Table 2.
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.