Evidence map›Paper›PMID 33202218›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Characteristics of pediatric multi-system inflammatory syndrome (PMIS) associated with COVID-19: a meta-analysis and insights into pathogenesis.

Hua Zou, Juan Lu, Jingjing Liu, Josiah Hiu-Yuen Wong, Si Cheng, Qiuhong Li, Yan Shen, Chunli Li, Xiaojiong Jia

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. [Multisystem inflammatory syndrome in children in the context of coronavirus disease 2019 pandemic].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
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  15. IVIG plus Glucocorticoids versus IVIG Alone in Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19: A Systematic Review and Meta-Analysis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 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

9 authors.

Hua ZouDepartment of Laboratory Medicine, Chongqing Health Center for Women and Children, 120 Longshan road, Yubei District, Chongqing 400016, China.
Juan LuDepartment of Otolaryngology, Head and Neck Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jingjing LiuLaboratory and Clinical Research Institute for Pain, Department of Anesthesiology, The University of Hong Kong, Hong Kong, China.
Josiah Hiu-Yuen WongThe Chinese University of Hong Kong, Hong Kong, China.
Si ChengDepartment of Orthopaedics, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Qiuhong LiDepartment of Laboratory Medicine, Chongqing Health Center for Women and Children, 120 Longshan road, Yubei District, Chongqing 400016, China.
Yan ShenDepartment of Laboratory Medicine, Chongqing Health Center for Women and Children, 120 Longshan road, Yubei District, Chongqing 400016, China.
Chunli LiDepartment of Laboratory Medicine, Chongqing Health Center for Women and Children, 120 Longshan road, Yubei District, Chongqing 400016, China. Electronic address: lcl518023@126.com.
Xiaojiong JiaDepartment of Laboratory Medicine, First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address: xiaojiongjia@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere was an outbreak of pediatric multisystem inflammation syndrome (PMIS) was observed in multiple countries recently, and this syndrome was suspected to be associated with SARS-CoV-2 infection. At present, there is still no standardized diagnostic criteria and treatment regimen for PMIS, while the etiology and pathogenesis still remain unclear.

methodsWe performed a systematic review on PubMed and Embase from the time of inception to June 24th 2020 in order to find relevant cases.

resultsThere are seven studies included, and 80% of patients suffered persistent fever and 90% appeared gastrointestinal symptoms. IgG antibody against SARS-CoV-2 was positive on 81% of patients, while 37% of the patients were nucleic acid positive. C-reactive protein, IL-6 and PCT were elevated and intravenous immunoglobulin was a routine treatment for PMIS. There were more than half of patients required inotropic supports and mechanical ventilation were applied to 33% of patients. The median length of hospital stay was 10.66 days and 74% had admitted to accept intensive care.

conclusionsOur study documented three common types of PMIS clinical presentation: persistent fever and gastrointestinal symptoms, shocked with heart dysfunction and Kawasaki disease-like syndrome. PMIS patients proved with a marked inflammatory state were possibly associated with SARS-CoV-2 infection.

Indexed as

COVID-19 Drug TreatmentAdolescentChildChild, PreschoolCOVID-19Critical CareFemaleHumansImmunoglobulin GLength of StayMaleRespiration, ArtificialSARS-CoV-2Systemic Inflammatory Response SyndromeImmunoglobulin GCOVID-19Pediatric Multi-system Inflammatory SyndromeSARS-CoV-2

Identifiers

PMID33202218
PMCPMC7666570

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.