On the issue of mortality rates from injuries and external causes in the structure of departmental incident indicators «Improving the effectiveness of management of the system of measures to reduce adult mortality» (message one)

The existing indicators of the industry incident «Improving the efficiency of managing the system of measures to reduce adult mortality», which are derived from the number of fatalities in road accidents, do not reflect the overall picture of mortality from injuries and external causes in the Russian Federation. In this regard, in order to reduce mortality from manageable causes, it seems appropriate to use indicators calculated in the group of victims with combined, multiple and isolated injuries accompanied by shock. The indicators should characterize compliance with routing for the specified group of victims and the timeliness of the start of anti-shock therapy. The purpose of the study is considering the feasibility of making changes to the structure of the industry incident in terms of indicators of mortality from injuries and external causes. Materials and methods . Mortality rates from injuries and external causes in the Russian Federation for the period 2020-2023 were studied, and proposals were developed to improve their monitoring within the framework of an industry incident. The results of the study . Mortality from injuries and external causes in the Russian Federation continues to be high: in 2023, this figure was 107.1 per 100,000 population, including mortality from road accidents — 9.2 per 100,000 population (8.6%). In order to improve the efficiency of managing the system of measures to reduce mortality in the adult population, it is advisable to include in the structure of the industry Incident indicators that allow assessing compliance with predetermined routing and the timeliness of providing specialized medical care to all victims with combined, multiple and isolated injuries accompanied by shock.