Prognostic factors in Guillain-Barre syndrome

• Main Authors: Semra Mungan, Esra Eruyar, Işıl Güzel, Şule Bilen, Fikri Ak
• Format: Article
• Language: English
• Published: Dicle University Medical School 2014-12-01
• Series: Dicle Medical Journal
• Subjects: Guillain-Barre syndrome; advanced age; sedimentation
• Online Access: http://www.diclemedj.org/upload/sayi/34/Dicle%20Med%20J-02241.pdf

Objective: Guillain–Barre syndrome (GBS) is an immune-mediated disorder of peripheral nerves resulting as acute inflammatory demyelinating polyradiculoneuropathy. GBS has a heterogeneous clinical course and laboratory findings. Acute onset and progressive course, and is usually associated with a good prognosis but some forms have a poor prognosis. Factors that can affect the prognosis of GBS have been investigated in several studies. Assessment of poor prognostic factors of GBS plays a vital role in the management and monitorization of patients. Methods: In this retrospective study of patients admitted to the acute phase of GBS removing clinical and laboratory profiles and was planned to investigate the prognostic factors. Results: Totally 23 patients (Female/male: 16/7) were recruited. Mean age was 47 (range: 17-70) years. Statistically significant poor prognostic factors were advanced age (p=0.042), erythrocyte sedimentation rate (p=0.027) and serum albumin level (p=0.007). Conclusion: Advanced age, increased ESR and decreased albumin levels were found as poor prognostic factors in GBS.