Evidence map›Paper›PMID 33066459›Full record

ArticleJournal of clinical medicine2020

Presentation, Treatment Response and Short-Term Outcomes in Paediatric Multisystem Inflammatory Syndrome Temporally Associated with SARS-CoV-2 (PIMS-TS).

Susanna Felsenstein, Emily Willis, Hannah Lythgoe, Liza McCann, Andrew Cleary, Kamran Mahmood, David Porter, Jessica Jones, Janet McDonagh, Alice Chieng and 10 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
13.5field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

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  17. Multisystem Inflammatory Syndrome in Children.The western journal of emergency medicine · 2022
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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

20 authors at 3 institutions in 1 country.

Susanna FelsensteinDepartment of Infectious Diseases and Immunology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Emily WillisDepartment of Rheumatology, Royal Manchester Children's Hospital, Manchester M13 9WL, UK.
Hannah LythgoeDepartment of Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Liza McCannDepartment of Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Andrew ClearyDepartment of Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Kamran MahmoodDepartment of Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
David PorterDepartment of Infectious Diseases and Immunology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Jessica JonesDepartment of Microbiology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Janet McDonaghDepartment of Rheumatology, Royal Manchester Children's Hospital, Manchester M13 9WL, UK.ORCID 0000-0002-4555-7270
Alice ChiengDepartment of Rheumatology, Royal Manchester Children's Hospital, Manchester M13 9WL, UK.
Giulia VarnierDepartment of Rheumatology, Royal Manchester Children's Hospital, Manchester M13 9WL, UK.
Stephen HughesDepartment of Rheumatology, Royal Manchester Children's Hospital, Manchester M13 9WL, UK.
Mary BoullierDepartment of General Paediatrics, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Fiona RyanDepartment of General Paediatrics, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Olumoyin AwogbemiDepartment of General Paediatrics, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Giridhar SodaDepartment of Cardiology, Royal Manchester Children's Hospital, Manchester M13 9WL, UK.
Phuoc DuongDepartment of Cardiology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Claire PainDepartment of Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Phil RileyDepartment of Rheumatology, Royal Manchester Children's Hospital, Manchester M13 9WL, UK.
Christian M HedrichDepartment of Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L14 5AB, UK.
Alder Hey Children's NHS Foundation Trust · GBRoyal Manchester Children's Hospital · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The novel Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is the pathogen responsible for Coronavirus Disease 2019 (COVID-19). Whilst most children and young people develop mild symptoms, recent reports suggest a novel paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS). Case definition and classification are preliminary, treatment is empiric and disease-associated outcomes are unclear. Here, we report 29 patients with PIMS-TS who were diagnosed, admitted and treated in the English North West between March and June 2020. Consistent with patterns observed internationally, cases peaked approximately 4 weeks after the initial surge of COVID-19-like symptoms in the UK population. Clinical symptoms included fever (100%), skin rashes (72%), cardiovascular involvement (86%), conjunctivitis (62%) and respiratory involvement (21%). Some patients had clinical features partially resembling Kawasaki disease (KD), toxic shock syndrome and cytokine storm syndrome. Male gender (69%), black, Asian and other minority ethnicities (BAME, 59%) were over-represented. Immune modulating treatment was used in all, including intravenous immunoglobulin (IVIG), corticosteroids and cytokine blockers. Notably, 32% of patients treated with IVIG alone went into remission. The rest required additional treatment, usually corticosteroids, with the exception of two patients who were treated with TNF inhibition and IL-1 blockade, respectively. Another patient received IL-1 inhibition as primary therapy, with associated rapid and sustained remission. Randomized and prospective studies are needed to investigate efficacy and safety of treatment, especially as resources of IVIG may be depleted secondary to high demand during future waves of COVID-19.

Indexed as

childhoodcoronavirusCOVID-19inflammationMIS-CpaediatricPIMS-TSSARS-CoV-2treatment

Identifiers

PMID33066459
PMCPMC7602286
OpenAlexW3092826714

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.