Evidence map›Paper›PMID 31980953›Full record

Trial reportEuropean journal of pediatrics2020

Risk factors associated with progression and persistence of small- and medium-sized coronary artery aneurysms in Kawasaki disease: a prospective cohort study.

Lei Liu, Chunyan Luo, Yimin Hua, Mei Wu, Shuran Shao, Xiaoliang Liu, Kaiyu Zhou, Chuan Wang

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Lei LiuDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, No. 20, Section 3, People South Road, Chengdu, 610041, Sichuan, China.
Chunyan LuoDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yimin HuaDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, No. 20, Section 3, People South Road, Chengdu, 610041, Sichuan, China.
Mei WuDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, No. 20, Section 3, People South Road, Chengdu, 610041, Sichuan, China.
Shuran ShaoDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, No. 20, Section 3, People South Road, Chengdu, 610041, Sichuan, China.
Xiaoliang LiuDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, No. 20, Section 3, People South Road, Chengdu, 610041, Sichuan, China.
Kaiyu ZhouDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, No. 20, Section 3, People South Road, Chengdu, 610041, Sichuan, China. kaiyuzhou313@163.com.
Chuan WangDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, No. 20, Section 3, People South Road, Chengdu, 610041, Sichuan, China. 805101396@qq.com.ORCID http://orcid.org/0000-0001-5165-8273
Sichuan University · CN

Funding

National key R&D Program of China 2018YFC1002301National Natural Science Foundation of China 81571515National Natural Science Foundation of China 81800288Science-technology Support Plan Projects in Sichuan province 2017SZ0117Technology Innovation Research and Development Project of Chengdu Science and Technology Bureau 2018-YF05-00249-SN
6 · The paper itself

Abstract

To identify the risk factors of progression and persistence of small- and medium-sized coronary artery aneurysm (CAA) in a contemporary cohort of patients with Kawasaki disease (KD) and to determine the relationship between CAA progression and persistence. A total of 89 KD patients with small- and medium-sized CAA were prospectively enrolled. All patients were followed up at least for 2 years by serial echocardiography. Multivariate logistic regression analysis was conducted to evaluate independent risk factors for CAA progression and persistence. A total of 46 (51.7%) and 73 (82.0%) patients showed echocardiographic CAA regression by 1 month and 24 months of follow-up, respectively. CAA progression was documented in 12 (13.5%) patients during follow-up. The initial aneurysm size according to CAA classification (OR 0.089, 95% CI 0.013-0.634, P = 0.016) and CAA progression (OR 42.618, 95% CI 3.740-485.6, P = 0.003) were independently associated with CAA persistence. The number of involved coronary arteries (OR 0.223, 95% CI 0.065-0.767, P = 0.015) and lymphocyte proportion (OR 1.327, 95% CI 1.019-1.727, P = 0.040) were independently associated with CAA progression.Conclusion: Patients with KD and greater initial aneurysm size, CAA progression, more involved coronary arteries, and lower lymphocyte proportion may require intensive cardiac monitoring and adjuvant therapies.What is Known:• Long-term outcomes of patients with KD and CAA are primarily driven by the consequences of CAA regression and progression.• Regression and progression occurs more frequently in patients with small- and medium-sized CAAs, and less frequently for giant CAAs.What is New:• The CAA size at diagnosis, NCAI, and the proportion of lymphocytes are presumably associated with the small- and medium-sized CAA persistence or CAA progression.• The CAA progression was associated with CAA persistence.

Indexed as

ChildChild, PreschoolCoronary AneurysmDisease ProgressionFemaleFollow-Up StudiesHumansInfantLogistic ModelsMaleMucocutaneous Lymph Node SyndromePrognosisProspective StudiesRisk FactorsSeverity of Illness IndexCoronary artery aneurysmKawasaki diseaseProgressionProspective studyRegressionRisk factors

Identifiers

PMID31980953
OpenAlexW3002910396

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.