Post-polio syndrome and risk factors in korean polio survivors : a baseline survey by telephone interview

OBJECTIVE: To obtain information on the socioeconomic, medical, and functional status of polio survivors, and to use these results as the preliminary data for establishing the middle-aged cohort of polio survivors.

METHODS: The subjects were recruited based on the medical records of multiple hospitals and centers. They were assessed through a structured questionnaire over the phone. Post-poliomyelitis syndrome (PPS) was identified according to the specified diagnostic criteria. Differences between polio survivors with or without PPS were evaluated, and the risk factors for PPS were analyzed by the odds ratio (OR).

RESULTS: Majority of polio survivors were middle-aged and mean age was 51.2±8.3 years. A total of 188 out of 313 polio survivors met the adopted criteria for PPS based on the symptoms, yielding a prevalence of 61.6%. Mean interval between acute poliomyelitis and the development of PPS was 38.5±11.6 years. Female gender (OR 1.82; confidence interval [CI] 1.09-3.06), the age at onset of poliomyelitis (OR 1.75; CI 1.05-2.94), the use of orthoses or walking aids (OR 2.46; CI 1.44-4.20), and the history of medical treatment for paralysis, pain or gait disturbance (OR 2.62; CI 1.52-4.51) represented independent risk factors for PPS.

CONCLUSION: We found that the majority of Korean polio survivors entered middle age with many medical, functional, and social problems. Female gender, early age of onset of poliomyelitis, the use of orthoses or walking aids, and the history of medical treatment for paralysis, pain or gait disturbance were identified as the significant risk factors for PPS. A comprehensive and multidisciplinary plan should be prepared to manage polio survivors considering their need for health care services and the risk factors for late effects, such as PPS.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Annals of rehabilitation medicine - 38(2014), 5 vom: 04. Okt., Seite 637-47

Sprache:

Englisch

Beteiligte Personen:

Bang, Hyun [VerfasserIn]
Suh, Jee Hyun [VerfasserIn]
Lee, Seung Yeol [VerfasserIn]
Kim, Keewon [VerfasserIn]
Yang, Eun Joo [VerfasserIn]
Jung, Se Hee [VerfasserIn]
Jang, Soong-Nang [VerfasserIn]
Han, Soo Jeong [VerfasserIn]
Kim, Wan-Ho [VerfasserIn]
Oh, Min-Gyun [VerfasserIn]
Kim, Jeong-Hwan [VerfasserIn]
Lee, Sam-Gyu [VerfasserIn]
Lim, Jae-Young [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Late effects
Polio survivors
Postpoliomyelitis syndrome
Telephone survey

Anmerkungen:

Date Completed 07.11.2014

Date Revised 30.09.2020

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.5535/arm.2014.38.5.637

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM243378378