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. 2023 Mar 25;38(3):564–583. doi: 10.1007/s12028-023-01707-3

Table 3.

GRADE Evidence profile/summary of findings table for individual predictors and models of mechanical ventilation, functional outcome, and independent ambulation

Outcome Predictor Quality of Evidence Summary of findings (narrative of effect size)
RoB Inconsistency Indirectness Imprecision QoE summary
Mechanical ventilation Bulbar weakness Very low OR ranging from 1.96 to 48.08 (of note, large 95% CI); in some studies, facial-bulbar not separated/cranial nerve dysfunction and bulbar weakness used interchangeably
Mechanical ventilation Degree of motor weakness (limb strength less than antigravity, MRC grade) on admission or nadir Low OR ranging from 2.5 to 87 (of note, large 95% CI) depending on threshold for MRC sum score
Mechanical ventilation Rapid disease progression Very low OR estimates not consistently performed; ranging from 1.68 to 25; different definition of rapid progression
Mechanical ventilation Neck weakness Very low OR 4.34 to 9.86 (large 95% CI)
Mechanical ventilation Autonomic dysfunction ↓↓ Very low Variable definition of autonomic dysfunction
Mechanical ventilation EGRIS Moderate AUC 0.82; in another validation cohort, AUC was 0.86 (0.80–0.93). Lowest AUC reported 0.63
Mechanical ventilation Sharshar Score Low

AUC 0.81 (0.72–0.90)

Only one validation study

Mechanical ventilation New normogram Low

AUC 0,85, C-index 0.86 (95% CI 0.77–0.94)

Only one validation study

Functional outcome Need for mechanical ventilation Low OR 2.5–16 (for poor outcome)
Functional outcome Axonal electrophysiologic subtype Very low OR 2–14.45
Functional outcome Age Low OR 1.3–10.3 (dependent on age categories or per year)
Functional Outcome Disability grade at nadir Low OR 2.9–8.88, variable scales used to assess both intake and outcome
Independent ambulation Disability grade at nadir (MRC sum score, GBSD score) Low OR to 3–4 for MRC sum score > 40
Independent ambulation Age Low OR 1.08–3.8 (dependent on age categories or per year)
Independent ambulation Progression of weakness (speed) Very low OR 3.8–8.6 (for poor outcome)
Independent ambulation EGOS Moderate AUC 0·85, 95% CI 0·81–0·89
Independent ambulation mEGOS Moderate after 1 week AUC 0.84–0.87 and at admission the AUC is 0.73–0.77. In another validation cohort, the AUC was 0.75 (0.70–0.80) after 1 week and 0.74 (0.69–0.79) at admission

OR Odds ratio; CI Confidence interval; MRC Medical research council; EGRIS Erasmus Guillain Barré Syndrome Respiratory Insufficiency score; AUC Area under the curve; EGOS Erasmus Guillain Barré Syndrome Outcome Score; mEGOS modified Erasmus Guillain Barré Syndrome Outcome Score