Your browser doesn't support javascript.
loading
Risk factors for coronary artery lesions secondary to Kawasaki disease in children / 中国当代儿科杂志
Chinese Journal of Contemporary Pediatrics ; (12): 927-931, 2015.
Artigo em Chinês | WPRIM | ID: wpr-279023
ABSTRACT
<p><b>OBJECTIVE</b>To explore the risk factors for coronary artery lesions (CAL) secondary to Kawasaki disease (KD) in children.</p><p><b>METHODS</b>The medical data of 895 children with KD were retrospectively reviewed. The patients were classified into two groups according to the presence of CAL CAL (n=284) and control (n=611). The clinical and laboratory indices were compared between the two groups. The risk factors for the development of CAL in children with KD were identified by multiple logistic regression analysis.</p><p><b>RESULTS</b>Male gender (OR=1.712), occurrence of non-CAL complications (OR=2.028), atypical KD (OR=3.655), intravenous immunoglobulin (IVIG) resistance (OR=2.912), more than 5 days of fever duration before IVIG treatment (OR=1.350), and increased serum procalcitonin (PCT) level (OR=1.068) were the independent risk factors for the development of CAL in children with KD (P<0.05), whereas increased serum albumin (Alb) level was a protective factor (OR=0.931, P<0.05). The areas under the receiver operating characteristic curve of serum PCT and ALB for prediction of the development of CAL in children with KD were 0.631 and 0.558, respectively.</p><p><b>CONCLUSIONS</b>Male gender, atypical KD, occurrence of other non-CAL complications, long duration of fever and IVIG resistance are associated with an increased risk for CAL in children with KD. Serum PCT and ALB have little value in the prediction of CAL in children with KD.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Precursores de Proteínas / Sangue / Doença da Artéria Coronariana / Calcitonina / Peptídeo Relacionado com Gene de Calcitonina / Fatores de Risco / Imunoglobulinas Intravenosas / Usos Terapêuticos / Síndrome de Linfonodos Mucocutâneos Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Adolescente / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino Idioma: Chinês Revista: Chinese Journal of Contemporary Pediatrics Ano de publicação: 2015 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Precursores de Proteínas / Sangue / Doença da Artéria Coronariana / Calcitonina / Peptídeo Relacionado com Gene de Calcitonina / Fatores de Risco / Imunoglobulinas Intravenosas / Usos Terapêuticos / Síndrome de Linfonodos Mucocutâneos Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Adolescente / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino Idioma: Chinês Revista: Chinese Journal of Contemporary Pediatrics Ano de publicação: 2015 Tipo de documento: Artigo