Evidence map›Paper›PMID 41826605›Full record

ArticleScientific reports2026

Post-COVID-19 surge in Guillain-Barré syndrome during the Omicron wave in China with clinical characteristics and potential immune-mediated pathways.

Jiwei Zhang, Yifan Guo, Liting Wei, Jinshun Liu, Shibo Li, Shuo Zhang

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Jiwei Zhang *Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. zhangjiwei26@163.com.ORCID http://orcid.org/0000-0002-3826-7611
Yifan Guo *Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. guoyifan0112@163.com.ORCID http://orcid.org/0009-0000-9664-9880
Liting Wei *Department of Neurology, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang, China.ORCID http://orcid.org/0009-0004-1099-4309
Jinshun LiuDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID http://orcid.org/0000-0002-4953-819X
Shibo LiDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID http://orcid.org/0000-0002-6767-1613
Shuo ZhangDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Funding

China Postdoctoral Science Foundation, Special Funding Project 2020T130111ZXHenan Province Health Commission Co-Construction Project LHGJ20230806Key Project of Luoyang Science & Technology Development Program 2302004A
6 · The paper itself

Abstract

This multicenter study investigated the epidemiological and clinical characteristics of Guillain-Barré syndrome (GBS) during China's Omicron wave (December 2022-February 2023), and compared the number of GBS hospitalizations with the historical data for the same period from 2018 to 2022. A retrospective analysis was conducted at two tertiary hospitals, categorizing patients into COVID-GBS (case group) and Non-COVID-GBS (control group). During the Omicron wave, the number of GBS hospitalizations was 1.5 times higher compared to the period of 2018-2019 (99 cases vs. 66 cases). Poisson regression analysis confirmed a significant increase in GBS incidence during the Omicron wave (December 2022-February 2023) compared to the 2018-2019 baseline period, with an IRR of 1.541 (95% CI: 1.123-2.129, p = 0.0079). COVID-19-associated GBS patients were significantly older (54.04 vs. 42.06 years, p = 0.002) and exhibited higher rates of cranial nerve involvement (p = 0.014), particularly bulbar involvement (p = 0.009). Acute severity was greater in COVID-19-associated cases, evidenced by elevated ICU admissions, higher peak GBS disability scores (p = 0.048), increased mechanical ventilation needs, and one fatality. The median latency from COVID-19 infection to neurological onset was 9.5 days (IQR: 8-14). Despite these acute differences, 6-month disability outcomes showed no significant divergence between groups, suggesting similar long-term prognoses. The surge in GBS incidence aligns with broader reports of elevated GBS rates during COVID-19 surges, though mechanistic links may involve immune-mediated pathways rather than direct viral causation.

Indexed as

COVID-19Guillain-Barre SyndromeAdultChinaFemaleHospitalizationHumansIncidenceMaleMiddle AgedRetrospective StudiesSARS-CoV-2COVID-19Epidemiological surgeGuillain–Barré syndrome (GBS)Immune-mediated mechanismIncidenceOmicron variant

Identifiers

PMID41826605
PMCPMC13106749

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