Evidence map›Paper›PMID 40134015›Full record

ArticlePediatric rheumatology online journal2025

Red blood cell distribution width predicts coronary artery lesions in Kawasaki disease: insights from a Japanese cohort.

Yamato Hanawa, Wataru Murasaki, Hiroyuki Namba, Kimihiko Oishi

Abstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

4 authors.

Yamato HanawaDepartment of Pediatrics, Jikei University Kashiwa Hospital, 163-1, Kashiwa-shita, Kashiwa, Chiba, Japan. kazuyama2496@gmail.com.ORCID http://orcid.org/0009-0003-6983-2614
Wataru MurasakiDepartment of Pediatrics, Jikei University Kashiwa Hospital, 163-1, Kashiwa-shita, Kashiwa, Chiba, Japan.
Hiroyuki NambaDepartment of Pediatrics, Jikei University Kashiwa Hospital, 163-1, Kashiwa-shita, Kashiwa, Chiba, Japan.
Kimihiko OishiDepartment of Pediatrics, Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKawasaki disease (KD) is an acute vasculitis that causes coronary artery lesions. This study aimed to identify risk factors for the early prediction of coronary artery disease (CAD) in KD.

methodsWe conducted a retrospective analysis of 175 Japanese children diagnosed with KD between January 2019 and March 2024. Univariate and multivariate logistic regression analyses were performed to identify predictors of CAD, and the diagnostic performance of various indicators was assessed using receiver operating characteristic (ROC) curves. The correlations between red blood cell distribution width (RDW) and iron-related anemia biomarkers were also evaluated.

resultsOf these, 77 with CAD were classified into the CAD group, while 98 without CAD were categorized as the non-CAD group. Patients in the CAD group were younger and had lower levels of hemoglobin (Hb), total protein, albumin, uric acid, and urea nitrogen, but a higher RDW coefficient of variation (RDW-CV) than the non-CAD group. Logistic regression analysis identified RDW-CV as an independent predictor of CAD. ROC curve analysis demonstrated moderate predictive performance for RDW-CV, with an area under the curve of 0.636 (sensitivity, 55.8%; specificity, 70.4%). Significant correlations were observed between RDW-CV and iron-related anemia biomarkers in the CAD group, but not in the non-CAD group.

conclusionsIron dysregulation may be associated with CAD, and RDW-CV may aid in identifying patients who may develop CAD in KD. Our findings were consistent with previous studies in other Asian populations, supporting the utility of RDW-CV as a predictor of CAD in KD in populations with various ethnic backgrounds.

Indexed as

Coronary Artery DiseaseErythrocyte IndicesMucocutaneous Lymph Node SyndromeBiomarkersChildChild, PreschoolEast Asian PeopleFemaleHumansInfantJapanMalePredictive Value of TestsRetrospective StudiesRisk FactorsROC CurveBiomarkersCoronary artery lesionIron metabolismKawasaki diseaseRed blood cell distribution width

Identifiers

PMID40134015
PMCPMC11934559

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.