{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T16:18:41Z","timestamp":1761581921820},"reference-count":26,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"name":"HRP, TDR, WHO"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To test the hypotheses that emerging viruses are associated with neurological hospitalizations and that statistical models can be used to predict neurological sequelae from viral infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An ecological study was carried out to observe time trends in the number of hospitalizations with inflammatory polyneuropathy and Guillain\u2010Barr\u00e9 syndrome (<jats:styled-content style=\"fixed-case\">GBS<\/jats:styled-content>) in the state of Rio de Janeiro from 1997 to 2017. Increases in <jats:styled-content style=\"fixed-case\">GBS<\/jats:styled-content> from month to month were assessed using a Farrington test. In addition, a cross\u2010sectional study was conducted analyzing 50 adults hospitalized for inflammatory polyneuropathies from 2015 to 2017. The extent to which Zika virus symptoms explained <jats:styled-content style=\"fixed-case\">GBS<\/jats:styled-content> hospitalizations was evaluated using a calibration test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were significant increases (Farrington test, <jats:italic>P<\/jats:italic>&lt;0.001) in the incidence of <jats:styled-content style=\"fixed-case\">GBS<\/jats:styled-content> following the introduction of influenza A\/H1N1 in 2009, dengue virus type 4 in 2013, and Zika virus in 2015. Of 50 patients hospitalized, 14 (28.0%) were diagnosed with arboviruses, 9 (18.0%) with other viruses, and the remainder with other causes of such neuropathies. Statistical models based on cases of emerging viruses accurately predicted neurological sequelae, such as <jats:styled-content style=\"fixed-case\">GBS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The introduction of novel viruses increases the incidence of inflammatory neuropathies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13050","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T07:01:56Z","timestamp":1579849316000},"page":"70-75","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Neurological complications associated with emerging viruses in Brazil"],"prefix":"10.1002","volume":"148","author":[{"given":"Jussara R.","family":"Angelo","sequence":"first","affiliation":[{"name":"Samuel Pessoa Department of Endemic Disease Sergio Arouca National School of Public Health Oswaldo Cruz Foundation  Rio de Janeiro 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