Factors associated with long-term functional outcomes and psychological sequelae in Guillain-Barre syndrome.
Identifieur interne : 003268 ( Main/Exploration ); précédent : 003267; suivant : 003269Factors associated with long-term functional outcomes and psychological sequelae in Guillain-Barre syndrome.
Auteurs : F. Khan [Australie] ; J F Pallant ; L. Ng ; A. BhaskerSource :
- Journal of neurology [ 1432-1459 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Syndrome de Guillain-Barré (physiopathologie), Syndrome de Guillain-Barré (psychologie), Syndrome de Guillain-Barré (épidémiologie), Troubles de l'humeur (diagnostic), Troubles de l'humeur (physiopathologie), Troubles de l'humeur (épidémiologie).
- MESH :
- diagnostic : Troubles de l'humeur.
- physiopathologie : Syndrome de Guillain-Barré, Troubles de l'humeur.
- psychologie : Syndrome de Guillain-Barré.
- épidémiologie : Syndrome de Guillain-Barré, Troubles de l'humeur.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Jeune adulte, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Female (MeSH), Guillain-Barre Syndrome (epidemiology), Guillain-Barre Syndrome (physiopathology), Guillain-Barre Syndrome (psychology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Mood Disorders (diagnosis), Mood Disorders (epidemiology), Mood Disorders (physiopathology), Young Adult (MeSH).
- MESH :
- diagnosis : Mood Disorders.
- epidemiology : Guillain-Barre Syndrome, Mood Disorders.
- physiopathology : Guillain-Barre Syndrome, Mood Disorders.
- psychology : Guillain-Barre Syndrome.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
UNLABELLED
To examine factors impacting long-term health-related outcomes in survivors of Guillain-Barre syndrome (GBS). Seventy-six consecutive patients with definite GBS admitted to the Royal Melbourne Hospital (1996-2009) were reviewed in the neurorehabilitation clinics. They underwent a structured interview designed to assess the impact of GBS on their current activity and restriction in participation using validated questionnaires: Functional Independence Measure (FIM), Perceived Impact of Problem Profile (PIPP) and Depression Anxiety Stress Scale (DASS). Their sociodemographic and disease severity data were obtained from the medical record. The 76 patients [60% male, mean age 56 years, median time since GBS 6 years (range 1-14 years)] showed good functional recovery (median motor FIM score 90). However, 16% reported moderate to extreme impact on their ability to participate in work, family, and social activities; and 22% substantial impact on mood, confidence and ability to live independently. More reported moderate to extreme depression (18%), anxiety (22%) and stress (17%) compared with the normative Australian population (13%). Factors associated with poorer current level of functioning and wellbeing included: females, older patients (57+ years), acute hospital stay (>11 days), those treated in intensive care and those discharged to rehabilitation. No associations were found between the Medical Research Council (MRC) Motor Scale Rating scores at admission, nor time since GBS diagnosis (≤6 vs. >6 years) on outcomes used.
CONCLUSION
GBS is complex and requires long-term management of psychological sequelae impacting activity and participation.
DOI: 10.1007/s00415-010-5653-x
PubMed: 20625757
Affiliations:
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Khan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Dentistry and Health Sciences, University of Melbourne and Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Melbourne, VIC, 3052, Australia. fary.khan@mh.org.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, Dentistry and Health Sciences, University of Melbourne and Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Melbourne, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation></author><author><name sortKey="Pallant, J F" sort="Pallant, J F" uniqKey="Pallant J" first="J F" last="Pallant">J F Pallant</name></author><author><name sortKey="Ng, L" sort="Ng, L" uniqKey="Ng L" first="L" last="Ng">L. Ng</name></author><author><name sortKey="Bhasker, A" sort="Bhasker, A" uniqKey="Bhasker A" first="A" last="Bhasker">A. 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Khan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Dentistry and Health Sciences, University of Melbourne and Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Melbourne, VIC, 3052, Australia. fary.khan@mh.org.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, Dentistry and Health Sciences, University of Melbourne and Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Melbourne, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation></author><author><name sortKey="Pallant, J F" sort="Pallant, J F" uniqKey="Pallant J" first="J F" last="Pallant">J F Pallant</name></author><author><name sortKey="Ng, L" sort="Ng, L" uniqKey="Ng L" first="L" last="Ng">L. Ng</name></author><author><name sortKey="Bhasker, A" sort="Bhasker, A" uniqKey="Bhasker A" first="A" last="Bhasker">A. Bhasker</name></author></analytic><series><title level="j">Journal of neurology</title><idno type="eISSN">1432-1459</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Female (MeSH)</term><term>Guillain-Barre Syndrome (epidemiology)</term><term>Guillain-Barre Syndrome (physiopathology)</term><term>Guillain-Barre Syndrome (psychology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Mood Disorders (diagnosis)</term><term>Mood Disorders (epidemiology)</term><term>Mood Disorders (physiopathology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Syndrome de Guillain-Barré (physiopathologie)</term><term>Syndrome de Guillain-Barré (psychologie)</term><term>Syndrome de Guillain-Barré (épidémiologie)</term><term>Troubles de l'humeur (diagnostic)</term><term>Troubles de l'humeur (physiopathologie)</term><term>Troubles de l'humeur (épidémiologie)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Mood Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles de l'humeur</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Guillain-Barre Syndrome</term><term>Mood Disorders</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Syndrome de Guillain-Barré</term><term>Troubles de l'humeur</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Guillain-Barre Syndrome</term><term>Mood Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Syndrome de Guillain-Barré</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Guillain-Barre Syndrome</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Syndrome de Guillain-Barré</term><term>Troubles de l'humeur</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>UNLABELLED</b></p><p>To examine factors impacting long-term health-related outcomes in survivors of Guillain-Barre syndrome (GBS). Seventy-six consecutive patients with definite GBS admitted to the Royal Melbourne Hospital (1996-2009) were reviewed in the neurorehabilitation clinics. They underwent a structured interview designed to assess the impact of GBS on their current activity and restriction in participation using validated questionnaires: Functional Independence Measure (FIM), Perceived Impact of Problem Profile (PIPP) and Depression Anxiety Stress Scale (DASS). Their sociodemographic and disease severity data were obtained from the medical record. The 76 patients [60% male, mean age 56 years, median time since GBS 6 years (range 1-14 years)] showed good functional recovery (median motor FIM score 90). However, 16% reported moderate to extreme impact on their ability to participate in work, family, and social activities; and 22% substantial impact on mood, confidence and ability to live independently. More reported moderate to extreme depression (18%), anxiety (22%) and stress (17%) compared with the normative Australian population (13%). Factors associated with poorer current level of functioning and wellbeing included: females, older patients (57+ years), acute hospital stay (>11 days), those treated in intensive care and those discharged to rehabilitation. No associations were found between the Medical Research Council (MRC) Motor Scale Rating scores at admission, nor time since GBS diagnosis (≤6 vs. >6 years) on outcomes used.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>GBS is complex and requires long-term management of psychological sequelae impacting activity and participation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20625757</PMID><DateCompleted><Year>2011</Year><Month>11</Month><Day>10</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1459</ISSN><JournalIssue CitedMedium="Internet"><Volume>257</Volume><Issue>12</Issue><PubDate><Year>2010</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of neurology</Title><ISOAbbreviation>J Neurol</ISOAbbreviation></Journal><ArticleTitle>Factors associated with long-term functional outcomes and psychological sequelae in Guillain-Barre syndrome.</ArticleTitle><Pagination><MedlinePgn>2024-31</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00415-010-5653-x</ELocationID><Abstract><AbstractText Label="UNLABELLED">To examine factors impacting long-term health-related outcomes in survivors of Guillain-Barre syndrome (GBS). Seventy-six consecutive patients with definite GBS admitted to the Royal Melbourne Hospital (1996-2009) were reviewed in the neurorehabilitation clinics. They underwent a structured interview designed to assess the impact of GBS on their current activity and restriction in participation using validated questionnaires: Functional Independence Measure (FIM), Perceived Impact of Problem Profile (PIPP) and Depression Anxiety Stress Scale (DASS). Their sociodemographic and disease severity data were obtained from the medical record. The 76 patients [60% male, mean age 56 years, median time since GBS 6 years (range 1-14 years)] showed good functional recovery (median motor FIM score 90). However, 16% reported moderate to extreme impact on their ability to participate in work, family, and social activities; and 22% substantial impact on mood, confidence and ability to live independently. More reported moderate to extreme depression (18%), anxiety (22%) and stress (17%) compared with the normative Australian population (13%). Factors associated with poorer current level of functioning and wellbeing included: females, older patients (57+ years), acute hospital stay (>11 days), those treated in intensive care and those discharged to rehabilitation. No associations were found between the Medical Research Council (MRC) Motor Scale Rating scores at admission, nor time since GBS diagnosis (≤6 vs. >6 years) on outcomes used.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">GBS is complex and requires long-term management of psychological sequelae impacting activity and participation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Medicine, Dentistry and Health Sciences, University of Melbourne and Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Melbourne, VIC, 3052, Australia. fary.khan@mh.org.au</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pallant</LastName><ForeName>J F</ForeName><Initials>JF</Initials></Author><Author ValidYN="Y"><LastName>Ng</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author 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Bhasker</name><name sortKey="Ng, L" sort="Ng, L" uniqKey="Ng L" first="L" last="Ng">L. Ng</name><name sortKey="Pallant, J F" sort="Pallant, J F" uniqKey="Pallant J" first="J F" last="Pallant">J F Pallant</name></noCountry><country name="Australie"><noRegion><name sortKey="Khan, F" sort="Khan, F" uniqKey="Khan F" first="F" last="Khan">F. Khan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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