Evidence map›Paper›PMID 37576105›Full record

ArticleFrontiers in cardiovascular medicine2023

A novel model for predicting intravenous immunoglobulin-resistance in Kawasaki disease: a large cohort study.

Shuhui Wang, Chuxin Ding, Qiyue Zhang, Miao Hou, Ye Chen, Hongbiao Huang, Guanghui Qian, Daoping Yang, Changqing Tang, Yiming Zheng and 7 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
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

12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 10 citations in OpenAlex.

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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

17 authors at 2 institutions in 1 country.

Shuhui WangDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Chuxin DingDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Qiyue ZhangDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Miao HouDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Ye ChenDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Hongbiao HuangDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Guanghui QianDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Daoping YangDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Changqing TangDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Yiming ZhengDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Li HuangDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Lei XuDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Jiaying ZhangDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Yang GaoDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Wenyu ZhuoDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Bihe ZengDepartment of Pediatrics, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.
Haitao LvDepartment of Cardiology, Children's Hospital of Soochow University, Suzhou, China.
Soochow University · CNChildren's Hospital of Suzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Predicting intravenous immunoglobulin (IVIG)-resistant Kawasaki disease (KD) can aid early treatment and prevent coronary artery lesions. A clinically consistent predictive model was developed for IVIG resistance in KD. Methods: In this retrospective cohort study of children diagnosed with KD from January 1, 2016 to December 31, 2021, a scoring system was constructed. A prospective model validation was performed using the dataset of children with KD diagnosed from January 1 to June 2022. The least absolute shrinkage and selection operator (LASSO) regression analysis optimally selected baseline variables. Multivariate logistic regression incorporated predictors from the LASSO regression analysis to construct the model. Using selected variables, a nomogram was developed. The calibration plot, area under the receiver operating characteristic curve (AUC), and clinical impact curve (CIC) were used to evaluate model performance. Results: Of 1975, 1,259 children (1,177 IVIG-sensitive and 82 IVIG-resistant KD) were included in the training set. Lymphocyte percentage; C-reactive protein/albumin ratio (CAR); and aspartate aminotransferase, sodium, and total bilirubin levels, were risk factors for IVIG resistance. The training set AUC was 0.825 (sensitivity, 0.723; specificity, 0.744). CIC indicated good clinical application of the nomogram. Conclusion: The nomogram can well predict IVIG resistance in KD. CAR was an important marker in predicting IVIG resistance in Kawasaki disease.

Indexed as

childrenC-reactive protein to albumin ratio (CAR)intravenous immunoglobulin resistanceKawasaki diseaseprediction model

Identifiers

PMID37576105
PMCPMC10420135
OpenAlexW4385334644

What Socratic holds

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LicenceCC BY
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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 Socratic graph.