Coexisting infectious diseases on admission as a risk factor for mechanical ventilation in patients with Guillain–Barré syndrome

• Kobori Shinichiro

  Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health Department of Occupational Health Data Science Center, University of Occupational and Environmental Health

• Kubo Tatsuhiko

  Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health

• Otani Makoto

  Department of Occupational Health Data Science Center, University of Occupational and Environmental Health

• Muramatsu Keiji

  Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health

• Fujino Yoshihisa

  Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health

• Adachi Hiroaki

  Department of Neurology, School of Medicine, University of Occupational and Environmental Health

• Horiguchi Hiromasa

  Department of Clinical Data Management and Research, Clinical Research Center, National Hospital Organization Headquarters

• Fushimi Kiyohide

  Department of Health Policy and Informatics, Tokyo Medical and Dental University, Graduate School of Medicine

• Matsuda Shinya

  Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health

抄録

Background: The aim of this study was to investigate patient characteristics on admission to hospital that increase the risk of subsequent mechanical ventilation (MV) use for patients with Guillain–Barré syndrome (GBS). Methods: We extracted data from the Japanese Diagnosis Procedure Combination (DPC) database for 4132 GBS patients admitted to hospital. Clinical characteristics of GBS patients with and without MV were compared. Multivariate logistic regression analyses were performed to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for the associations of requirement for MV with coexisting infectious diseases, after adjustment for potential confounding variables, age, sex, hospital type, and ambulance transportation. Results: In total, 281 patients required MV, and 493 patients had coexisting respiratory diseases on admission. After adjustment for covariates and stratification by coexisting respiratory diseases, multivariate logistic regression analysis revealed that coexisting cytomegaloviral (CMV) disease (OR 8.81; 95% CI, 2.34–33.1) and herpes simplex viral (HSV) infections (OR 4.83; 95% CI, 1.16–20.1) were significantly associated with the requirement for MV in the group without coexisting respiratory diseases. Conclusion: Our findings suggest that coexisting CMV and HSV infections on admission might be significantly associated with increased risk of respiratory failure in GBS patients.

収録刊行物

• Ｊｏｕｒｎａｌ　ｏｆ　Ｅｐｉｄｅｍｉｏｌｏｇｙ

  Ｊｏｕｒｎａｌ　ｏｆ　Ｅｐｉｄｅｍｉｏｌｏｇｙ 27 (7), 311-316, 2017

  日本疫学会

キーワード

• Guillain–Barré syndrome
• Coexisting infectious diseases
• Mechanical ventilation

詳細情報

• CRID: 1390001204474732928
• NII論文ID: 130005709468
• DOI: 10.1016/j.je.2016.07.003
• ISSN: 13499092
• ISSN: 09175040
• Web Site: http://api.elsevier.com/content/article/PII:S0917504017300187?httpAccept=text/xml
• Web Site: http://api.elsevier.com/content/article/PII:S0917504017300187?httpAccept=text/plain
• Web Site: https://search.jamas.or.jp/link/ui/2018114751
• 本文言語コード: en
• データソース種別:
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