Intrahospital ischemic stroke in the military medical organizations of the Ministry of Defense
The study aimed to systematize diagnostic and therapeutic measures for in - hospital ischemic stroke and develop directions for improving medical care organization for patients with acute cerebrovascular accidents of ischemic type in military medical organizations. Thirty - five cases of in - hospital ischemic stroke (2014-2019) were retrospectively studied. The average age (28 men and seven women) was 68.9±11.1 years. In 25.7%, stroke development time exceeded 6 hours; in 28.6%, it was impossible to determine its development. The mortality rate was 34.3%. Early diagnosis of pathology makes it possible to increase the frequency of using reperfusion treatment methods, increase the likelihood of a favorable outcome, and reduce in - hospital mortality. The solution of organizational issues in assisting such patients for military medical organizations that do not have staff forces and means for treating stroke consists of close cooperation with civil health organizations. Another direction is the development of internal instructions on the procedure for providing medical care to patients with in - hospital stroke, which will ensure that patients receive appropriate assistance and medical workers at all levels - legal protection.