Evidence map›Paper›PMID 37527908›Full record

ArticleJournal of Korean medical science2023

Change in Severity and Clinical Manifestation of MIS-C Over SARS-CoV-2 Variant Outbreaks in Korea.

Young June Choe, Eun Hwa Choi, Jong Woon Choi, Byung Wook Eun, Lucy Youngmin Eun, Yae-Jean Kim, Yeo Hyang Kim, Young A Kim, Yun-Kyung Kim, Ji Hee Kwak and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
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  3. MIS-C: Diagnosis, Management, and Outcomes.Open forum infectious diseases · 2026
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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

16 authors at 8 institutions in 1 country.

Young June ChoeDepartment of Pediatrics, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2733-0715
Eun Hwa ChoiDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. eunchoi@snu.ac.kr.ORCID https://orcid.org/0000-0002-5857-0749
Jong Woon ChoiDepartment of Pediatrics, Bundang Jesaeng General Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0002-5034-603X
Byung Wook EunDepartment of Pediatrics, Nowon Eulji University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-3147-9061
Lucy Youngmin EunDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4577-3168
Yae-Jean KimDepartment of Pediatrics, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8367-3424
Yeo Hyang KimDepartment of Pediatrics, School of Medicine Kyungpook National University, Daegu, Korea.ORCID https://orcid.org/0000-0002-1631-574X
Young A KimDepartment of Pediatrics, Pusan National University School of Medicine, Yangsan, Korea.ORCID https://orcid.org/0000-0002-8315-0148
Yun-Kyung KimDepartment of Pediatrics, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4396-8671
Ji Hee KwakDepartment of Pediatrics, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-6376-0427
Hyukmin LeeDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8523-4126
June Dong ParkDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8113-1384
Yeon Haw JungDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9537-6366
Jin GwackDirector General for Public Health Emergency Preparedness, Korea Disease Control and Prevention Agency, Cheongju, Korea.ORCID https://orcid.org/0000-0003-0932-9542
Sangwon LeeDirector General for Public Health Emergency Preparedness, Korea Disease Control and Prevention Agency, Cheongju, Korea.ORCID https://orcid.org/0000-0002-5384-6785
MIS-C Surveillance Group
Korea University · KRYonsei University · KRKorea Disease Control and Prevention Agency · KRSeoul National University · KRBundang Jesaeng Hospital · KREulji Medical Center · KRKangbuk Samsung Hospital · KRKorea University Medical Center · KR

Funding

Korea Disease Control and Prevention Agency 2020-ER5327-00Korea Disease Control and Prevention Agency 2021-ER1905-00
6 · The paper itself

Abstract

backgroundThere is difference in the incidence of multi-system inflammatory syndrome in children (MIS-C) in patients with different variants of severe acute respiratory syndrome coronavirus 2, however, little is known about the epidemiology in Asian countries. We investigated and compared the epidemiology of the MIS-C during omicron-dominant period with that of previous periods in South Korea.

methodsWe obtained clinical, epidemiological and laboratory data on MIS-C cases from national MIS-C surveillance in South Korea. We defined pre-delta period as January 2020-May 2021; delta period as June 2021-December 2021; and omicron period as January 2022-April 2022. We describe the clinical characteristics and outcomes of MIS-C patients by period.

resultsA total of 91 cases were assessed to be MIS-C cases. Number of MIS-C cases have increased from six cases during pre-delta period to 66 cases during omicron period, while the incidence rate (the number of MIS-C cases per 100,000 cases of reported coronavirus disease 2019) has decreased from 38.5 cases per 100,000 (95% confidence interval [CI], 14.1-83.9) during pre-delta period to 1.6 cases per 100,000 (95% CI, 1.2-2.0) during omicron periods. During pre-delta period, 66.7% and 100% had hypotension and gastrointestinal involvement, respectively; while during omicron period, 12.1% and 6.1% had such clinical manifestations. Fifty percent of pre-delta MIS-C patients were taken intensive care unit (ICU) cares, while 10.6% of patients during omicron periods were in ICUs.

conclusionOmicron period were associated with less severe clinical manifestation compared to pre-delta and delta periods. Although incidence rate of MIS-C was lower for the omicron period than pre-delta and delta periods, number of patients reported with MIS-C may pose a substantial clinical burden.

Indexed as

COVID-19SARS-CoV-2ChildDisease OutbreaksHumansRepublic of KoreaSystemic Inflammatory Response SyndromeCOVID-19MIS-CSARS-CoV-2

Identifiers

PMID37527908
PMCPMC10396435
OpenAlexW4381683274

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.