Evidence map›Paper›PMID 33876782›Full record

Observational studyIndian pediatrics2021

Clinical Profile and Short-Term Outcome of Children With SARS-CoV-2 Related Multisystem Inflammatory Syndrome (MIS-C) Treated With Pulse Methylprednisolone.

Sheeja Sugunan, S Bindusha, S Geetha, H R Niyas, A Santhosh Kumar

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Indian pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 5 pooled it
5.9field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 5 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Post-MIS-C cardiovascular outcomes: a systematic review.European journal of pediatrics · 2026
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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

5 authors at 1 institution in 1 country.

Sheeja SugunanDepartment of Pediatrics, SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala. Correspondence to: Dr Sheeja Sugunan, Associate Professor, Department of Pediatrics, SAT hospital, Government Medical College Thiruvananthapuram, Kerala. sheejavimalk@gmail.com.
S BindushaDepartment of Pediatrics, SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala.
S GeethaDepartment of Pediatrics, SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala.
H R NiyasDepartment of Pediatrics, SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala.
A Santhosh KumarDepartment of Pediatrics, SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala.
Government Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the clinical profile and outcome of children with MIS-C treated with methylprednisolone pulse therapy and /or intravenous immunoglobulin (IVIG).

methodThis prospective observational study included children satisfying CDC MIS-C criteria admitted from September to November, 2020. Primary outcome was persistence of fever beyond 36 hours after start of immunomodulation therapy. Secondary outcomes included duration of ICU stay, mortality, need for repeat immunomodulation, time to normalization of CRP and persistence of coronary abnormalities at 2 weeks.

resultsStudy population included 32 patients with MIS-C with median (IQR) age of 7.5 (5-9.5) years. The proportion of children with gastrointestinal symptoms was 27 (84%), cardiac was 29 (91%) and coronary artery dilatation was 11 (34%). Pulse methylprednisolone and intravenous immunoglobulin were used as first line therapy in 26 (81%), and 6 (19%) patients, respec-tively. Treatment failure was observed in 2/26 patients in methylprednisolone group and 2/6 patients in IVIG group. C-reactive protein levels less than 60mg/L by day 3 was seen in 17(74%) in methylprednisolone group and 2 (25%) in IVIG group (P=0.014). There was no mortality. At 2 weeks follow-up coronary artery dilatation persisted in 4 in methylprednisolone group and 1 in IVIG group.

conclusionsIn patients with SARS-CoV-2 related MIS-C, methylprednisolone pulse therapy was associated with favorable short-term outcomes.

Indexed as

COVID-19SARS-CoV-2ChildHumansImmunoglobulins, IntravenousMethylprednisoloneSystemic Inflammatory Response SyndromeImmunoglobulins, IntravenousMethylprednisolone

Identifiers

PMID33876782
PMCPMC8384095
OpenAlexW3163266529

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.