Evidence map›Paper›PMID 32845440›Full record

ArticleClinical rheumatology2021

Characteristics and trends in diagnosis of Kawasaki disease outside the usual age range.

Qu-Ming Zhao, Min Huang, Mei-Rong Huang, Sun Chen, Fang Liu, Guo-Ying Huang, Shanghai Kawasaki Disease Research Group

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 14 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

7 authors at 2 institutions in 1 country.

Qu-Ming ZhaoPediatric Heart Center, Children's Hospital of Fudan University, 399 Wanyuan Road, Shanghai, China.ORCID http://orcid.org/0000-0003-3011-3332
Min HuangShanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Mei-Rong HuangShanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Sun ChenXinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Fang LiuPediatric Heart Center, Children's Hospital of Fudan University, 399 Wanyuan Road, Shanghai, China. liufang@fudan.edu.cn.
Guo-Ying HuangPediatric Heart Center, Children's Hospital of Fudan University, 399 Wanyuan Road, Shanghai, China. gyhuang@shmu.edu.cn.
Shanghai Kawasaki Disease Research Group
Children's Hospital of Fudan University · CNShanghai Jiao Tong University · CN

Funding

Innovation Unit of Chinese Academy of Medical Science 2018RU002
6 · The paper itself

Abstract

objectiveTo explore the trends in diagnosis of Kawasaki disease (KD) and determine the characteristics for patients outside the usual age range of 6 months to 4 years.

methodA retrospective review of patients with KD identified in four epidemiological surveys spanning 20 years (1998-2017) in Shanghai was performed.

resultsA total of 8416 patients were included. All in all, 223 (2.6%) were aged 0 to 2 months, 639 (7.6%) were 3 to 5 months, 6556 (77.9%) were 6 months to 4 years, 915 (10.9%) were 5 to 9 years, and 83 (1.0%) were ≥ 10 years. The use of intravenous immunoglobulin increased in all extreme age groups, and delayed treatment rates decreased in all patients except in those aged 0 to 2 months and ≥ 10 years. The number of patients outside the usual age increased over time, but the proportion of these patients did not change significantly. They had more incomplete KD and coronary artery aneurysms (CAA), while those aged 0 to 2 months and ≥ 10 years had more delayed diagnoses in their respective age groups. The incidence of CAA was similar in younger and older children, but the former group had more cases of incomplete KD and abnormal laboratory parameters, while the latter group had longer duration of fever and was more difficult to diagnose promptly.

conclusionsThe proportion of KD outside the usual age range did not increase over time. Older and younger children have different clinical and laboratory characteristics. Key Points • The number of patients outside the usual age increased over time, but the proportion of these patients did not increase. • Patients aged 0 to 2 months and ≥ 10 years had more delayed diagnoses in their respective age groups. • Younger children had more cases of incomplete KD and abnormal laboratory parameters, while older children had longer duration of fever and were more difficult to diagnose promptly.

Indexed as

Coronary AneurysmMucocutaneous Lymph Node SyndromeAdolescentChildChinaHumansImmunoglobulins, IntravenousInfantInfant, NewbornRetrospective StudiesImmunoglobulins, IntravenousCoronary artery aneurysmsDiagnosisFeverKawasaki disease

Identifiers

PMID32845440
OpenAlexW3080607659

What OpenQuestion holds

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Registered trials

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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.