Evidence map›Paper›PMID 31990817›Full record

ArticleJournal of the Chinese Medical Association : JCMA2020

Adenovirus infection and subsequent risk of Kawasaki disease: A population-based cohort study.

Shih-Hui Huang, Chun-Yu Chen, Ken-Pen Weng, Kuang-Jen Chien, Yao-Min Hung, Kai-Sheng Hsieh, Chu-Chuan Lin, Ming-Fang Cheng, Cheng-Li Lin, James Cheng-Chung Wei

Abstract read
In one paragraph

Article in Journal of the Chinese Medical Association : JCMA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 14% 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, 20 citations in OpenAlex.

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  5. Editorial: Reviews in microbial pathogenesis.Frontiers in microbiology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Shih-Hui HuangDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Chun-Yu ChenDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Ken-Pen WengDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Kuang-Jen ChienDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Yao-Min HungDepartment of Internal Pediatrics, Kaohsiung Municipal United Hospital, Kaohsiung, Taiwan, ROC.
Kai-Sheng HsiehDepartment of Pediatrics, Taipei Medical University, Taipei, Taiwan, ROC.
Chu-Chuan LinDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Ming-Fang ChengDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Cheng-Li LinManagement Office for Health Data, China Medical University Hospital, Taichung, Taiwan, ROC.
James Cheng-Chung WeiDivision of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital, Taichung, Taiwan, ROC.
Kaohsiung Veterans General Hospital · TWChina Medical University · TWChina Medical University Hospital · TWChung Shan Medical University Hospital · TWFooyin University · TWKaohsiung Municipal Hsiao-Kang Hospital · TWNational Yang Ming Chiao Tung University · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between adenovirus infection and Kawasaki disease (KD) is unclear. The purpose of this study was to determine the relationship between adenovirus infection and KD using a cohort study in Taiwan.

methodsWe used Taiwan National Health Insurance data (from 2000 to 2008) to conduct a population-based cohort study, analyzing children that was under 18 years of age. In total, 5280 children had adenovirus infection, and 5280 children without adenovirus infection were matched and followed up. Subsequent KD was the major outcome event. The Cox proportional hazards model was used to estimate the hazard ratio (HR) with 95% confidence intervals (CIs) of developing KD associated with adenovirus infection.

resultsThere was a significantly higher cumulative incidence of KD in the adenovirus-infected cohort than that in the control cohort (log-rank test, p < 0.001). In the adenovirus-infected cohort, overall incidence of KD was 5.29 times higher than that of the control cohort (adjusted HR 5.29, 95% CI: 2.48-11.3). Increased KD risk was associated with previous adenovirus infection in children aged 3-5 years, in female patients, in those with a low urbanization level, and in those with allergies.

conclusionAn association between previous adenovirus infection and KD was identified in Taiwanese children, but other potential risk factors were not fully analyzed. The relationship between infection and KD requires further study.

Indexed as

Adenoviridae InfectionsChildChild, PreschoolCohort StudiesFemaleHumansInfantMaleMucocutaneous Lymph Node SyndromeProportional Hazards ModelsRisk Factors

Identifiers

PMID31990817
PMCPMC13048015
OpenAlexW3003371604

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.