The Post-Polio Syndrome, Epidemiological Characteristics and Risk Factors in Algeria - Abstract
1.1. Introduction: The post-polio syndrome (PPS) is a clinical entity, appears at least 15 years after the acute phase of polio in the frequency of this pathology, it is over 20%. The management of the SPP remains outside any regimen well lit and codified. Our goal in this work is to identify the epidemiological including identifying risk factors.
1.2. Patients and methods: This is a descriptive study based on historical cohort of patients carried over from 2010 to 2013, made on 104 patients with acute anterior poliomyelitis sequelae. A listing review was developed with items in search of symptoms characterizing the post-polio syndrome (pain, fatigue and new muscle weakness ...).
1.3. Results: The prevalence of PPS in our cohort is 46. 31% of PPS-patients have an average grade. Sex is not a risk factor.
The important age group is that of 40-49 years, There remains no age in our cohort represents a significant impact to the PPS. In our cohort of polio the risk of having a PPS is almost tripled to an age in acute> 4 years with a significant difference. Obesity is present in 29% of PPS patients, and obesity is a risk factor for polio patients. Most PPS patients have monoplegia on the lower limbs. Functional assessment of the scale “MIF” Overall, in our PPS patients before onset muscle news, and at recruitment, rocking higher scores to lower scores but without statistical significance. The pain is almost present. The cold intolerance symptom, very present 90% especially in the lower limbs. We do not find significant figures related to cognition disorders, namely memory disorders.
1.4. Discussion: In our study, the prevalence of PPS is 46% (48 SPP / 104 Polios). This impact, more or less, high in Algeria, is probably related to a non-alerted medical community, disregarding. The age of onset of polio in our PPS population (Algeria) is 1 to 3 years.
This, would it be related to the type of attenuated vaccine used in Algeria (oral). The PPS age of onset is 42 years, is due to inadequate physical activity, or in connection with a bad assumption. A new muscle weakness is a critical symptom; our results are consistent with other series. The risk of SPP, among polio patients is multiplied by five when obese. The prevalence of pain in our sample is around 89.58%, which leads us to believe it is very present in PPS patients. We believe that this high rate may be related to a total disregard of the rules of hygiene of this syndrome.
Intolerance to cold was found in our PPS patients, and much more than in other series. It seems that this is a particulate of our population
1.5. Conclusion: The PPS is a clinical entity in itself, Think of the post-polio syndrome before: fatigue, new muscle weakness, muscle pain and / or joint. Seizing the risk factors that seem paramount. A study on the specific care needs of PPS patients is more than necessary for these patients.