Circulatory system diseases remain the leading cause of death in the Russian Federation. Acute cerebrovascular accidents are the predominant cause of disability among the population of the Russian Federation. Given the high medical and social significance of the consequences of acute cerebrovascular disorders, these guidelines contain a description of current issues in the organization of dispensary observation of patients with the consequences of subarachnoid hemorrhage, intracranial hemorrhage, other non-traumatic intracranial hemorrhage, the consequences of cerebral infarction and stroke, not specified as hemorrhage or cerebral infarction, as well as other specified lesions of the cerebral vessels, by a physician, and also highlight issues of secondary prevention of the risk of recurrent vascular events. Dispensary observation in primary health care is one of the resources for reducing mortality from diseases of the circulatory system and increasing life expectancy. These methodological recommendations allow practicing physicians to make informed clinical decisions when conducting dispensary observation. The methodological recommendations are intended for district therapists, general practitioners (family doctors), district therapists at workplace medical stations, as well as for mid-level medical personnel working with these doctors, paramedics at paramedic and midwifery stations (paramedic health stations) if they are assigned by the heads of medical organizations to perform the functions of attending physicians in organizing and conducting dispensary observation. The methodological recommendations may be of no less interest to doctors who are healthcare organizers, heads of primary healthcare organizations and their departments
Drapkin et al. (Sat,) studied this question.
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