Evidence map›Paper›PMID 36594165›Full record

SynthesisClinical cardiology2023

Development of myocarditis and pericarditis after COVID-19 vaccination in children and adolescents: A systematic review.

Maurish Fatima, Muhammad H A Khan, Muhammad S Ali, Muhammad Osama, Huzaifa A Cheema, Aleena Ahmed, Amna Nisar, Muhammad W Murad, Hareem Farooq, Muhammad Aemaz Ur Rehman and 2 more

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In one paragraph

Synthesis in Clinical cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 4 countries.

Maurish FatimaDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Muhammad H A KhanDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Muhammad S AliDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Muhammad OsamaDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Huzaifa A CheemaDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Aleena AhmedDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Amna NisarDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Muhammad W MuradDepartment of Medicine, Shanxi Medical University Yuci District, Jin Zhong City, Shanxi province, China.
Hareem FarooqDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Muhammad Aemaz Ur RehmanDepartment of Medicine, King Edward Medical University Lahore, Punjab, Pakistan.
Sarya SwedFaculty of Medicine, Aleppo University, Aleppo, Syria.ORCID 0000-0002-9983-2020
Usman A AkbarDivision of Infectious Diseases, University of Louisville, Louisville, Kentucky, USA.
King Edward Medical University · PKShanxi Medical University · CNUniversity of Aleppo · SYUniversity of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myocarditis and pericarditis have been reported after COVID-19 vaccine administration in children and adolescents, raising the concern about their possible association with these vaccines. The objective was to explore the incidence, clinical presentation, and association of myocarditis and pericarditis with COVID-19 vaccines in children and adolescents. We conducted a systematic literature search on three databases, that is, Cochrane, MEDLINE/PubMed, and EMBASE from inception till March 2022. A total of three case reports, four case series, and six observational studies were included in the review. For case reports and case series, the mean age of the patients was 17.4 years, with 96.9% being male. Chest pain (n = 31, 93.9%), fever (n = 18, 54.5%), myalgias (n = 15, 45.4%) and headache (n = 9, 27.2%) were the most common presentations. Out of 33 patients, 32 (96.9%) of patients received Pfizer-BioNTech whereas only one (3.03%) received Moderna (mRNA 1273). Clinical investigations revealed ST elevation (n = 32, 97%), and elevated CRP (n = 9, 27.2%) and cardiac troponin (n = 29, 87.8%). The pooled incidence of myocarditis and pericarditis from observational studies was (0.00063%) and (0.000074%) %, respectively. Myocarditis and pericarditis in children and adolescents after the COVID-19 vaccines were more prevalent among males and more commonly observed after the second dose of Pfizer. Though the overall incidence was low, however, the clinicians should consider myocarditis and pericarditis as probable diagnosis when encountering young patients, with a history of vaccine administration, presenting with suggestive findings.

Indexed as

COVID-19MyocarditisPericarditisAdolescentChildCOVID-19 VaccinesFemaleHumansMaleVaccinationCOVID-19 VaccinesadolescentschildrenCOVID-19 vaccinationmyocarditispericarditis

Identifiers

PMID36594165
PMCPMC10018089
OpenAlexW4313454321

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read137
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.