A Multicentric Prospective Incidence Study of Guillain-Barre Syndrome in Italy. the ITANG Study

Maria Donata Benedetti, Maura Pugliatti, Roberto Dalessandro, Ettore Beghi, Adriano Chiò, Giancarlo Logroscino, Graziella Filippini, Francesca Galeotti, Marco Massari, Carmela Santuccio, Roberto Raschetti

Research output: Contribution to journalArticlepeer-review

Abstract

To assess Guillain-Barre syndrome (GBS) incidence we relied on the Italian Network for the study of GBS (ITANG) established in 2010 in 7 Italian regions to analyse the association between influenza vaccination and GBS. Methods: All individuals aged ≥18 years, presenting with clinical manifestations that suggested GBS according to the universally accepted Asbury's diagnostic criteria (1990) were prospectively notified to a centralised database by ITANG neurologists over the period October 1, 2010-September 30, 2011. Through a telephone survey, 9 trained interviewers followed up the cases to diagnosis and then for 1 year since hospital discharge. Validation of case reporting was performed with the support of administrative data in 5 regions. Results: We found 365 cases fulfilling the definition for GBS or one of its variants over 19,846,068 population ≥18 years of age, yielding an annual incidence rate of 1.84 per 100,000 (95% CI 1.65-2.03), 2.30 (95% CI 1.99-2.60) in men and 1.41 (95% CI 1.18-1.64) in women. A highly significant peak of incidence was observed in February 2011 as compared to reference month (September 2011, rate ratio 3.3:1, p <0.01). Conclusions: In Italy, GBS incidence was among the highest reported in Europe and higher than previously observed in Italian studies.

Original languageEnglish
Pages (from-to)90-99
Number of pages10
JournalNeuroepidemiology
Volume45
Issue number2
DOIs
Publication statusPublished - Oct 12 2015

Keywords

  • Axonal and demyelinating GBS
  • Guillain-Barré syndrome
  • Incidence
  • Prospective study
  • Trend

ASJC Scopus subject areas

  • Epidemiology
  • Clinical Neurology

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