Evidence map›Paper›PMID 34806789›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2022

Population-based study of multisystem inflammatory syndrome associated with COVID-19 found that 36% of children had persistent symptoms.

Robin Kahn, Stefan Berg, Lillemor Berntson, Elisabet Berthold, Petter Brodin, Fredrik Bäckström, Michele Compagno, Anders Fasth, Jenny Lingman Framme, AnnaCarin Horne and 15 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
5.4field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Post-MIS-C cardiovascular outcomes: a systematic review.European journal of pediatrics · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Comparison of Long-Term Complications of COVID-19 Illness among a Diverse Sample of Children by MIS-C Status.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Convulsions in children with COVID-19 during the Omicron wave.Acta paediatrica (Oslo, Norway : 1992) · 2022
    Article
  14. Review
  15. 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

25 authors at 12 institutions in 1 country.

Robin KahnDepartment of Paediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0002-3167-1179
Stefan BergPaediatric Rheumatology, Queen Silvia Children's Hospital, Gothenburg, Sweden.
Lillemor BerntsonDepartment of Women´s and Children´s health, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-3962-0453
Elisabet BertholdDepartment of Rheumatology, Institute of Clinical Sciences Lund, Lund University, Lund, Sweden.
Petter BrodinScience for Life Laboratory, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-8103-0046
Fredrik BäckströmDepartment of Paediatrics, Umeå University Hospital, Umeå, Sweden.
Michele CompagnoDepartment of Rheumatology, Institute of Clinical Sciences Lund, Lund University, Lund, Sweden.
Anders FasthDepartment of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-0033-740X
Jenny Lingman FrammeDepartment of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
AnnaCarin HorneDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Josefin HättingPaediatric clinic, Skaraborg Hospital, Lidköping, Sweden.
Petra KrólDepartment of Paediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.
Antti J KukkaDepartment of Women´s and Children´s health, Uppsala University, Uppsala, Sweden.
Maria MossbergDepartment of Paediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.
Bengt MånssonDepartment of Rheumatology, Institute of Clinical Sciences Lund, Lund University, Lund, Sweden.
Charlotta NordenhällSachs' Children and Youth Hospital, Stockholm, Sweden.
Selma Idring NordströmCentre for Psychiatry Research, Department of Clinical Neuroscience, Region Stockholm, Sweden.
Fatine Khammari NyströmDepartment of Paediatric Rheumatology, Astrid Lindgren Children's Hospital, Karolinska, Sweden.
Karin PalmbladDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Reza RastiDepartment of Paediatric Rheumatology, Astrid Lindgren Children's Hospital, Karolinska, Sweden.
André RudolphPaediatric Heart Centre Stockholm-Uppsala, Karolinska University Hospital, Stockholm, Sweden.
Karin RydenmanDepartment of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Erik SundbergDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Eva Säve-SöderberghPaediatric Clinic, Sunderby sjukhus, Luleå, Sweden.
Maria AltmanDepartment of Paediatric Rheumatology, Astrid Lindgren Children's Hospital, Karolinska, Sweden.ORCID https://orcid.org/0000-0001-8316-0154
Karolinska University Hospital · SELund University · SEUppsala University · SEDrottning Silvias barn- och ungdomssjukhus · SEHallands sjukhus Halmstad · SEKarolinska Institutet · SENU Hospital Group · SESachs' Children and Youth Hospital · SESkaraborg Hospital · SESunderby sjukhus · SEUmeå University · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimOur aim was to describe the outcomes of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19.

methodsThis national, population-based, longitudinal, multicentre study used Swedish data that were prospectively collected between 1 December 2020 and 31 May 2021. All patients met the World Health Organization criteria for MIS-C. The outcomes 2 and 8 weeks after diagnosis are presented, and follow-up protocols are suggested.

resultsWe identified 152 cases, and 133 (87%) participated. When followed up 2 weeks after MIS-C was diagnosed, 43% of the 119 patients had abnormal results, including complete blood cell counts, platelet counts, albumin levels, electrocardiograms and echocardiograms. After 8 weeks, 36% of 89 had an abnormal patient history, but clinical findings were uncommon. Echocardiogram results were abnormal in 5% of 67, and the most common complaint was fatigue. Older children and those who received intensive care were more likely to report symptoms and have abnormal cardiac results.

conclusionMore than a third (36%) of the patients had persistent symptoms 8 weeks after MIS-C, and 5% had abnormal echocardiograms. Older age and higher levels of initial care appeared to be risk factors. Structured follow-up visits are important after MIS-C.

Indexed as

COVID-19AdolescentAgedChildCritical CareEchocardiographyHumansSARS-CoV-2Systemic Inflammatory Response Syndromeabnormal echocardiogramsfatigueintensive careoutcomespersistent symptoms

Identifiers

PMID34806789
PMCPMC9011862
OpenAlexW3214772809

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.