Ann Rehabil Med.  2014 Oct;38(5):637-647. 10.5535/arm.2014.38.5.637.

Post-Polio Syndrome and Risk Factors in Korean Polio Survivors: A Baseline Survey by Telephone Interview

• Bang H
• Suh JH
• Lee SY
• Kim K
• Yang EJ
• Jung SH
• Jang SN
• Han SJ
• Kim WH
• Oh MG
• Kim JH
• Lee SG
• Lim JY

• KMID: 2266498
• DOI: http://doi.org/10.5535/arm.2014.38.5.637

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.

Keyword

Polio survivors; Postpoliomyelitis syndrome; Late effects; Telephone survey

MeSH Terms

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

Figure

• 

  Fig. 1 Flow chart of the steps for identifying patients affected by post-poliomyelitis syndrome (PPS).

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