Abstract

BEMBIBRE TABOADA, Rubén; BUERGO ZUAZNABAR, Miguel Ángel  and  CASTELLON GONZALEZ, Carlos. Implementation of the National Program for the Prevention and Control of Cerebrovascular Diseases in Cienfuegos Province. Rev cubana med [online]. 2004, vol.43, n.2-3, pp. 0-0. ISSN 1561-302X.

The CVD are the third cause of death and the first cause of disability in Cuba. They are among the tasks prioritized by the Ministry of Public Health that implements the National Program for the Prevention and Control of Cerebrovascular Diseases all over the country. The present case series, prospective and descriptive study characterizes the implementation of this program in the province of Cienfuegos. Questionnaries were applied to all the patients admitted (N-2716) in a period of 4 years. The total of deaths occurred in the province was analyzed, starting from the monthly reports of the CVD Commission in the territory. The surveys were transferred to a database in Excel system for their further analysis by SPSS package, version 1.0. The fulfillment of the objectives of the program was determined. A mean morbidity rate of 192.26 per 100 000 inhabitants was observed. The mortality rates decreased by 9.15 (from 82,51 to 73,36 per 100 000 inhabitants). Global lethality was reduced by 9.66 (from 26,61 to 16,95 per 10 000 inhabitants). It was divided into infarcts (from 224.27 to 12.73), and HSA (from 39.21 to 25.71). It was proved an increase of the favorable evolution for cerebral infarction in 11.75 (from19.48 to 31.23) and a decrease of deaths by 7.82 (from 28,98 to 21,16), as well as for HSA (from 34,48 to 15,52). The significant results obtained for ischemic CVD and HSA did not show the same behaviour for HIC.

Keywords : Cerebrovascular disease; cerebral infarction; mortality; morbidity; cerebral hemorrhage.