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학술저널
저자정보
이상욱 (가톨릭관동대학교) 이정환 (가톨릭대학교서울성모병원) 홍지만 (용인신촌세브란스) 최영철 (연세대학교) 박형준 (연세대학교)
저널정보
대한신경과학회 Journal of Clinical Neurology Journal of Clinical Neurology 제18권 제1호
발행연도
2022.1
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48 - 58 (11page)

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Background and Purpose This study aimed to identify the epidemiological features of Guillain-Barre syndrome (GBS) in the Korean population. Methods Patients with GBS were defined as those who were hospitalized with a primary di agnostic code of G61.0 on the Korean Classification of Disease in a department of neurology, rehabilitation medicine, or pediatrics. We evaluated the incidence and prevalence of GBS as well as physical disability, mortality, and cause of death in patients with GBS from 2002 to 2018 in the Korean population using the Korean National Health Insurance Service database. Results We identified 11,146 patients with GBS. The ratio of males to females was 1.48. The age-adjusted incidence rate per 100,000 persons increased steadily from 0.84 in 2002 to 1.68 in 2018, as did the age-adjusted prevalence rate per 100,000 persons, from 0.77 to 15.62. The incidence and prevalence of GBS increased with age, peaking at 70?79 years. Among 10,114 patients without physical disability at the time of GBS being diagnosed, 502 (5.0%) patients had moderate disability and 526 (5.2%) had severe disability by the end of the study period. A total of 1,221 (11.0%) patients with GBS died during the mean follow-up period of 17 years (2002?2019). There were 144 (1.3%) in-hospital deaths. Conclusions This was the first nationwide epidemiological study of patients with GBS cov ering the entire population including patients of all ages in the Republic of Korea. We have revealed the seasonality of admissions, disability, and long-term mortality rates in patients with GBS.

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