Evidence map›Paper›PMID 37198405›Full record

ArticlePediatric research2024

Multisystem inflammatory syndrome in 1.2 million children: longitudinal cohort study of risk factors.

Nathalie Auger, Gabriel Côté-Corriveau, Harb Kang, Caroline Quach, Ernest Lo, Ga Eun Lee, Jessica Healy-Profitós, Émilie Brousseau, Thuy Mai Luu

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.2field-weighted citation impact, top 8% 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, 10 citations in OpenAlex.

  1. Article
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  4. Review
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

9 authors at 4 institutions in 1 country.

Nathalie AugerHealth Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, QC, Canada. nathalie.auger@inspq.qc.ca.
Gabriel Côté-CorriveauHealth Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, QC, Canada.
Harb KangDepartment of Rheumatology, Cité-de-la-Santé Hospital, Laval, QC, Canada.
Caroline QuachDepartment of Microbiology, Infectious Diseases, and Immunology, University of Montreal, Montreal, QC, Canada.
Ernest LoBureau d'information et d'études en santé des populations, Institut national de santé publique du Québec, Montreal, QC, Canada.
Ga Eun LeeHealth Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, QC, Canada.
Jessica Healy-ProfitósHealth Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, QC, Canada.
Émilie BrousseauHealth Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, QC, Canada.
Thuy Mai LuuDepartment of Pediatrics, Sainte-Justine Hospital Research Centre, University of Montreal, Montreal, QC, Canada.
Université de Montréal · CAInstitut National de Santé Publique du Québec · CABausch Health (Canada) · CAMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe identified patient characteristics associated with an increased risk of developing MIS-C.

methodsWe conducted a longitudinal cohort study of 1,195,327 patients aged 0-19 years between 2006 and 2021, including the first two waves of the pandemic (February 25-August 22, 2020 and August 23, 2020-March 31, 2021). Exposures included prepandemic morbidity, birth outcomes, and family history of maternal disorders. Outcomes included MIS-C, Kawasaki disease, and other Covid-19 complications during the pandemic. We calculated risk ratios (RRs) and 95% confidence intervals (CIs) for the association between patient exposures and these outcomes using log-binomial regression models adjusted for potential confounders.

resultsAmong 1,195,327 children, 84 developed MIS-C, 107 Kawasaki disease, and 330 other Covid-19 complications during the first year of the pandemic. Prepandemic hospitalizations for metabolic disorders (RR 11.3, 95% CI 5.61-22.6), atopic conditions (RR 3.34, 95% CI 1.60-6.97), and cancer (RR 8.11, 95% CI 1.13-58.3) were strongly associated with the risk of MIS-C, compared with no exposure. These same exposures were also associated with Kawasaki disease and other Covid-19 complications. However, birth characteristics and history of maternal morbidity were not associated with MIS-C development.

conclusionsChildren with pre-existing morbidity have a considerably elevated risk of MIS-C. IMPACT: Morbidities that predispose children to multisystem inflammatory syndrome (MIS-C) are unclear. In this study, prepandemic hospitalizations for metabolic disorders, atopic conditions, and cancer were associated with an elevated risk of MIS-C. Birth characteristics and family history of maternal morbidity were not, however, associated with MIS-C. Pediatric morbidities may play a greater role in MIS-C onset than maternal or perinatal characteristics, and may help clinicians better recognize children at risk for this complication.

Indexed as

COVID-19Metabolic DiseasesMucocutaneous Lymph Node SyndromeNeoplasmsChildCohort StudiesFemaleHumansLongitudinal StudiesPregnancyRisk FactorsSystemic Inflammatory Response Syndrome

Identifiers

PMID37198405
PMCPMC10191400
OpenAlexW4376868359

What OpenQuestion holds

Textmetadata
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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.