INTRODUCTION: Severe @entity5011 ( @entity5011 ) causes ventilatory insufficiency and the need for prolonged artificial ventilation. Under circumstances where medical care for @entity1 with severe @entity5011 is required in a resource-limited institution, identifying initial clinical presentations in @entity5011 @entity1 that can predict @entity1576 and the need for prolonged mechanical ventilation (> 15 days) may be helpful for advanced care planning. METHODS: The medical records of @entity1 diagnosed with @entity5011 in a tertiary care and medical teaching hospital from January 2001 to December 2010 were retrospectively reviewed. The demographic data and clinical presentations of the @entity1 were summarised using descriptive statistics. Clinical predictors of @entity1576 and the need for prolonged mechanical ventilation (> 15 days) were identified using univariate logistic regression analysis. RESULTS: A total of 55 @entity1 with @entity5011 were included in this study. Mechanical ventilation was needed in 28 (50.9%) @entity1 . Significant clinical predictors for @entity1576 were bulbar @entity425 (odds ratio [OR] 5.08, 95% confidence interval [CI] 1.31-21.60, p = 0.007) and time to peak limb weakness  <= 5 days (OR 0.75, 95% CI 0.62-0.91, p < 0.001). Bulbar @entity425 (p = 0.006) and time to peak limb weakness  <= 5 days (p < 0.001) were also found to be significantly associated with the need for prolonged mechanical ventilation (> 15 days). CONCLUSION: @entity425 and time to peak limb weakness  <= 5 days were able to predict @entity1576 and the need for prolonged mechanical ventilation in @entity1 with @entity5011 .

Clinical presentations as predictors of prolonged mechanical ventilation in XXXX in an institution with limited medical resources.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity5011 :: ('MESH:D020275', 'Disease') :: ['GBS', 'Guillain-Barr   syndrome'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory insufficiency'] @entity425 :: ('MESH:D018908', 'Disease') :: ['Bulbar weakness', 'muscle weakness']
@entity5011 :: (MESH:D020275,Disease) :: ['Guillain-Barr   syndrome']
