Evidence map›Paper›PMID 35332815›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2022

Emergency medical care for multiple sclerosis: A five-year population study in the Campania Region (South Italy).

Marcello Moccia, Giuseppina Affinito, Bruno Ronga, Roberta Giordana, Maria Grazia Fumo, Roberta Lanzillo, Maria Petracca, Antonio Carotenuto, Maria Triassi, Vincenzo Brescia Morra and 1 more

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In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Applying an Ethical Lens to the Treatment of People With Multiple Sclerosis.Annals of clinical and translational neurology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Impact of COVID-19 and system recovery in delivering healthcare to people with multiple sclerosis: a population-based Study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  12. Review
  13. Observational
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Marcello MocciaMultiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.ORCID 0000-0003-2613-3090
Giuseppina AffinitoDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Bruno RongaNeurology and Stroke Unit, AORN Ospedale dei Colli, Naples, Italy.
Roberta GiordanaRegional Healthcare Society (So.Re.Sa), Naples, Italy.
Maria Grazia FumoDepartment of Human Neurosciences, Sapienza University, Rome, Italy.
Roberta LanzilloMultiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.ORCID 0000-0001-6388-8180
Maria PetraccaMultiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy/Department of Human Neurosciences, Sapienza University, Rome, Italy.ORCID 0000-0001-9429-2769
Antonio CarotenutoMultiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-1574-9693
Maria TriassiDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Vincenzo Brescia MorraMultiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.
Raffaele PalladinoDepartment of Public Health, University of Naples Federico II, Naples, Italy/Department of Primary Care and Public Health, Imperial College, London, UK.
University of Naples Federico II · ITImperial College London · GBSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency hospital admissions are common in multiple sclerosis (MS), and can highlight unmet medical needs.

objectivesTo evaluate burden, predictors and outcomes of MS emergency admissions.

methodsThis is a population-based study, conducted in the Campania Region (South Italy) from 2015 to 2019, using hospital discharge records, drug prescriptions and outpatients. The risk of emergency hospital admissions and the likelihood of worse outcomes were evaluated using the Cox regression and multinomial logistic regression models, respectively, in relation to age, sex, disease-modifying treatments (DMTs), comorbidities and adherence.

resultsWe recorded 1225 emergency admissions for 1001 patients (out of 5765 prevalent MS patients), overall costing 4,143,764.67 EUR. The risk of emergency admissions increased with age (hazard ratio (HR) = 1.02; 95% confidence interval (CI) = 1.01, 1.03;

conclusionWith 17% people with MS requiring emergency medical care over 5 years, improved management of DMTs and comorbidities could potentially reduce their medical, social and financial burden.

Indexed as

Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingFingolimod HydrochlorideGlatiramer AcetateHumansImmunosuppressive AgentsInterferon-betaFingolimod HydrochlorideGlatiramer AcetateImmunosuppressive AgentsInterferon-betaadherencecostdeathemergencyMultiple sclerosistreatment

Identifiers

PMID35332815
OpenAlexW4220790794

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.