Evidence map›Paper›PMID 36670127›Full record

ArticleScientific reports2023

A comparison of pediatric inflammatory multisystem syndrome temporarily-associated with SARS-CoV-2 and Kawasaki disease.

Markus Hufnagel, Jakob Armann, André Jakob, Maren Doenhardt, Natalie Diffloth, Anton Hospach, Dominik T Schneider, Andreas Trotter, Martin Roessler, Jochen Schmitt and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Long COVID in children and young people: then and now.Current opinion in infectious diseases · 2025
    Review
  7. The X-LinkedInternational journal of molecular sciences · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
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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

12 authors at 20 institutions in 2 countries.

Markus HufnagelDivision of Pediatric Infectious Diseases and Rheumatology, Department of Pediatrics and Adolescent Medicine, University Medical Center, Medical Faculty, University of Freiburg, Mathildenstr. 1, 79106, Freiburg, Germany. markus.hufnagel@uniklinik-freiburg.de.
Jakob ArmannDepartment of Pediatrics, University Hospital, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
André JakobDepartment of Pediatric Cardiology and Pediatric Intensive Care, Ludwig Maximilians University of Munich, Munich, Germany.
Maren DoenhardtDepartment of Pediatrics, University Hospital, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Natalie DifflothDepartment of Pediatrics, University Hospital, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Anton HospachOlga-Hospital, Stuttgart, Germany.
Dominik T SchneiderClinic of Pediatrics, Municipal Hospital Dortmund, Dortmund, Germany.
Andreas TrotterChildren's Hospital and Center for Perinatal Medicine, Singen, Germany.
Martin RoesslerCenter for Evidence-Based Healthcare, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Jochen SchmittCenter for Evidence-Based Healthcare, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Reinhard BernerDepartment of Pediatrics, University Hospital, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
PIMS-DGPI Working Group
Klinik und Poliklinik für Kinder- und Jugendmedizin · DEKlinikum Darmstadt · DEGoethe University Frankfurt · DEUniversity Hospital Carl Gustav Carus · DESana Klinikum Lichtenberg · DEKlinikum Dortmund · DECnopf´sche Kinderklinik · DEEssen University Hospital · DEEvangelische Kliniken Gelsenkirchen · DEForschungsinstitut für Leder und Kunststoffbahnen · DEKreiskrankenhaus Gummersbach · DEUniversity Hospital Augsburg · DEUniversity of Freiburg · DEZentrum für Kinderheilkunde · DEAltonaer Kinderkrankenhaus · DEKinderkrebs-Zentrum Hamburg · DELudwig-Maximilians-Universität München · DEMünchen Klinik · DEOlgahospital · DEUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The connection between Pediatric Inflammatory Multisystem Syndrome (PIMS) and Kawasaki Disease (KD) is not yet fully understood. Using the same national registry, clinical features and outcome of children hospitalized in Germany, and Innsbruck (Austria) were compared. Reported to the registry were 395 PIMS and 69 KD hospitalized patients. Patient age in PIMS cases was higher than in KD cases (median 7 [IQR 4-11] vs. 3 [IQR 1-4] years). A majority of both PIMS and KD patients were male and without comorbidities. PIMS patients more frequently presented with organ dysfunction, with the gastrointestinal (80%), cardiovascular (74%), and respiratory (52%) systems being most commonly affected. By contrast, KD patients more often displayed dermatological (99% vs. 68%) and mucosal changes (94% vs. 64%), plus cervical lymph node swelling (51% vs. 34%). Intensive care admission (48% vs. 19%), pulmonary support (32% vs. 10%), and use of inotropes/vasodilators (28% vs. 3%) were higher among PIMS cases. No patients died. Upon patient discharge, potentially irreversible sequelae-mainly cardiovascular-were reported (7% PIMS vs. 12% KD). Despite differences in age distribution and disease severity, PIMS and KD cases shared many common clinical and prognostic characteristics. This supports the hypothesis that the two entities represent a syndrome continuum.

Indexed as

COVID-19Mucocutaneous Lymph Node SyndromeChildFemaleHumansMaleSARS-CoV-2Systemic Inflammatory Response Syndrome

Identifiers

PMID36670127
PMCPMC9857913
OpenAlexW4317612512

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.