Evidence map›Paper›PMID 34006982›Full record

SynthesisPediatric research2022

Systemic inflammatory syndrome in COVID-19-SISCoV study: systematic review and meta-analysis.

Debjyoti Dhar, Treshita Dey, M M Samim, Hansashree Padmanabha, Aritra Chatterjee, Parvin Naznin, S R Chandra, K Mallesh, Rutul Shah, Shahyan Siddiqui and 3 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
10.0field-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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Myocarditis mortality with and without COVID-19: insights from a national registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Article
  8. Review
  9. The History of Macrophage Activation Syndrome in Autoimmune Diseases.Advances in experimental medicine and biology · 2024
    Review
  10. Review
  11. Article
  12. Severe COVID-19European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  13. Review
  14. Article
  15. Article
  16. Role of Endomyocardial Biopsy in Diagnostics of Myocarditis.Diagnostics (Basel, Switzerland) · 2022
    Review
  17. Meta-analysis of the demographic and prognostic significance of gastrointestinal symptoms in COVID-19 patients.JGH open : an open access journal of gastroenterology and hepatology · 2022
    Article
  18. Review
  19. Review
  20. Article
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

13 authors at 5 institutions in 1 country.

Debjyoti DharDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Treshita DeyDepartment of Radiation Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
M M SamimDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India. msmondal788@gmail.com.
Hansashree PadmanabhaDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Aritra ChatterjeeCentre For Biosystems Science and Engineering, Indian Institute of Science, Bangalore, Karnataka, India.
Parvin NazninDepartment of Pediatrics, Lady Hardinge Medical College and Hospital, New Delhi, India.
S R ChandraDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
K MalleshDepartment of Pediatrics Bangalore Medical College and Research Institute, Bangalore, Karnataka, India.
Rutul ShahDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Shahyan SiddiquiDepartment of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
K PratikDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
P AmeyaDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
G AbhishekDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
National Institute of Mental Health and Neurosciences · INBangalore Medical College and Research Institute · INIndian Institute of Science Bangalore · INLady Hardinge Medical College · INPost Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been a recent upsurge in the cases of Multisystem inflammatory syndrome in children (MIS-C) associated with Coronavirus disease (COVID-19). We performed a systematic review and meta-analysis on the demographic profile, clinical characteristics, complications, management, and prognosis of this emerging novel entity.

methodsUsing a predefined search strategy incorporating MeSH terms and keywords, all known literature databases were searched up till 10th July 2020. The review was done in accordance with PRISMA guidelines and registered in PROSPERO (CRD4202019757).

resultsOf the 862 identified publications, 18 studies comprising 833 patients were included for meta-analysis. The socio-demographic profile showed male predilection (p = 0.0085) with no significant racial predisposition. A higher incidence of gastrointestinal symptoms (603/715, 84.3%), myocarditis (191/309, 61.8%), left ventricular dysfunction (190/422, 45.0%), pericardial (135/436, 31.0%) and neurological symptoms (138/602, 22.9%) was reported. Serological evidence of SARS-CoV-2 had higher sensitivity compared to rtPCR (291/800, 36.4% vs 495/752, 65.8%; p < 0.001). Coronary artery anomaly (CAA) was reported in 117/681 in 9 publications (17.2%). A total of 13 (1.6%) fatalities were reported.

conclusionClinicians need to be vigilant in identifying the constellation of these symptoms in children with clinical or epidemiologic SARS-CoV-2 infection. Early diagnosis and treatment lead to a favorable outcome. IMPACT: Key message This review analyses the demographic profile, clinical spectrum, management strategies, prognosis, and pathophysiology of MIS-C among children with SARS-CoV-2 infection. The stark differences of MIS-C from Kawasaki disease with respect to demographics and clinical spectrum is addressed. Over-reliance on rtPCR for diagnosis can miss the diagnosis of MIS-C. New addition to existing literature The first systematic review and meta-analysis of published literature on MIS-C associated with COVID-19. IMPACT: The article will serve to spread awareness among the clinicians regarding this emerging novel entity, so that diagnosis can be made early and management can be initiated promptly.

Indexed as

COVID-19Mucocutaneous Lymph Node SyndromeChildHumansMaleSARS-CoV-2Systemic Inflammatory Response Syndrome

Identifiers

PMID34006982
PMCPMC8128982
OpenAlexW3163025593

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.