Correction to: Predicting Mechanical Ventilation Using the EGRIS in Guillain–Barré Syndrome in a Latin American Country

Malaga, Marco; Rodríguez-Calienes, Aarón; Marquez-Nakamatsu, Adrian; Recuay, Katherine; Merzthal, Luis; Bustamante-Paytan, Diego; Sifuentes, Juan Manuel; Castillo-Kohatsu, Guillermo; Alva-Díaz, Carlos

doi:10.1007/s12028-021-01293-2

Cited by 2 publications

(5 citation statements)

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“…Malaga and their colleagues found that the frequency of respiratory failure in GBS was 14% [37]. In the present study, 32 patients (51.6%) had respiratory muscle involvement and an impaired cough reflex, but only 5 (8.1%) were intubated and mechanically ventilated (MV) which was lower than that reported by Sudulagunta and colleagues who found that 38.5% of patients were mechanically ventilated [21].…”

Section: Discussioncontrasting

confidence: 64%

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The early clinical and laboratory predictors of GBS outcome: hospital-based study, Assiut University, Upper Egypt

Khedr

Mohamed

Shehab

2023

Egypt J Neurol Psychiatry Neurosurg

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Background This study was designed to identify factors that influence outcomes in a large group of well-defined Guillain–Barré syndrome (GBS) patients with a 3-month follow-up period. Sixty-two cases of GBS with a mean age of 37.15 ± 17.60 years (33 males and 29 females) were recruited in the first 2 weeks after onset. Clinical history, examination, and a variety of rating scales including Medial Research Council sum score (MRC), Erasmus Guillain-Barré respiratory insufficiency score (EGRIS), at admission and 10 days later were performed. Follow-up investigations at 3 months included the Hughes Disability Scale (HDS), and Overall Neuropathy Limitation Scale (ONLS). Results 64.5% of participants had cranial nerve deficits, 45% had neck muscle weakness, 30.6% had dysautonomia, and 8.1% were mechanically ventilated. C-reactive protein was elevated in 38.7%, and hyponatremia was recorded in 30.6% of patients. Older age, antecedent events particularly diarrhea, neck muscles weakness, low MRC sum score, impaired cough reflex, dysautonomia, and hyponatremia, were all significantly associated with poor outcomes at 3 months using HDS and ONLS. Regression analysis with dependent variables of HDS outcome showed that the presence of an antecedent event particularly diarrhea, neck muscle weakness, hyponatremia and the presence cytoalbuminous dissociation of CSF at onset, and low MRC sum score at 10th day after treatment, were predictors of poor outcome. Conclusion Clinical and laboratory predictors of poor outcome were older age, the presence of an antecedent event particularly diarrhea, low MRC sum score at the 10th day, elevated CRP, hyponatremia and the presence cytoalbuminous dissociation.

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Section: Discussioncontrasting

confidence: 64%

“…Neck muscle weakness was observed in 28 patients (45.2%) and was significantly correlated with HDS and ONLS outcomes. Malaga and their colleagues [37] showed that two clinical parameters (bulbar and neck weakness) early at onset are strongly associated with the risk of respiratory failure.…”

Section: Discussionmentioning

confidence: 99%

The early clinical and laboratory predictors of GBS outcome: hospital-based study, Assiut University, Upper Egypt

Khedr

Mohamed

Shehab

2023

Egypt J Neurol Psychiatry Neurosurg

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“…14 GBS has many electrophysiological subtypes and predominant phenotypes in various regions so the disease severity and the EGRIS also changes with change in the region. 15 The majority of patients included in this study were male belonging to an age group of 36 to 45 years. Globally, researches from Latin American, and European literature reports its prevalence majorly in Limitations: This study showed higher EGRIS for patients needing mechanical ventilation but due to smaller sample size it didn't reach any statistical significance.…”

Section: Resultsmentioning

confidence: 99%

“…male and aged patients. 15 In populations like Asian, and Latin American lineage AMAN was reported as a prevalent variant. 15,16 In the present study AMAN was more prevalent than AMSAN and AIDP which makes it also a prevalent variant in the Pakistani population.…”

Section: Discussionmentioning

confidence: 99%

“…15 In populations like Asian, and Latin American lineage AMAN was reported as a prevalent variant. 15,16 In the present study AMAN was more prevalent than AMSAN and AIDP which makes it also a prevalent variant in the Pakistani population. Of the cases in the present study, only 5% of patients required MV, which is a much lower percentage as compared to 20-25% reported globally.…”

Section: Discussionmentioning

confidence: 99%

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Exploring the relationship between EGRIS score and the need for mechanical ventilation in Guillain Barre syndrome

Khalid

Waqar

Khan

et al. 2023

PJNS

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Background and Objective: Guillain-Barré syndrome (GBS) is an immune system-mediated polyradiculoneuropathy that accounts for approximately 100,000 new patients per year globally. GBS has also been linked to respiratory failure in 20% to 40% of cases. The objective of this study was to find an association between Erasmus GBS respiratory insufficiency score (EGRIS) and the need for mechanical ventilation. Methods: We conducted our cross-sectional study at department of Neurology, Pakistan Institute of Medical Sciences from November 2019 to February 2020. Sixty patients were selected for this study. Data including demographic profile, variant of GBS, and EGRIS was calculated from all the study participants. Data was entered and analyzed using SPSS version 25. Results: All 60 patients enrolled in the study underwent continuous monitoring during admission time. Out of 60 patients, three (5%) endured mechanical ventilation with a mean EGRIS of 4.5. Others who didn't need mechanical ventilation had mean EGRIS of 1.5. The three patients requiring mechanical ventilation were one each from Acute Inflammatory Demyelinating polyradiculoneuropathy, Acute Motor Axonal Neuropathy, and Acute Motor and Sensory Axonal Neuropathy variants of GBS. p-value was non-significant for the presented data. Conclusion: EGRIS could not meet statistical significance in identifying the requirement of mechanical ventilation for GBS in this study. This may be due to low sample size.

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Correction to: Predicting Mechanical Ventilation Using the EGRIS in Guillain–Barré Syndrome in a Latin American Country

Cited by 2 publications

References 0 publications

The early clinical and laboratory predictors of GBS outcome: hospital-based study, Assiut University, Upper Egypt

The early clinical and laboratory predictors of GBS outcome: hospital-based study, Assiut University, Upper Egypt

Exploring the relationship between EGRIS score and the need for mechanical ventilation in Guillain Barre syndrome

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