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- Title
The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients.
- Authors
Tan, Cheng‐Yin; Razali, Siti N. O.; Goh, Khean‐Jin; Shahrizaila, Nortina
- Abstract
Guillain‐Barré syndrome (GBS) is an acute immune‐mediated neuropathy that has variable disease course and outcome. The Erasmus GBS outcome score (EGOS), modified EGOS (mEGOS), and Erasmus GBS respiratory insufficiency score (EGRIS) are prognostic models designed to predict the functional outcome of GBS patients at 6 months (EGOS and mEGOS) and the need for mechanical ventilation within a week of admission (EGRIS). The models were primarily developed in the Dutch GBS population, and thus the usefulness of these models in other GBS cohorts is less clear. In the current study, we aimed to validate mEGOS, EGOS, and EGRIS in Malaysian GBS patients. A total of 107 patients with GBS and its variants were consecutively recruited. Patients with GBS and Miller Fisher syndrome (MFS) were analysed separately. In the GBS cohort, high mEGOS and EGOS scores were significantly correlated with poor outcome at 6 months (mEGOS on admission: r = .381, P = .005; mEGOS at day 7 of admission: r = .507, P < .001; EGOS: r = .484, P < .001). However, there were no significant correlations between mEGOS or EGOS and outcome in patients with MFS (mEGOS on admission: r = .152, P = .523; mEGOS at day 7 of admission: r = .008, P = .973; EGOS: r = .110; P = .644). The score of EGRIS for GBS patients with mechanical ventilation was significantly higher than those patients without mechanical ventilation (4 ± 2 vs 3 ± 1; P < .001). We conclude that mEGOS and EGOS are clinically useful and relevant to the Malaysian GBS population but not in patients with classic MFS. EGRIS could be used to predict the need for mechanical ventilation in our local GBS patients.
- Subjects
MALAYSIA; TREATMENT of Guillain-Barre syndrome; ARTIFICIAL respiration; HOSPITAL admission &; discharge; LONGITUDINAL method; PATIENTS; GUILLAIN-Barre syndrome; RESPIRATORY insufficiency; SURVIVAL; RESEARCH methodology evaluation; MILLER Fisher syndrome; DISEASE complications
- Publication
Journal of the Peripheral Nervous System, 2019, Vol 24, Issue 2, p168
- ISSN
1085-9489
- Publication type
Article
- DOI
10.1111/jns.12320