Evidence map›Paper›PMID 34244164›Full record

ArticleArchives of disease in childhood2022

Differentiating multisystem inflammatory syndrome in children: a single-centre retrospective cohort study.

Jordan E Roberts, Jeffrey I Campbell, Kimberlee Gauvreau, Gabriella S Lamb, Jane Newburger, Mary Beth Son, Audrey Dionne

Open access · greenAbstract read
In one paragraph

Article in Archives of disease in childhood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
8.8field-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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  4. MIS-C: Diagnosis, Management, and Outcomes.Open forum infectious diseases · 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

7 authors at 1 institution in 1 country.

Jordan E RobertsPediatrics, Division of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA Jordan.roberts2@childrens.harvard.edu.ORCID 0000-0002-0976-5697
Jeffrey I CampbellHarvard Medical School, Boston, Massachusetts, USA.
Kimberlee GauvreauHarvard Medical School, Boston, Massachusetts, USA.
Gabriella S LambHarvard Medical School, Boston, Massachusetts, USA.
Jane NewburgerHarvard Medical School, Boston, Massachusetts, USA.
Mary Beth SonPediatrics, Division of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Audrey DionneHarvard Medical School, Boston, Massachusetts, USA.
Boston Children's Hospital · US

Funding

Toward better characterization and clinical trial readiness for targeting neuropsychiatric manifestations in PTEN pathogenic variantsU54NS092090 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI M. Pilar Trelles · 2014 to 2026
$20.1M
MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Hisashi Umemori · 2021 to 2026
$9.4M
Training in Child Health Services Research and Implementation ScienceT32HS000063 · AHRQ · CHILDREN'S HOSPITAL BOSTON · PI GARABEDIAN, LAURA FADEN, WALSH, KATHLEEN ELIZABETH · 1994 to 2024
$7.6M
AHRQ HHS T32 HS000063NIAID NIH HHS T32 AI007512NICHD NIH HHS P50 HD105351NINDS NIH HHS U54 NS092090
6 · The paper itself

Abstract

objectiveFeatures of multisystem inflammatory syndrome in children (MIS-C) overlap with other febrile illnesses, hindering prompt and accurate diagnosis. The objectives of this study were to identify clinical and laboratory findings that distinguished MIS-C from febrile illnesses in which MIS-C was considered but ultimately excluded, and to examine the diseases that most often mimicked MIS-C in a tertiary medical centre. STUDY

designWe identified all children hospitalised with fever who were evaluated for MIS-C at our centre and compared clinical signs and symptoms, SARS-CoV-2 status and laboratory studies between those with and without MIS-C. Multivariable logistic LASSO (least absolute shrinkage and selection operator) regression was used to identify the most discriminative presenting features of MIS-C.

resultsWe identified 50 confirmed MIS-C cases (MIS-C

conclusionsAmong hospitalised children undergoing evaluation for MIS-C, children with MIS-C were older, more likely to present with conjunctivitis, oral mucosa changes, abdominal pain and hypotension, and had higher neutrophil/lymphocyte ratios and lower platelet counts. These data may be helpful for discrimination of MIS-C from other febrile illnesses, including bacterial lymphadenitis and acute viral infection, with overlapping features.

Indexed as

Abdominal PainAdolescentAge of OnsetBacterial InfectionsChildChild, PreschoolConjunctivitisCOVID-19C-Reactive ProteinDiagnosis, DifferentialFemaleHumansHypotensionLeukocyte CountLymphadenitisLymphocyte CountC-Reactive ProteincardiologyCOVID-19epidemiologymicrobiologyrheumatology

Identifiers

PMID34244164
PMCPMC8275366
OpenAlexW3179390030

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.