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. 2021 Mar 1;17(5):285–296. doi: 10.1038/s41582-021-00467-y

Table 2.

Clinical features and outcome of GBS by region

Region Country Antecedent events (%) Severity Subtype (%) Treatment (%) Mortality (%) Refs
Worldwide
Europe, America and parts of Asia NA

Adults: 22–53 RTI, 6–26 gastroenteritis

Children: 50–70 RTI, 7–14 gastroenteritis

Mean MRC-SS at entry 48-49; GBS-DS >2 at nadir 76% NR IVIg or PE 87–93 2–10 9,10,12,25,97
Europe and North America NA NR NR 90–95 AIDP, 5 axonal NR 3–7 10,48
LMIC
Middle East and North Africa Egypt 24 RTI, 8 gastroenteritis GBS-DS >2 at admission 76% 76 AIDP, 8 axonal NR 16 43
Morocco 51 RTI, 32 gastroenteritis NR 81 AIDP, 19 axonal NR 36
South Asia Bangladesh 18–19 RTI, 36–50 gastroenteritis Mean MRC-SS at entry 22; GBS-DS >2 at nadir 93% 22–32 AIDP, 53–67 axonal IVIg or PE 14, supportive care 86 14 12,14,22,96,109
India 35–65 RTI, 23–47 gastroenteritis GBS-DS >2 at admission 76% 57–64 AIDP, 23–41 axonal NR 4–12 41,57,106,113
Nepal 29 RTI, 3.2 gastroenteritis NR 19 AIDP, 19 axonal NR 6 132
Pakistan 35 RTI, 18 gastroenteritis NR 46–63 AIDP, 31–34 axonal NR 8 42,56
Sub-Saharan Africa Ethiopia NR NR 55 AIDP, 19 axonal NR 25 40
Tanzania NR NR NR NR 15 38
HIC
East Asia and Pacific China 24–63 RTI, 7–13 gastroenteritis Mean GBS-DS at admission 2.57; GBS-DS at nadir 3.15; GBS-DS >2 at nadir 55% 34–57 AIDP, 22–29 axonal NR 2–8 52,59,99
Taiwan 65 RTI, 4 gastroenteritis NR 80 AIDP, 6% axonal NR 2–5 37,39
Korea 11 RTI, 2 gastroenteritis GBS-DS >2 at nadir 75% NR IVIg or PE 81, supportive care 19 2 133
Australia NR NR 54 AIDP, 4 axonal NR NR 124
Japan NR NR 34 AIDP, 45 axonal IVIg or PE 90 NR 49,122
Europe and Central Asia Netherlands 41 RTI, 40 gastroenteritis NR 60 AIDP, 4 axonal IVIg or PE 91 2 19,118
Spain 38 RTI, 27 gastroenteritis GBS-DS >2 at admission 50% 83 AIDP, 8 axonal IVIg or PE 86 2 19,118
Latin America and the Caribbean Brazil 56 RTI, 8 gastroenteritis NR 82 AIDP, 18 axonal NR 5 44
Colombia NR Median MRC-SS at admission 40; median GBS-DS at nadir 4 78 AIDP, 2 axonal NR 4 4

AIDP, acute inflammatory demyelinating polyneuropathy; GBS-DS, Guillain–Barré syndrome disability score; HIC, high-income countries; IVIg, intravenous immunoglobulin; LMIC, low-income and middle-income countries; NA, not applicable; NR, not reported; MRC-SS, Medical Research Council sum score; PE, plasma exchange, RTI, respiratory tract infection.