The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients
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...
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2019
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| author | Tan, Cheng Yin Razali, Siti Nur Omaira Goh, Khean Jin Shahrizaila, Nortina |
| author_facet | Tan, Cheng Yin Razali, Siti Nur Omaira Goh, Khean Jin Shahrizaila, Nortina |
| author_sort | Tan, Cheng Yin |
| collection | UM |
| description | 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. © 2019 International Society of Travel Medicine |
| first_indexed | 2024-03-06T05:59:30Z |
| format | Article |
| id | um.eprints-23312 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T05:59:30Z |
| publishDate | 2019 |
| publisher | Wiley |
| record_format | dspace |
| spelling | um.eprints-233122020-01-06T02:32:26Z http://eprints.um.edu.my/23312/ The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients Tan, Cheng Yin Razali, Siti Nur Omaira Goh, Khean Jin Shahrizaila, Nortina R Medicine 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. © 2019 International Society of Travel Medicine Wiley 2019 Article PeerReviewed Tan, Cheng Yin and Razali, Siti Nur Omaira and Goh, Khean Jin and Shahrizaila, Nortina (2019) The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients. Journal of the Peripheral Nervous System, 24 (2). pp. 168-173. ISSN 1085-9489, DOI https://doi.org/10.1111/jns.12320 <https://doi.org/10.1111/jns.12320>. https://doi.org/10.1111/jns.12320 doi:10.1111/jns.12320 |
| spellingShingle | R Medicine Tan, Cheng Yin Razali, Siti Nur Omaira Goh, Khean Jin Shahrizaila, Nortina The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients |
| title | The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients |
| title_full | The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients |
| title_fullStr | The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients |
| title_full_unstemmed | The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients |
| title_short | The utility of Guillain‐Barré syndrome prognostic models in Malaysian patients |
| title_sort | utility of guillain barre syndrome prognostic models in malaysian patients |
| topic | R Medicine |
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