Evidence map›Paper›PMID 32852720›Full record

Observational studyWorld journal of pediatrics : WJP2020

Decreased hemoglobin after initial treatment is associated with treatment resistance in Kawasaki disease in Kobayashi risk stratification.

Yukari Atsumi, Hiroshi Sakakibara, Yoshihiko Morikawa, Koichi Miyata, Hiroyuki Yamagishi, Masahiro Misawa, Masaru Miura

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in World journal of pediatrics : WJP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 6 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 4 institutions in 1 country.

Yukari AtsumiDepartment of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan. yukari.tsushima@gmail.com.ORCID http://orcid.org/0000-0003-3036-5767
Hiroshi SakakibaraDepartment of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Yoshihiko MorikawaClinical Research Support Center, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Koichi MiyataDepartment of Cardiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Hiroyuki YamagishiDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Masahiro MisawaDepartment of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
Masaru MiuraClinical Research Support Center, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Tokyo Metropolitan Children's Medical Center · JPKeio University · JPNational Center for Global Health and Medicine · JPTokyo Metropolitan Bokutoh Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough Kawasaki disease (KD) is known to cause anemia, the relationship between its prognosis and hemoglobin level is less well known.

methodsWe herein performed a secondary analysis of data from a previous study (Post-RAISE). Children aged 6 months to 2 years at the time of KD diagnosis were enrolled. Decreased hemoglobin was defined as a decrease > 10% on post-treatment day 2 compared with the level prior to the initial therapy.

resultsOf 1253 KD cases, treatment resistance was observed in 209 (17%) and was significantly more frequent in the decreased hemoglobin group (37/167 vs. 172/1086, P = 0.041). Multivariable logistic regression analysis revealed that decreased hemoglobin was associated with resistance to the initial treatment (odds ratio 1.53; 95% confidence interval 1.00-2.33; P = 0.048).

conclusionsDecreased hemoglobin was significantly associated with resistance to initial treatment in patients with KD.

Indexed as

Drug ResistanceFemaleHemoglobinsHumansImmunoglobulins, IntravenousInfantMaleMucocutaneous Lymph Node SyndromeProspective StudiesRisk AssessmentHemoglobinsImmunoglobulins, IntravenousAnemiaHepcidinInflammationKawasaki disease

Identifiers

PMID32852720
OpenAlexW3081357208

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.