Publication:
Incidence, clinical, risk factors and outcomes of Guillain-Barré in Covid-19.

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Date

2020-12-09

Authors

Fragiel, Marcos
Miro, Oscar
Llorens, Pere
Jimenez, Sonia
Piñera, Pascual
Burillo, Guillermo
Martin, Alfonso
Martin-Sanchez, Francisco J
Garcia-Lamberechts, Eric J
Jacob, Javier

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John Wiley & Sons, Inc.
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Abstract

We diagnosed 11 Guillain-Barré syndrome (GBS) cases among 71,904 COVID patients attended at 61 Spanish emergency departments (EDs) during the 2-month pandemic peak. The relative frequency of GBS among ED patients was higher in COVID (0.15‰) than non-COVID (0.02‰) patients (odds ratio [OR] = 6.30, 95% confidence interval [CI] = 3.18-12.5), as was the standardized incidence (9.44 and 0.69 cases/100,000 inhabitant-years, respectively, OR = 13.5, 95% CI = 9.87-18.4). Regarding clinical characteristics, olfactory-gustatory disorders were more frequent in COVID-GBS than non-COVID-GBS (OR = 27.59, 95% CI = 1.296-587) and COVID-non-GBS (OR = 7.875, 95% CI = 1.587-39.09) patients. Although COVID-GBS patients were more frequently admitted to intensive care, mortality was not increased versus control groups. Our results suggest SARS-CoV-2 could be another viral infection causing GBS. ANN NEUROL 2021;89:598-603.

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MeSH Terms

Immunoglobulins, Intravenous
Immunologic Factors
Incidence
Intensive Care Units
Length of Stay
Male
Middle Aged
Olfaction Disorders
Risk Factors
SARS-CoV-2
Spain
Taste Disorders

DeCS Terms

España
Factores inmunológicos
Factores de riesgo
Incidencia
Inmunoglobulinas intravenosas
Masculino
Tiempo de internación
Trastornos del gusto
Trastornos del olfato
Unidades de cuidados intensivos

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Keywords

Adult, Aged, COVID-19, Case-Control Studies, Female, Guillain-Barre Syndrome, Hospital Mortality, Humans

Citation

Fragiel M, Miró Ò, Llorens P, Jiménez S, Piñera P, Burillo G, et al. Incidence, clinical, risk factors and outcomes of Guillain-Barré in Covid-19. Ann Neurol. 2021 Mar;89(3):598-603.