[Current issues of disability and rehabilitation of elderly and senile patients with lower limb loss due to vascular pathology.]

The majority of patients with amputation defect of the lower extremities are elderly citizens with high co- and polymorbidity, the presence of several geriatric syndromes, which adversely affects the prognosis, reduces the rehabilitation potential, in some cases leads to the development of cardiovascular complications, amputation of the second limb, severe disability and high postoperative mortality. The key link in the rehabilitation process of disabled people with a lower limb stump is to provide them with a functional prosthesis. The article provides an analysis of morbidity, primary disability in the period from 2015 to 2019, gender, age and clinical characteristics of patients living in St. Petersburg who underwent amputation of the lower limb due to obliterating artery diseases is presented. It was found that there is no information on the survival rate of patients after amputation at various times of the post-hospital period in St. Petersburg. We have identified a pronounced imbalance between the number of lower limb amputations performed and the number of applications of disabled people to the bureau of medical and social expertise for providing technical means of rehabilitation and referral to primary prosthetics.

[Age-related specifics or diseases and disability caused by digestive disorders among adults in Saint-Petersburg in 2013-2017.]

The paper presents the retrospective analysis of the structure and dynamics of diseases and disability caused by digestive disorders in Saint Petersburg citizens. The paper presents the results of the comparative analysis of disability among people of active working and pension ages living in Saint Petersburg, versus Russia's average 2013-2018 data. As a result, regularities and differences in the structure and dynamics of digestive disorders in people 18 years old and older, which manifested themselves in after-surgery complications, death rate, and disability rate. The results may be used as reference for making federal or regional-level decisions on developing the system for preventing and early diagnosis of digestive disorders and integrated rehabilitation of disabled persons.

[Dynamics and structure of primary disability in persons of retirement age when applying to the Bureau of Medical and Social Expertise of Saint Petersburg from 2006 to 2017.]

The article presents data on primary disability in elderly and able-bodied people and older than able-bodied (retirement) age as a result of the survey of citizens in the Bureau of Medical and Social Expertise of Saint Petersburg in the period 2006-2017. The features of the level, structure, dynamics and distribution by groups of disability in retirement age are reflected. There was a significant increase in the level of disability in 2007, with a progressive decline to 2011 and a gradual decline until 2017. During the study period, there was a redistribution of persons of a retirement age for the first time recognized as disabled by groups of disabilities - an increase in the proportion of individuals in Groups I and III of disability due to a decrease in II disability groups.

[Evaluation of the effectiveness of rehabilitation of elderly patients with metabolic syndrome, taking into account the provisions of International classification of functioning, disability and health.]

The article contains data on rehabilitation measures in elderly patients with metabolic syndrome. Individual-oriented treatment and rehabilitation programs implemented in primary health care allow to reliably reduce the severity and risk of progression of restrictions of life, increase the independence of patients The elderly, having metabolic syndrome, complicated the development of type 2 diabetes mellitus. It is proposed to assess the effectiveness of rehabilitation, taking into account the provisions of the International Classification of functioning, restrictions on life and health and by drawing up an individual geriatric profile.

[THE DYNAMICS AND STRUCTURE OF INDICATORS OF SECONDARY DISABILITY DUE TO CEREBROVASCULAR DISEASES IN THE ELDERLY IN ST. PETERSBURG IN THE PERIOD 2005-2014]

The article presents data about secondary disability due to cerebrovascular diseases in the elderly based on results of examination in the Bureau of medical-social expertise of Saint Petersburg in the period from 2005 to 2014. Тhe analysis revealed a high proportion of the disabled elderly in the structure of disability due cerebrovascular diseases; and the growth of the share of people with disabilities elderly in the analyzed period.

[Analysis of indicators of primary disability due to cerebrovascular diseases in people of retirement age according to the results of medical and social examination in St. Petersburg]

The article presents data on the primary disability due to cerebrovascular disease in elderly patients based on the results of the survey in the Bureau of Medical and Social Expertise of Saint-Petersburg from 2005 to 2014. The analysis showed a reduction in the indicators of primary disability due to cerebrovascular disease and the increase in the share of persons with disabilities of the first and third groups in its structure.

[Evaluation of the clinical, psychological and socio-environmental factors, affecting disability of elderly people undergoing surgical myocardial revascularization]

Factors significant for clinical-and-labor prognosis in elderly patients with ischemic heart disease after surgical myocardial revascularization are considered in the article. The authors demonstrate that for each level of the problem there are their own significant factors. Besides, the most essential correlations between investigated factors are marked out. The results obtained will enable to determine more correctly clinical-and-labor prognosis for patients with ischemic heart disease and develop their efficient rehabilitation programs. It is demonstrated that elderly patients have some features of vital activity restriction which are necessary to take into account while medical social expertise and rehabilitation program development.

[Assessment of effectiveness of ischemic heart disease rehabilitation of elderly patients using six-minutes walking test]

The possibility to use the test with a six-minute walk to assess the effectiveness of long-term programs of rehabilitation, definite disability and severity of heart failure in middle-aged and elderly patients with coronary heart disease is discussed.

[Features of living activity limitations of elderly people with heart ischemic disease after surgical myocardial revascularization]

The article presents a comparative analysis of vital activity restriction in patients with coronary heart disease (CHD) after surgical myocardial revascularization in elderly and working age patients. It is demonstrated that elderly patients have some features of vital activity restriction, which is necessary to take into account in medical social expertise and rehabilitation program development.

[Features of age-related changes of the heart in determining the limits of life of patients with diabetes mellitus]

Detailed data on age-related changes of the heart in patients with diabetes are stated. The data of expertise rehabilitation diagnostics of diabetic cardiomiopathia in invalids on the basis of inspection of 152 patients with diabetes are provided.