Evidence map›Paper›PMID 36102740›Full record

ArticleThe Pediatric infectious disease journal2022

Investigating Health Disparities Associated With Multisystem Inflammatory Syndrome in Children After SARS-CoV-2 Infection.

Laura D Zambrano, Kathleen N Ly, Ruth Link-Gelles, Margaret M Newhams, Manzilat Akande, Michael J Wu, Leora R Feldstein, Keiko M Tarquinio, Leila C Sahni, Becky J Riggs and 19 more

Abstract read
In one paragraph

Article in The Pediatric infectious disease journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
  6. Article
  7. Article
  8. Article
  9. Promoting Functional Recovery in Critically Ill Children.Pediatric clinics of North America · 2023
    Review
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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

29 authors.

Laura D ZambranoFrom the COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-0145-9142
Kathleen N LyFrom the COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ruth Link-GellesFrom the COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-9617-806
Margaret M NewhamsDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Manzilat AkandeDepartment of Pediatrics-Section of Critical Care, The University of Oklahoma College of Medicine, Oklahoma City, Oklahoma.
Michael J WuFrom the COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Leora R FeldsteinFrom the COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-4430-6760
Keiko M TarquinioDivision of Critical Care Medicine, Department of Pediatrics, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia.ORCID 0000-0003-2688-1021
Leila C SahniDepartment of Pediatrics, Texas Children's Hospital and Baylor College of Medicine, Immunization Project, Houston, Texas.ORCID 0000-0002-0833-5695
Becky J RiggsDepartment of Anesthesiology and Critical Care Medicine; Division of Pediatric Anesthesiology & Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.ORCID 0000-0003-4663-5602
Aalok R SinghPediatric Critical Care Division, Maria Fareri Children's Hospital at Westchester Medical Center and New York Medical College, Valhalla, New York.ORCID 0000-0002-7186-1882
Julie C FitzgeraldDivision of Critical Care, Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.ORCID 0000-0002-7627-1689
Jennifer E SchusterDivision of Pediatric Infectious Disease, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri.ORCID 0000-0001-6365-566
John S GiulianoDepartment of Pediatrics, Division of Critical Care, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0003-2753-8460
Janet A EnglundDepartment of Pediatrics, School of Medicine, Seattle Children's Research Institute, University of Washington, Seattle, Washington.ORCID 0000-0003-1134-4178
Janet R HumeDivision of Pediatric Critical Care, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.ORCID 0000-0002-8891-6800
Mark W HallDivision of Critical Care Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio.ORCID 0000-0002-9595-2308
Christina M OsborneDepartment of Pediatrics, Sections of Critical Care Medicine and Infectious Diseases, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.ORCID 0000-0002-7452-4734
Sule DoymazDivision of Pediatric Critical Care, Department of Pediatrics, SUNY Downstate Health Sciences University, Brooklyn, New York.ORCID 0000-0002-2681-9140
Courtney M RowanDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana.ORCID 0000-0003-1393-6476
Christopher J BabbittDivision of Pediatric Critical Care Medicine, Miller Children's and Women's Hospital of Long Beach, Long Beach, California.ORCID 0000-0003-1958-9102
Katharine N ClouserDepartment of Pediatrics, Hackensack Meridian School of Medicine, Hackensack, New Jersey.ORCID 0000-0001-5757-277
Steven M HorwitzDepartment of Pediatrics, Division of Critical Care, Bristol-Myers Squibb Children's Hospital, New Brunswick, New Jersey.ORCID 0000-0001-7666-9593
Janet ChouDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts.ORCID 0000-0002-4610-2657
Manish M PatelFrom the COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Charlotte HobbsPediatrics.
Adrienne G RandolphDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.ORCID 0000-0002-3084-3071
Angela P CampbellFrom the COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-3990-3656
Overcoming COVID-19 Investigators

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Pediatric septic acute kidney injury: personalizing antibiotic dosing through understanding acute kidney injury risk factors and biomarker profilesK23DK119463 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI FITZGERALD, JULIE C. HOLLOWS · 2020 to 2024
$810k
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS K23 DK119463
6 · The paper itself

Abstract

backgroundMultisystem inflammatory syndrome in children (MIS-C) is a postinfectious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related complication that has disproportionately affected racial/ethnic minority children. We conducted a pilot study to investigate risk factors for MIS-C aiming to understand MIS-C disparities.

methodsThis case-control study included MIS-C cases and SARS-CoV-2-positive outpatient controls less than 18 years old frequency-matched 4:1 to cases by age group and site. Patients hospitalized with MIS-C were admitted between March 16 and October 2, 2020, across 17 pediatric hospitals. We evaluated race, ethnicity, social vulnerability index (SVI), insurance status, weight-for-age and underlying medical conditions as risk factors using mixed effects multivariable logistic regression.

resultsWe compared 241 MIS-C cases with 817 outpatient SARS-CoV-2-positive at-risk controls. Cases and controls had similar sex, age and U.S. census region distribution. MIS-C patients were more frequently previously healthy, non-Hispanic Black, residing in higher SVI areas, and in the 95th percentile or higher for weight-for-age. In the multivariable analysis, the likelihood of MIS-C was higher among non-Hispanic Black children [adjusted odds ratio (aOR): 2.07; 95% CI: 1.23-3.48]. Additionally, SVI in the 2nd and 3rd tertiles (aOR: 1.88; 95% CI: 1.18-2.97 and aOR: 2.03; 95% CI: 1.19-3.47, respectively) were independent factors along with being previously healthy (aOR: 1.64; 95% CI: 1.18-2.28).

conclusionsIn this study, non-Hispanic Black children were more likely to develop MIS-C after adjustment for sociodemographic factors, underlying medical conditions, and weight-for-age. Investigation of the potential contribution of immunologic, environmental, and other factors is warranted.

Indexed as

COVID-19AdolescentCase-Control StudiesChildEthnicityHumansMinority GroupsPilot ProjectsSARS-CoV-2Systemic Inflammatory Response Syndrome

Identifiers

PMID36102740
PMCPMC9555608

What OpenQuestion holds

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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.