Evidence map›Paper›PMID 40835600›Full record

ArticleAnnals of medicine2025

Association between C-reactive protein-albumin-lymphocyte (CALLY) index with intravenous immunoglobulin non-response in Kawasaki disease.

Yan Duan, Ting Wang, Peng Jia, Linfan Deng, Zixia Song, Bin Liu, Jun Jiang, Dong Liu, Gang Li

Abstract readMulticenter Study
In one paragraph

Article in Annals of medicine, 2025. 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
–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

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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.

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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

9 authors.

Yan DuanDepartment of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Ting WangDepartment of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Peng JiaDepartment of Pediatrics, Zigong First People's Hospital, Zigong, China.
Linfan DengMianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.
Zixia SongBeijing Anzhen Nanchong Hospital, Capital Medical University (Nanchong Central Hospital), Nanchong, Sichuan, China.
Bin LiuDepartment of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Jun JiangDepartment of General Surgery (Thyroid Surgery), The Affiliated Hospital of Southwest Medical University, Sichuan, China.ORCID 0000-0003-1292-7236
Dong LiuDepartment of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Gang LiDepartment of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.ORCID 0000-0002-0654-8232

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe CRP-albumin-lymphocyte (CALLY) index has been demonstrated to be a predictive tool for tumors. However, studies on its role and clinical significance in predicting intravenous immunoglobulin (IVIG) non-response in patients with Kawasaki disease (KD) remains limited.

methodsA cohort of 975 patients with KD was recruited from four medical centers to examine their clinical and laboratory characteristics. Logistic regression analysis was employed to evaluate the association between CALLY and IVIG non-response in KD patients. Restricted cubic spline (RCS) regression models were utilized to explore potential nonlinear relationships. Subgroup analyses were also conducted. The predictive capability of CALLY was compared to that of the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and the ratio of C-reactive protein to albumin (CAR).

resultsRegardless of adjustments for confounding variables, CALLY, whether considered as a continuous or categorical variable, demonstrated a negative association with IVIG non-response. The relationship between the natural logarithm-transformed CALLY and IVIG non-response exhibited a non-linear trend, with a threshold identified at -0.752. Below this threshold, a negative association was observed between ln CALLY and IVIG non-response; however, no significant association was detected above the threshold. Subgroup analyses revealed no significant interactions between CALLY and IVIG non-response (all

conclusionThe CALLY parameter demonstrated a negative and nonlinear correlation with the risk of IVIG non-response, outperforming traditional inflammatory markers in predicting IVIG non-response.

Indexed as

C-Reactive ProteinImmunoglobulins, IntravenousLymphocytesMucocutaneous Lymph Node SyndromeSerum AlbuminBiomarkersChildChild, PreschoolFemaleHumansInfantLymphocyte CountMaleNeutrophilsPredictive Value of TestsRetrospective StudiesBiomarkersC-Reactive ProteinImmunoglobulins, IntravenousSerum AlbuminCRP–albumin–lymphocyte indexinflammation indexintravenous immunoglobulin non-responseKawasaki diseaserisk factor

Identifiers

PMID40835600
PMCPMC12369523

What Socratic holds

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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.