Evidence map›Paper›PMID 34067965›Full record

ArticleChildren (Basel, Switzerland)2021

Impaired Glucose-Insulin Metabolism in Multisystem Inflammatory Syndrome Related to SARS-CoV-2 in Children.

Valeria Calcaterra, Pietro Bosoni, Dario Dilillo, Savina Mannarino, Laura Fiori, Valentina Fabiano, Patrizia Carlucci, Elisabetta Di Profio, Elvira Verduci, Chiara Mameli and 5 more

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. MIS-C: Diagnosis, Management, and Outcomes.Open forum infectious diseases · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Observational
  9. Review
  10. 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

15 authors at 3 institutions in 1 country.

Valeria CalcaterraPediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-2137-5974
Pietro BosoniDepartment of Electrical, Computer and Biomedical Engineering, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-1431-6044
Dario DililloPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.
Savina MannarinoPediatric Cardiology Unit, Pediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milano, Italy.
Laura FioriPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.
Valentina FabianoPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.ORCID 0000-0001-6449-1724
Patrizia CarlucciPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.
Elisabetta Di ProfioPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.
Elvira VerduciPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.ORCID 0000-0003-2111-3111
Chiara MameliPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-6768-3411
Gloria PelizzoDepartment of Biomedical and Clinical Science "L. Sacco", University of Milan, 20157 Milan, Italy.
Elena ZoiaAnesthesia and Intensive Care Unit, Pediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milano, Italy.
Lucia SacchiDepartment of Electrical, Computer and Biomedical Engineering, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-1390-9825
Cristiana LarizzaDepartment of Electrical, Computer and Biomedical Engineering, University of Pavia, 27100 Pavia, Italy.
Gianvincenzo ZuccottiPediatric Department, "Vittore Buzzi" Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-2795-9874
University of Milan · ITOspedale dei Bambini Vittore Buzzi · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An interaction between metabolic glucose impairment and coronavirus disease 2019 is reported. The development of a severe multisystem inflammatory syndrome in children (MIS-C) related to SARS-CoV-2 infection has been described. We evaluated the impact of MIS-C on glycemic patterns in pediatric patients. A group of 30 children and adolescents affected by MIS-C were considered; all patients were normal weight. Clinical and biochemical assessments, including surrogate markers of insulin resistance (IR) such as homeostasis model analysis-IR (HOMA-IR) and triglyceride-glucose (TyG) indexes, were recorded. Patients were also invited to undergo an intermittently scanned continuous glucose monitoring (isCGM). HOMA-IR index was calculated in 18 patients (60%), of which 17 (94%) revealed a pathological value. TyG index was computed for all patients and pathological values were detected in all cases. In 15 patients, isCGM data were recorded on average for 9 days (±3 days). Overall, average glucose was 105 mg/dL (±16 mg/dL) and average time spent in the 70-180 mg/dL range (TIR) was 93.76%, with nearly 10% of glucose readings in the 141-180 mg/dL range; glycemic fluctuations over the hyperglycemic threshold were detected in four patients. Regular glucose monitoring may be useful to prevent metabolic imbalance and obtain a better outcome.

Indexed as

childrenglucoseinsulinmultisystem inflammatory syndromeSARS-CoV-2

Identifiers

PMID34067965
PMCPMC8152288
OpenAlexW3160828580

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.