CHANGES IN THE NUMBER OF CORONARY BYPASS SURGERY IN SOME REGIONS OF THE RUSSIAN FEDERATION IN 2019–2021

Highlights The number of coronary bypass surgeries in the Russian Federation in 2021 has remained below the 2019 indicator. The highest territorial accessibility of open-heart surgery is noted in the Volga Federal District. There number of open-heart surgeries performed does not depend on the capacity of the medical organization. Aim. To study the changes in the number and outcomes of coronary artery bypass surgeries in the Russian Federation during 2019–2021 on the example of the Central, Volga and North Caucasus Federal Districts. Methods. We used data from the following sources: official statistics published by the Ministry of Health of the Russian Federation (Statistics Form No. 14); data published by Federal State Statistics Service; data on patients from “A.N. Bakulev National Research Center for Cardiovascular Surgery”; official statistics published by the Organization for Economic Co-operation and Development; and the available literature data. Taking into account the demographic characteristics of the regions, we calculated the number of surgeries per 100.000 citizens. Results. The total number of CABG decreased by 18.7% in 2020 (from 9 739 in 2019 tо 7918 in 2020) in the studied subjects of the Russian Federation. There was an increase in the number of direct myocardial revascularization in 2021 by 8,6% compared to 2020. However, this index was still 11.7% lower as compared to 2019. The number of CABG per 100,000 population in the regions was 24,6 ± 18,6; 21,0 ± 16,2 and 22,9 ± 17,8 in these years, respectively. At the same time, it should be noted that the decrease in the number of open-heart surgeries did not depend on the capacity of medical organization. The analysis also showed that in 2020, the average mortality rate during CABG increased by 5.6% compared to 2019 (from 1.8 ± 1.5 to 1.9 ± 1.6). Conclusions. In 2020, the number of planned coronary artery bypass surgeries in the Central, Volga and North Caucasus Federal Districts of the Russian Federation decreased by 18,7% on average compared to 2019 with a slight positive trend in subsequent years. One of the most likely reasons is coronavirus disease pandemic.