PROVISION OF MEDICAL REHABILITATION CARE TO ORTHOPEDIC AND TRAUMA PATIENTS IN THE REPUBLIC OF TATARSTAN

Abstracts. Introduction. In the Republic of Tatarstan, orthopedic and trauma diseases occupy the third place among the diseases leading to disability among adults. Timely patients’ rehabilitation allows restoring their previous activity and preventing complications. Aim of the study was to evaluate the effectiveness of the medical rehabilitation system for orthopedic and trauma patients over the last three years. Materials and Methods. The clinical and expert statistical method, the method of generalization, and comparative analysis were used to process the data of patients with orthopedic and trauma diseases, who had been provided with medical rehabilitation care for the last three years. Statistical data were used, provided by the General Office of Medical and Social Assessment in the Republic of Tatarstan, by the Ministry of Labor and Social Protection of the Russian Federation, and by the Ministry of Health of the Republic of Tatarstan. Statistical analysis was performed using the GraphPadPrism 9 software package. Quantitative variables were presented as medians and quartiles, while qualitative variables were presented as percentages. Comparative analysis (for dependent samples) was based on determining the reliability of the difference between indicators using the Wilcoxon test. Differences at p < 0.05 were considered statistically significant. Results and Discussion. In the Republic of Tatarstan, the number of patients who received medical rehabilitation increased by 32% in 2023, of which the number of orthopedic and trauma patients increased by 31%. In 2023, the number of the first-time declared group I disabled decreased by 0.6% and of first-time declared group II ones by 0.7%, while medical rehabilitation of patients increased by 53% in round-the-clock inpatient facilities and by 37% in outpatient facilities. Conclusions. Increased number of orthopedic and trauma patients provided with medical rehabilitation care at the inpatient and outpatient stages, led to a decrease in the number of the first-time declared group I disabled by 0.6% and the first-time declared group II disabled by 0.7% This substantiates the need for further development of medical rehabilitation in the traumatology and orthopedics area to return the patient to social and domestic activities, preserve their working potential, and stabilize their health.