Evidence map›Paper›PMID 35939163›Full record

ArticleClinical rheumatology2022

Risk scores for Kawasaki disease, a management tool developed by the KAWA-RACE cohort.

Carlos D Grasa, Elisa Fernández-Cooke, Sara Domínguez-Rodríguez, Javier Aracil-Santos, Ana Barrios Tascon, Judith Sánchez-Manubens, Beatriz Mercader, Jordi Antón, Esmeralda Nuñez, Enrique Villalobos and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

18 authors at 17 institutions in 1 country.

Carlos D GrasaDepartment of Pediatric Infectious Diseases, La Paz Children's Hospital (IdiPaz Foundation), Madrid, Spain.
Elisa Fernández-CookePediatric Infectious Diseases Unit, Pediatric Research and Clinical Trial Unit (UPIC), Department of Pediatrics, Hospital Universitario 12 Octubre, Avda. Córdoba s/n., 28041, Madrid, Spain. elisafcooke@gmail.com.ORCID http://orcid.org/0000-0002-5921-8261
Sara Domínguez-RodríguezPediatric Infectious Diseases Unit, Pediatric Research and Clinical Trial Unit (UPIC), Department of Pediatrics, Hospital Universitario 12 Octubre, Avda. Córdoba s/n., 28041, Madrid, Spain.
Javier Aracil-SantosDepartment of Pediatric Infectious Diseases, La Paz Children's Hospital (IdiPaz Foundation), Madrid, Spain.
Ana Barrios TasconDepartment of Pediatrics, Hospital Universitario Infanta Sofia, San Sebastian de los Reyes, Madrid, Spain.
Judith Sánchez-ManubensDepartment of Pediatric Rheumatology, Hospital Sant Joan de Deu, Universitat de Barcelona, Barcelona, Spain.
Beatriz MercaderDepartment of Pediatrics, Hospital Virgen de la Arrixaca, Murcia, Spain.
Jordi AntónDepartment of Pediatric Rheumatology, Hospital Sant Joan de Deu, Universitat de Barcelona, Barcelona, Spain.
Esmeralda NuñezPediatric Rheumatology Unit, Department of Pediatrics, Hospital Regional Universitario, Malaga, Spain.
Enrique VillalobosDepartment of Pediatrics, Hospital Niño Jesús, Madrid, Spain.
Matilde BustilloDepartment of Pediatric Infectious Diseases, Hospital Miguel Servet, Zaragoza, Spain.
Marisol CamachoPediatric Infectious Diseases, Rheumatology and Immunology Unit, Department of Pediatrics, Hospital Virgen del Rocio, Sevilla, Spain.
Manuel Oltra BenaventDepartment of Pediatrics, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Gemma GiraltDepartment of Pediatric Cardiology, Hospital Vall d'Hebron, Barcelona, Spain.
Ana Maria Bello NaranjoDepartment of Pediatrics, Hospital Universitario Materno-Infantil de Las Palmas de Gran Canaria, Canarias, Spain.
Beatriz RocandioDepartment of Pediatrics, Hospital Universitario Donostia, San Sebastian, Spain.
Cristina CalvoDepartment of Pediatric Infectious Diseases, La Paz Children's Hospital (IdiPaz Foundation), Madrid, Spain.
Spanish group for the study of Kawasaki Disease (KAWA-RACE)
Research Institute Hospital 12 de Octubre · ESSpanish Clinical Research Network · ESHospital Materno-Infantil · ESHospital Sant Joan de Déu Barcelona · ESHospital Universitario La Paz · ESHospital Universitario Virgen del Rocío · ESHospital Universitari i Politècnic La Fe · ESBiogipuzkoa Health Research Institute · ESHospital Infantil Universitario Niño Jesús · ESHospital Regional Universitario de Málaga · ESHospital Universitario Infanta Sofía · ESHospital Universitario Miguel Servet · ESInstituto de Salud Carlos III · ESVall d'Hebron Hospital Universitari · ESDeleted InstitutionHospital La Paz Institute for Health Research · ESHospital Universitario Virgen de la Arrixaca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectivesAsian scores developed to predict unresponsiveness to intravenous immunoglobulin (IVIG) or development of coronary artery aneurysms (CAA) in patients with Kawasaki disease (KD) are not appropriate in Western populations. The purpose of this study is to develop 2 scores, to predict unresponsiveness to IVIG and development of CAA, appropriate for Spanish population.

methodData of 625 Spanish children with KD collected retrospectively (2011-2016) were used to identify variables to develop the 2 scores of interest: unresponsiveness to IVIG and development of CAA. A statistical model selected best variables to create the scores, and scores were validated with data from 98 patients collected prospectively.

resultsFrom 625 patients of the retrospective cohort, final analysis was performed in 439 subjects: 37 developed CAA, and 212 were unresponsive to IVIG. For the score to predict CAA, a cutoff ≥ 8 was considered for high risk, considering a score system with a different weight for each of the eight variables. External validation showed a sensitivity of 22% and a specificity of 75%. The score to predict unresponsiveness to IVIG established a cutoff ≥ 8 for high risk, considering a score system with a different weight for each of the nine variables. External validation showed a sensitivity of 78% and a specificity of 50%.

conclusionsTwo risk scores for KD were developed from Spanish population, to predict development of CAA and unresponsiveness to IVIG; validation in other cohorts could help to implement these tools in the management of KD in other Western populations.

Indexed as

Coronary AneurysmKavaMucocutaneous Lymph Node SyndromeChildHumansImmunoglobulins, IntravenousInfantRetrospective StudiesRisk FactorsImmunoglobulins, IntravenousCoronary artery aneurysmKawasaki diseaseScoreUnresponsiveness IVIG

Identifiers

PMID35939163
OpenAlexW4290646998

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.