Guillain-Barre syndrome in Spain, 1985-1997:: Epidemiological and public health views

被引:24
作者
Cuadrado, JI [1 ]
de Pedro-Cuesta, J [1 ]
Ara, JR [1 ]
Cemillán, CA [1 ]
Díaz, M [1 ]
Duarte, J [1 ]
Fernández, MD [1 ]
Fernández, O [1 ]
García-López, F [1 ]
García-Merino, A [1 ]
García-Montero, R [1 ]
Martínez-Matos, JA [1 ]
Palomo, F [1 ]
Pardo, J [1 ]
Tobías, A [1 ]
机构
[1] Carlos III Inst Hlth, Madrid, Spain
关键词
Guillain-Barre syndrome; epidemiology; incidence; public health; surveillance;
D O I
10.1159/000050769
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Retrospective demographic information and hospital record data were collected for 337 patients resident in Spain who had validated Guillain-Barre syndrome (GBS) diagnoses and clinical onset during the period 1985-1997 and had been admitted to 11 centres, covering a population of 3.9 million. The European age-adjusted GBS incidence per 100,000 for 1985-1997 among the population aged 20 and over was 0.85, with a breakdown of 1.14 in men and 0.58 in women. Incidence increased with age and time, with occasional rises that mimicked outbreaks and occurred at irregular 2- to 4-year intervals, mainly in winter. Spatial variation was modest. Respiratory and gastrointestinal infections respectively constituted 49.3 and 19.3% of recorded preceding events. The 97.5% intercentile limit, obtained from the 1985-1997 monthly incidences using predictions from a Poisson model, was proposed as the threshold value for pilot epidemiological surveillance of GBS in 1998-1999. Copyright (C) 2001 S. Karger AG, Basel.
引用
收藏
页码:83 / 91
页数:9
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