Evidence map›Paper›PMID 32851284›Full record

ArticlePediatric investigation2019

Implications of hepatic dysfunction in Kawasaki disease: Time-related changes in aspartate aminotransferase, alanine aminotransferase, total bilirubin, and C-reactive protein levels.

Yasuhiko Tomita, Takashi Fukaya, Yasuko Yamaura, Rie Tsujiguchi, Haruko Muratani, Maki Shimaya

Open access · goldAbstract read
In one paragraph

Article in Pediatric investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-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

10 citing papers in PubMed, 13 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

6 authors at 2 institutions in 1 country.

Yasuhiko TomitaHyogo Health Service Association Center for Health Evaluation and Promotion Kobe Hyogo Japan.
Takashi FukayaHyogo Health Service Association Center for Health Evaluation and Promotion Kobe Hyogo Japan.
Yasuko YamauraHyogo Health Service Association Center for Health Evaluation and Promotion Kobe Hyogo Japan.
Rie TsujiguchiHyogo Health Service Association Center for Health Evaluation and Promotion Kobe Hyogo Japan.
Haruko MurataniHyogo Health Service Association Center for Health Evaluation and Promotion Kobe Hyogo Japan.
Maki ShimayaHyogo Health Service Association Center for Health Evaluation and Promotion Kobe Hyogo Japan.
Hyogo Science and Technology Association · JPHyogo University of Health Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceThe cause of the hepatic dysfunction that commonly accompanies Kawasaki disease (KD) remains unclear.

objectiveWe tried to clarify the cause of the hepatic dysfunction.

methodsA total of 381 consecutive patients with acute KD, who had undergone inpatient treatment with intravenous immunoglobulin until the 7th day of illness, were divided into a group of 199 patients with an alanine aminotransferase (ALT) level ≥ 40 IU/L on admission (group I), a group of 52 patients with an ALT level ≥ 40 IU/L at some point after admission (group II), and a group of 130 patients with ALT levels consistently < 40 IU/L throughout hospitalization (group III). Aspartate aminotransferase (AST), ALT, total bilirubin (T-Bil), and C-reactive protein (CRP) levels were analyzed over time, and time-courses were compared.

resultsIn the initial stage of illness, in group I, AST, ALT, T-Bil peaked on days 1-3, and AST tended to improve significantly on the 4th day (

interpretationRecovery from liver dysfunction occurred in the initial stage of illness in group I-within the period of CRP exacerbation, which is an indicator of systemic inflammation.

Indexed as

DysbiosisFecal calprotectinGut inflammationKawasaki diseasePathogenesisPortal vein

Identifiers

PMID32851284
PMCPMC7331323
OpenAlexW2925237930

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.