Title
Clinical-epidemiological characteristics associated with discharge outcomes and seasonality among surviving patients with Guillain-Barré syndrome in a national third-level Hospital, Lima, Perú
Other title
Características clínico-epidemiológicas asociadas con los resultados al alta y la estacionalidad entre los pacientes sobrevivientes con síndrome de Guillain-Barré en un hospital nacional de tercer nivel, Lima, Perú
Date Issued
01 August 2021
Access level
open access
Resource Type
journal article
Author(s)
López-Saavedra A.V.
Rodriguez-López E.
Elguera-Huaman H.
Meza K.
Publisher(s)
Associacao Arquivos de Neuro-Psiquiatria
Abstract
Background: Guillain-Barré syndrome (GBS) is an autoimmune disease that affects the peripheral nervous system. Severe motor deficit (SMD), respiratory impairment, cranial nerve involvement and autonomic dysfunction are associated with a poor prognosis. Objective: To investigate the association between the clinical-epidemiological characteristics and the discharge results among Peruvian patients with GBS. Methods: We carried out a retrospective observational study on patients with GBS who survived until discharge. We used the Brighton Collaboration’s criteria and considered Hughes Severity Scale (HSS) scores greater than two to be SMD. We defined the discharge results as an improvement if the HSS score decreased by at least one point from admission to hospital discharge and defined hospital stay as prolonged if > 14 days. Results: We analyzed 92 patients, among whom 70.7% were male. Quadriparesis (81.1%) and hyporeflexia (86.8%) were the most characteristic manifestations. We observed that more than half of the cases were in summer and winter. Gastrointestinal infections were associated with a higher proportion of prolonged stays. The proportion of improvement was lower among patients who had an SMD at hospital admission. We confirmed these results through fitting in multivariate models. Conclusions: The prolonged stay was related to previous gastrointestinal infection, while a less improvement in SMD individuals at admission. Prospective multicenter surveillance systems are needed for monitoring GBS cases in low-income settings like Peru.
Start page
697
End page
704
Volume
79
Issue
8
Language
English
OCDE Knowledge area
Inmunología
Neurología clínica
Subjects
Scopus EID
2-s2.0-85115799397
PubMed ID
Source
Arquivos de Neuro-Psiquiatria
ISSN of the container
0004282X
Sources of information:
Directorio de Producción Científica
Scopus