[Models of neurosurgical service for patients with hemorrhagic stroke]

Authors have conducted an analysis of surgical treatment of patients with hemorrhagic stroke (HS) in Moscow neurosurgical in-patient clinics. In 2 most advanced neurosurgical departments out of 11 studied, only 61% of necessary neurosurgical care is carried out. There are three models of specialized neurosurgical care for patients with HS in large cities. The most effective is a model which comprises a mobile consulting neurosurgical team for selection of patients for surgery and their transport. The causes of insufficient amount of surgical interventions in neurosurgical in-patient clinics are specified. The authors suggest the algorithm of HS patients' selection for surgery.