Monitoring the condition of ALS patients

ALS registry

National registry of patients with ALS

National ALS registry is a centralised electronic database collecting standardised clinical, demographic, laboratory/instrumental and behavioural information on patients with amyotrophic lateral sclerosis (ALS) in the Russian Federation.

Main goals of the registry:

  • statistical accounting and epidemiological surveillance;
  • monitoring of disease progression and response to therapy;
  • support for clinical research and pharmacovigilance;
  • planning of medical care and assessment of quality of care;
  • provision of aggregated anonymised data for scientific research and development of AI models (including those based on ALS Monitor data).

Data structure of the registry

1. Identification and demographics

  • Unique registration number (UUID)
  • Age, sex, date of birth
  • Region, locality, site of follow-up

2. Diagnosis and clinical information

  • Date of initial ALS diagnosis
  • ALS subtype (spinal, bulbar, etc.)
  • Medical history and comorbidities

3. Scales and disease dynamics

  • ALSFRS-R (dated values)
  • Respiratory function (FVC, spirometry)
  • Body weight, BMI, daily caloric intake

4. Nutrition

  • Body weight and its dynamics
  • Enteral nutrition, gastrostomy
  • Calculation of daily caloric intake

Digital markers, treatment and outcomes

5. Voice, speech and digital markers

  • Digital voice model (files, hashes, summary indicators)
  • Degree of dysarthria according to AI algorithms (numeric score) compatible with ALS Monitor

6. Treatment and interventions

  • Prescribed medications (start and end dates)
  • Respiratory support
  • Physiotherapy, rehabilitation and other treatment modalities

7. Outcomes and events

  • Hospitalisations (dates, reasons)
  • Complications and adverse events
  • Date and cause of death (if applicable)

8. Metadata and consents

  • Data source (patient, physician, device)
  • Dates of data collection and updates
  • Informed consent (date, format, level of access)