Evidence map›Paper›PMID 33739452›Full record

SynthesisJournal of medical virology2021

The inflammatory markers of multisystem inflammatory syndrome in children (MIS-C) and adolescents associated with COVID-19: A meta-analysis.

Yan Zhao, Lijuan Yin, Jenil Patel, Lei Tang, Ying Huang

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 5 pooled it
25.5field-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

69 citing papers in PubMed, 5 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

9 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 2 countries.

Yan ZhaoDepartment of Pediatrics, People's Hospital of Chongqing Banan District, Chongqing, China.ORCID http://orcid.org/0000-0002-8244-6297
Lijuan YinDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0000-0001-8071-6727
Jenil PatelDepartment of Epidemiology, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-4875-7390
Lei TangDepartment of Pediatrics, People's Hospital of Chongqing Banan District, Chongqing, China.ORCID https://orcid.org/0000-0002-5134-3260
Ying HuangDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-2738-4935
First People's Hospital of Chongqing · CNChildren's Hospital of Chongqing Medical University · CNChina International Science and Technology Cooperation · CNUniversity of Texas Health Science Center at Dallas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To conduct a systematic review and meta-analysis to characterize inflammatory markers in comparisons of multisystem inflammatory syndrome in children (MIS-C) versus severe/non-severe COVID-19, severe MIS-C versus non-severe MIS-C, and among age groups of MIS-C. Nine databases were searched for studies on inflammatory markers of MIS-C. After quality checks, data were pooled using a fixed or random effects model. Inflammatory markers included white blood cell count (WBC) or leukocytes, absolute lymphocyte count (ALC), absolute neutrophil count (ANC), platelet count (PLT), C-reactive protein (CRP), procalcitonin (PCT), ferritin, D-dimer, lactate dehydrogenase (LDH), fibrinogen, and erythrocyte sedimentation rate (ESR) for comparisons by severity and age. Twenty-one studies with 1735 participants yielded 787 MIS-C patients. Compared to non-severe COVID-19 patients, MIS-C patients had lower ALC and higher ANC, CRP, and D-dimer levels. Compared to severe COVID-19 patients, MIS-C patients had lower LDH and PLT counts and higher ESR levels. Severe MIS-C patients had higher levels of WBC, ANC, CRP, D-dimer, and ferritin than non-severe MIS-C patients. For MIS-C, younger children (0-5 years) had lower CRP and ferritin levels than middle-aged/older children/adolescents. Measurement of inflammatory markers might assist clinicians in accurate evaluation and diagnosis of MIS-C and the associated disorders.

Indexed as

AdolescentBiomarkersBlood SedimentationChildChild, PreschoolCOVID-19C-Reactive ProteinFerritinsFibrin Fibrinogen Degradation ProductsFibrinogenHumansInfantInfant, NewbornLeukocyte CountL-Lactate DehydrogenaseLymphocyte CountBiomarkersC-Reactive ProteinFerritinsFibrin Fibrinogen Degradation Productsfibrin fragment DFibrinogenL-Lactate DehydrogenaseProcalcitoninCOVID-19inflammatory markersmeta-analysisMIS-C/PMIS/PIMS-TSpediatricsSARS-CoV-2

Identifiers

PMID33739452
PMCPMC8250955
OpenAlexW3137169646

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.