K.R. Rustemova

https://orcid.org/0009-0004-3222-3118

Articles found: 2

  • Results of gastrointestinal bleeding treatment in the republic of kazakhstan over 10 years (Issue № 3, 2024)

    O.T. Ibekenov, A. E. Ayupov, A.N. Zhuraeva, B.B. Baimakhanov, S.А. Kaniyev, M.O. Doskhanov, A.O. Ibekenova, A. Ibekenova
    2024-09-30
    10–18
    Abstract

    Gastrointestinal bleeding (GIB) remains a significant cause of hospitalization and mortality worldwide, including in Kazakhstan. This retrospective study analyzes the incidence, treatment outcomes, and mortality of GIB in the Republic of Kazakhstan over a 10-year period (2014–2023) using data from 101,703 patients across 254 medical institutions. The study differentiates between non-variceal and variceal GIB, highlighting a 24.5% increase in non-variceal cases and a 45.1% increase in variceal cases due to higher rates of acute ulcerative lesions and liver cirrhosis, respectively. Men were disproportionately affected, accounting for 69.3% of cases, with the highest incidence in the 18-59 age group. Despite a 27.8% increase in GIB cases, overall mortality decreased from 7.8% in 2014 to 5.0% in 2023, largely due to advances in endoscopic hemostasis and critical care management. The mortality rate for non-variceal GIB decreased to 3.0%, while variceal GIB decreased from 23.8% to 13.6%. The results underscore the need for improved prevention, especially in high-risk populations using NSAIDs and anticoagulants, and in those with chronic conditions such as liver disease.

    Keywords

    gastrointestinal bleeding, incidence, mortality

  • Acute pancreatitis in akmola region according to emergency surgery (Issue № 3, 2024)

    N.S. Igissin, S.A. Ayaganov, R.S. Moldagali, D.K. Turebaev, A.M. Jexenova, S.K. Muratbekova, K.R. Rustemova, G.S. Igissinova, Z.A. Bilyalova, Zh.B. Telmanova, A.G. Nugumanova
    2024-09-30
    4–9
    Abstract

    Background: Acute pancreatitis is a major issue in surgical practice, with high complications and mortality rates. It severely affects patient quality of life and places a significant economic strain on healthcare systems, making its study crucial for public health. This study aims to analyze trends in acute pancreatitis incidence in the Akmola region from 2009 to 2022.

    Materials and methods: The study is based on a retrospective analysis of data from the Ministry of Health of the Republic of Kazakhstan according to the International Classification of Diseases-10 code: K85. Methods of health statistics and time series analysis were used to assess the dynamics of morbidity.

    Results: There was an increase in the total number of hospitalizations from 865 cases in 2009 to 1.061 in 2022. The percentage of surgical interventions decreased from 5.7% to 4.2%, while the share of conservative treatment increased to 95.8%. The mortality rate among operated patients was 20.4% in 2019 and increased to 33.3% in 2022. The incidence of hospitalization increased from 117.1 per 100000 population in 2009 to 144.6 per 100000 population in 2022, with a decrease in the rate of late visits from 42.6 to 36.1 per 100000 population, respectively.

    Conclusion. The study highlights the need to improve medical approaches to acute pancreatitis in the Akmola region. The results indicate the critical importance of early diagnosis and timely hospitalization to reduce complications and mortality. Additional research is needed to develop more effective clinical protocols.

    Keywords

    acute pancreatitis, hospitalization, surgical intervention, conservative therapy, mortality, morbidity, late diagnosis, trends