Acta clinica Croatica, Vol. 56. No. 3., 2017.
Original scientific paper
https://doi.org/10.20471/acc.2017.56.03.16
The First Hospital-Based Registry of Patients with Multiple Sclerosis in Croatia
Vanja Bašić Kes
; Clinical Department of Neurology, Sestre milosrdnice University Hospital Centre, Reference Center for Neuroimmunology and Neurogenetics, Reference Center for Neurovascular Disorders, Reference Center for Headaches, Reference Center for Diagnosis and Treat
Marijana Lisak
orcid.org/0000-0002-1225-6922
; Clinical Department of Neurology, Sestre milosrdnice University Hospital Centre, Reference Center for Neuroimmunology and Neurogenetics, Reference Center for Neurovascular Disorders, Reference Center for Headaches, Reference Center for Diagnosis and Treat
Miljenka , Jurašić
; Clinical Department of Neurology, Sestre milosrdnice University Hospital Centre, Reference Center for Neuroimmunology and Neurogenetics, Reference Center for Neurovascular Disorders, Reference Center for Headaches, Reference Center for Diagnosis and Treat
Iris Zavoreo
; Clinical Department of Neurology, Sestre milosrdnice University Hospital Centre, Reference Center for Neuroimmunology and Neurogenetics, Reference Center for Neurovascular Disorders, Reference Center for Headaches, Reference Center for Diagnosis and Treat
Ana Dimitrović
; Clinical Department of Neurology, Sestre milosrdnice University Hospital Centre, Reference Center for Neuroimmunology and Neurogenetics, Reference Center for Neurovascular Disorders, Reference Center for Headaches, Reference Center for Diagnosis and Treat
Ivana Kobasić
; Clinical Department of Neurology, Sestre milosrdnice University Hospital Centre, Reference Center for Neuroimmunology and Neurogenetics, Reference Center for Neurovascular Disorders, Reference Center for Headaches, Reference Center for Diagnosis and Treat
Lucija Zadro Matovina
; Clinical Department of Neurology, Sestre milosrdnice University Hospital Centre, Reference Center for Neuroimmunology and Neurogenetics, Reference Center for Neurovascular Disorders, Reference Center for Headaches, Reference Center for Diagnosis and Treat
Abstract
Th e fi rst hospital-based registry of patients with multiple sclerosis (MS) was established at the University Department of Neurology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia, in 2014. Th e aim of the registry was to continuously provide data on the number of hospital-managed MS patients, patterns of disease progression, predictors of disability progression, changes in lifespan and long-term outcomes. Relevant medical data included age and gender of MS patients, family history of MS, data on previous immunization, disease course, Expanded Disability Status Scale (EDSS) score, cerebral magnetic resonance imaging (MRI) lesion load quantification, and cerebrospinal fl uid analysis. Lifestyle habits in MS patients including smoking and alcohol consumption were also analyzed. All data were obtained from primary medical records between January 1, 2014 and January 1, 2015, and entered into the database. Data were evaluated retrospectively according to age and gender diff erences. Results showed that the majority of patients enrolled in the registry had the remitting relapsing course of disease, with low EDSS score indicating no disability or minimal disability. Cerebrospinal fl uid analysis showed that oligoclonal bands were present in the majority of MS patients, with aff ected blood-brain-barrier permeability. According to the remitting relapsing course of the disease, cerebral MRI quantitative analysis demonstrated a signifi cant lesion load in the majority of patients. When stratifi ed by lifestyle habits, smokers and alcohol consumers were more prevalent among male patients. Our hospital-based registry might be considered as a prototype for the national MS registry and should be improved for reliable statistical analysis.
Keywords
Multiple sclerosis; Registries; Medical records; Disease progression; Croatia
Hrčak ID:
191650
URI
Publication date:
1.9.2017.
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