Evidence map›Paper›PMID 34116467›Full record

ReviewThe American journal of emergency medicine2021

Multisystem inflammatory syndrome in children with COVID-19.

Michael Gottlieb, Rachel Bridwell, Joseph Ravera, Brit Long

Open access · greenAbstract readReview
In one paragraph

Review in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 54 citations in OpenAlex.

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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

4 authors at 4 institutions in 1 country.

Michael GottliebDepartment of Emergency Medicine, Rush University Medical Center, USA. Electronic address: michaelgottliebmd@gmail.com.
Rachel BridwellDepartment of Emergency Medicine, Brooke Army Medical Center, USA.
Joseph RaveraDepartment of Surgery, Division of Emergency Medicine, University of Vermont, USA.
Brit LongDepartment of Emergency Medicine, Brooke Army Medical Center, USA.
Rush University Medical Center · USSan Antonio Military Medical Center · USUniversity of Vermont · USWilford Hall Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultisystem inflammatory syndrome in children (MIS-C) is a dangerous pediatric complication of COVID-19.

objectiveThe purpose of this review article is to provide a summary of the diagnosis and management of MIS-C with a focus on management in the acute care setting. DISCUSSION: MIS-C is an inflammatory syndrome which can affect nearly any organ system. The most common symptoms are fever and gastrointestinal symptoms, though neurologic and dermatologic findings are also well-described. The diagnosis includes a combination of clinical and laboratory testing. Patients with MIS-C will often have elevated inflammatory markers and may have an abnormal electrocardiogram or echocardiogram. Initial treatment involves resuscitation with careful assessment for cardiac versus vasodilatory shock using point-of-care ultrasound. Treatment should include intravenous immunoglobulin, anticoagulation, and consideration of corticosteroids. Interleukin-1 and/or interleukin-6 blockade may be considered for refractory cases. Aspirin is recommended if there is thrombocytosis or Kawasaki disease-like features on echocardiogram. Patients will generally require admission to an intensive care unit.

conclusionMIS-C is a condition associated with morbidity and mortality that is increasingly recognized as a potential complication in pediatric patients with COVID-19. It is important for emergency clinicians to know how to diagnose and treat this disorder.

Indexed as

AdolescentAdrenal Cortex HormonesAspirinChildChild, PreschoolCOVID-19Emergency Service, HospitalHumansImmunoglobulins, IntravenousInfantInfant, NewbornPoint-of-Care SystemsResuscitationSARS-CoV-2ShockSystemic Inflammatory Response SyndromeAdrenal Cortex HormonesAspirinImmunoglobulins, IntravenousCOVID-19MIS-CPediatrics

Identifiers

PMID34116467
PMCPMC8185530
OpenAlexW3166135053

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.