Post-Polio Syndrome and Risk Factors in Korean Polio Survivors: A Baseline Survey by Telephone Interview.
10.5535/arm.2014.38.5.637
- Author:
Hyun BANG
1
;
Jee Hyun SUH
;
Seung Yeol LEE
;
Keewon KIM
;
Eun Joo YANG
;
Se Hee JUNG
;
Soong Nang JANG
;
Soo Jeong HAN
;
Wan Ho KIM
;
Min Gyun OH
;
Jeong Hwan KIM
;
Sam Gyu LEE
;
Jae Young LIM
Author Information
1. Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea. drlim1@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Polio survivors;
Postpoliomyelitis syndrome;
Late effects;
Telephone survey
- MeSH:
Age of Onset;
Cohort Studies;
Surveys and Questionnaires*;
Delivery of Health Care;
Female;
Gait;
Humans;
Interviews as Topic*;
Medical Records;
Middle Aged;
Odds Ratio;
Orthotic Devices;
Paralysis;
Poliomyelitis*;
Postpoliomyelitis Syndrome*;
Prevalence;
Risk Factors*;
Social Problems;
Survivors*;
Walking;
Surveys and Questionnaires
- From:Annals of Rehabilitation Medicine
2014;38(5):637-647
- CountryRepublic of Korea
- Language:English
-
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.
