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Post-polio syndrome and risk factors in Korean polio survivors: A baseline survey by telephone interview

Title
Post-polio syndrome and risk factors in Korean polio survivors: A baseline survey by telephone interview
Authors
Bang H.Suh J.H.Lee S.Y.Kim K.Yang E.J.Jung S.H.Jang S.-N.Han S.J.Kim W.-H.Oh M.-G.Kim J.-H.Lee S.-G.Lim J.-Y.
Ewha Authors
한수정
SCOPUS Author ID
한수정scopus
Issue Date
2014
Journal Title
Annals of Rehabilitation Medicine
ISSN
2234-0645JCR Link
Citation
vol. 38, no. 5, pp. 637 - 647
Keywords
Late effectsPolio survivorsPostpoliomyelitis syndromeTelephone survey
Publisher
Korean Academy of Rehabilitation Medicine
Indexed
SCOPUS; KCI scopus
Abstract
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. © 2014 by Korean Academy of Rehabilitation Medicine.
DOI
10.5535/arm.2014.38.5.637
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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