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Volume 40, Issue 4 (2022)                   jmciri 2022, 40(4): 313-313 | Back to browse issues page

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Toopchizadeh V, Barzegar M, Cheshmaie S, Markazi Movaghar R, Jahanjou F, Ghahvechi Akbari M. Investigating the Factors Affecting length of Hospital Stay in Children with Guillain-Barre Syndrome. jmciri 2022; 40 (4) :313-313
URL: http://jmciri.ir/article-1-3240-en.html
MD Physical Medicine
Abstract:   (854 Views)
Abstract
Background: Guillain Barre Syndrome (GBS) is an immune mediated neuropathy
following infection with a highly variable course and outcome. The aim of this study
was to investigate the factors affecting the length of hospital stay of children with
GBS.
Methods: In this retrospective descriptive-analytical study, the records of 324 children with GBS admitted in Tabriz Pediatric Hospital from June 2003 to December
2013 were studied. By carefully reviewing the existing information, the missing
cases were carefully examined and any possible errors in record-keeping were eliminated as far as possible
Results: 175 patients (54%) were female and 149 patients (46%) were male. The
age range was at least 6 months and maximum 16 years old and the mean was 5.13
± 3.66 years. In this study, cases referring in summer were reported more (104 cases, 32.1%) than other seasons. In the treatment of patients with Guillain Barre, 272
(86.4%) patients were treated with IVIG, of which 206 (65.4%) received IVIG alone
and 66 (21%) with IVIG also received methylprednisolone. 17 cases (5.4%) were
treated with plasmapheresis and 26 cases (8.3%) received no treatment. Sensory
and autonomic nerve involvements were observed in 46.6% and 16.4% of children,
respectively. Cranial nerve involvement was reported in 127 children (39.4%) of
which most of patients had involvement of 9th cranial nerve (89 patients, 34.4%).Of
the children under study, only 31 (9.6%) needed mechanical ventilation, with a mean
of 20.75 ± 21.25 days for these children. The mean duration of hospital stay was
10.07 ± 12.24 days, with more than half of the children (181 patients, 59.9%) being
discharged from hospital within one week. 107 (35.4%) children were hospitalized
for one to four weeks and 14 (4.7%) were hospitalized for more than four weeks.
Conclusion: The duration of hospitalization in children with GBS has a direct relationship with the type of treatment, autonomic and cranial nerve involvement, severity of illness and mechanical ventilation.

 
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Type of Study: Research | Subject: General

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