Evidence map›Paper›PMID 31369576›Full record

ArticlePloS one2019

Long-term outcomes of Guillain-Barré syndrome possibly associated with Zika virus infection.

Diana M Walteros, Jesus Soares, Ashley R Styczynski, Joseph Y Abrams, Jose I Galindo-Buitrago, Jorge Acosta-Reyes, Elsa Bravo-Ribero, Zuleima E Arteta, Alma Solano-Sanchez, Franklyn E Prieto and 8 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Flaviviruses-Induced Neurological Sequelae.Pathogens (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Acute neurologic emerging flaviviruses.Therapeutic advances in infectious disease
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Diana M WalterosInstituto Nacional de Salud, Bogota, Colombia.
Jesus SoaresCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0002-8640-8618
Ashley R StyczynskiStanford University Department of Infectious Diseases, Palo Alto, California, United States of America.
Joseph Y AbramsCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Jose I Galindo-BuitragoTEPHINET - Institute for Global Health, Decatur, Georgia, United States of America.ORCID 0000-0002-3790-6725
Jorge Acosta-ReyesUniversidad del Norte, Barranquilla, Colombia.ORCID 0000-0003-4303-3243
Elsa Bravo-RiberoSecretaría de Salud de Barranquilla, Barranquilla, Colombia.
Zuleima E ArtetaSecretaría de Salud de Barranquilla, Barranquilla, Colombia.
Alma Solano-SanchezSecretaría de Salud de Barranquilla, Barranquilla, Colombia.
Franklyn E PrietoInstituto Nacional de Salud, Bogota, Colombia.ORCID 0000-0002-2079-7251
Maritza Gonzalez-DuarteInstituto Nacional de Salud, Bogota, Colombia.
Edgar Navarro-LechugaUniversidad del Norte, Barranquilla, Colombia.
Jorge L SalinasUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa, United States of America.
Ermias D BelayCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Lawrence B SchonbergerCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Inger K DamonCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Martha L OspinaInstituto Nacional de Salud, Bogota, Colombia.
James J SejvarCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis prospective cohort investigation analyzed the long-term functional and neurologic outcomes of patients with Zika virus-associated Guillain-Barré syndrome (GBS) in Barranquilla, Colombia.

methodsThirty-four Zika virus-associated GBS cases were assessed a median of 17 months following acute GBS illness. We assessed demographics, results of Overall Disability Sum Scores (ODSS), Hughes Disability Score (HDS), Zung Depression Scale (ZDS), and Health Related Quality of Life (HRQL) questionnaires; and compared outcomes indices with a normative sample of neighborhood-selected control subjects in Barranquilla without GBS.

resultsMedian age at time of acute neurologic onset was 49 years (range, 10-80); 17 (50%) were male. No deaths occurred. At long-term follow-up, 25 (73%) patients had a HDS 0-1, indicating complete / near complete recovery. Among the group, HDS (mean 1.4, range 0-4), ODSS (mean 1.9, range 0-9) and ZDS score (mean 34.4, range 20-56) indicated mild / moderate ongoing disability. Adjusting for age and sex, Zika virus-associated GBS cases were similar to a population comparison group (n = 368) in Barranquilla without GBS in terms of prevalence of physical or mental health complaints, though GBS patients were more likely to have an ODSS of ≥ 1 (OR 8.8, 95% CI 3.2-24.5) and to suffer from moderate / moderate-severe depression (OR 3.89, 95% CI 1.23-11.17) than the comparison group.

conclusionsLong-term outcomes of Zika virus-associated GBS are consistent with those associated with other antecedent antigenic stimuli in terms of mortality and ongoing long-term morbidity, as published in the literature. Persons with Zika virus-associated GBS more frequently reported disability and depression after approximately one year compared with those without GBS.

Indexed as

Quality of LifeAdolescentAdultAgedAged, 80 and overChildDepressionDisease OutbreaksFemaleFollow-Up StudiesGuillain-Barre SyndromeHumansIncidenceMaleMiddle AgedPrognosis

Identifiers

PMID31369576
PMCPMC6675241

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.