The increase in recurrent disability due to cerebrovascular diseases over recent years is associated with a temporary change in the procedure for examination. The annual non-fatal loss of labour potential due to cerebrovascular diseases ranges from 61,860 to 118,436 person-years. Scope of application. The study results can be used by health executives