“PREDICTORES PRONÓSTICOS DE LOS PACIENTES CON SÍNDROME DE GUILLAIN BARRÉ EN LA UNIDAD DE CUIDADOS INTENSIVOS DEL HOSPITAL LUIS VERNAZA 2014-2018.”

Abstract

The Guillain Barré Syndrome is characterized by an acute inflammatory polyneuropathy producing an immune response against peripheral nerve structures, destroying the myelin or axon resulting in the demyelinating and axonal variants of GBS. It appears after a previous infectious disease. GBS usually presents with progressive flaccid paralysis and areflexia, whose diagnosis is based on clinical findings, CSF findings and electromyography. Objective: To determine the predictive predictors of patients with GBS in the Intensive Care Unit of the Luis Vernaza Hospital in a given time of 5 years. Methodology: An observational, descriptive, retrospective and cross-sectional study was conducted in patients admitted with a diagnosis of GBS to the area of critical medicine of the Hospital "Luis Vernaza" during the period 2014 - 2018. The population was 25 patients diagnosed with SGB with the inclusion criteria established. Results: predominance of male sex with 64%, maximum age was 83 years and minimum age of 25 with an average of 45 years, 68% was the ascending form, the AMSAN variant with 48% followed by the AIDP variant with 32%, the condition of discharge was 96% alive and 4% deceased. The treatment received was immunoglobulins 52% and plasmapheresis 48%. Conclusions: In this study the clinical characteristics are similar to those reported by other authors, the AMSAN variant was the most frequent, the mortality and the demand for mechanical ventilation coincides with the international literature.