Plasma exchange in Guillain-Barré syndrome: one-year follow-up. French Cooperative Group on Plasma Exchange in Guillain-Barré Syndrome.

Autor(es):


Resumo: We report the one-year assessment of plasma exchange (PE) versus control in Guillain-Barré syndrome (GBS), based on a randomized multicenter clinical trial of 220 patients with GBS. Treated patients received four PEs, with either albumin or fresh frozen plasma (FFP) as replacement fluid. This study completes the short-term analysis previously published (Ann Neurol 1987;22: 753-761). Long-term benefit from PE was observed, as demonstrated by full muscular strength recovery at one year: 71% in the PE group versus 52% in the control group (p = 0.007), confirmed after adjustment for four prognostic factors. FFP showed no additional benefit compared with albumin (77% full recovery in the FFP group versus 65% in the albumin group; p = 0.22). PE did not affect the incidence of severe motor disability (11% in both groups).


Imprenta: Annals of Neurology, v. 32, n. 1, p. 94-97, 1992


Identificador do objeto digital: 10.1002/ana.410320115


Descritores: Guillain-Barre Syndrome - Proteins ; Guillain-Barre Syndrome - Public health


Data de publicação: 1992