[Modern trends in primary disability due to cerebrovascular diseases in a large city]. / Sovremennye tendentsii pervichnoi invalidnosti vsledstvie tserebrovaskuliarnykh boleznei v megapolise.

AIM: To study the primary disability due to cerebrovascular diseases (CVD) in St.-Petersburg for 13 years (from 2004 to 2016) according to the data of the medical-social expertise institution. MATERIAL AND METHODS: Based on the official statistics, the prevalence, level and structure of primary disability due to CVD in St.-Petersburg for 13 years (from 2004 to 2016) were analyzed. RESULTS AND CONCLUSION: With the increase in overall incidence of CVD by 1.3 times during the study period and the increase in primary morbidity due to CVD by 2 times, there was a decline by 3.1 times of indicators of primary disability. The level of primary disability in people of retirement age due to this disease during the entire observation period was significantly higher than in the working age group (4.3-fold). The structure of primary disability due to CVD in people of working age is dominated by persons with disabilities of III group, whereas among the elderly, the vast majority were people with group II disability, however, the 13-year dynamics shows that their share has decreased in 1.4 times. There was a significant difference between the indicators of primary disability due to CVD in St.-Petersburg in comparison with the Russian Federation, connected, in our opinion, with the special demographic composition of the residents of the city and a predominance of people of retirement age.

[Dynamics and structure of primary disability in persons of retirement age when applying to the Bureau of Medical and Social Expertise of Saint Petersburg from 2006 to 2017.]

The article presents data on primary disability in elderly and able-bodied people and older than able-bodied (retirement) age as a result of the survey of citizens in the Bureau of Medical and Social Expertise of Saint Petersburg in the period 2006-2017. The features of the level, structure, dynamics and distribution by groups of disability in retirement age are reflected. There was a significant increase in the level of disability in 2007, with a progressive decline to 2011 and a gradual decline until 2017. During the study period, there was a redistribution of persons of a retirement age for the first time recognized as disabled by groups of disabilities - an increase in the proportion of individuals in Groups I and III of disability due to a decrease in II disability groups.

[Disability in the elderly owing to cerebrovascular diseases: the leading desadaptive syndromes].

The article presents data on the main desadaptive syndromes have disabilities due to cerebrovascular diseases in the elderly according to the results of analysis of medical expert documents the Bureau of medico-social examination of Saint-Petersburg in the period from 2010 to 2014. The characteristics of the level, structure, dynamics and distribution according to groups of disability due to cerebrovascular diseases in retirement were shown; clinical expert in the features of the population of older people with disabilities due to cerebrovascular diseases were analyzed. We revealed a consistent decrease in the number of persons with disabilities over 5 years, increase the proportion of persons with disabilities of group III and group I disabled. We have determined the structure of the main desadaptive syndromes in the structure of the cerebrovascular diseases, causing dysfunctions of the body and disability.

[THE DYNAMICS AND STRUCTURE OF INDICATORS OF SECONDARY DISABILITY DUE TO CEREBROVASCULAR DISEASES IN THE ELDERLY IN ST. PETERSBURG IN THE PERIOD 2005-2014].

The article presents data about secondary disability due to cerebrovascular diseases in the elderly based on results of examination in the Bureau of medical-social expertise of Saint Petersburg in the period from 2005 to 2014. Тhe analysis revealed a high proportion of the disabled elderly in the structure of disability due cerebrovascular diseases; and the growth of the share of people with disabilities elderly in the analyzed period.

[Analysis of indicators of primary disability due to cerebrovascular diseases in people of retirement age according to the results of medical and social examination in St. Petersburg].

The article presents data on the primary disability due to cerebrovascular disease in elderly patients based on the results of the survey in the Bureau of Medical and Social Expertise of Saint-Petersburg from 2005 to 2014. The analysis showed a reduction in the indicators of primary disability due to cerebrovascular disease and the increase in the share of persons with disabilities of the first and third groups in its structure.