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Clin Pediatr (Phila) ; 60(1): 9-15, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33297737

RESUMO

Pericardial effusion (PCE) can be associated with Kawasaki disease (KD). We performed a multicenter, retrospective cohort study of the Pediatric Health Information System of children admitted with KD to determine the association between PCE and adverse outcomes. A total of 17 422 patients were in the cohort, of which 440 (3%) had PCE. PCE was associated with longer hospital length of stay (adjusted odds ratio [aOR] = 1.23; P < .01) and risk of readmission at 30 days (aOR = 1.42; P = .03). Black children were more likely to have a PCE (aOR = 1.54, P < .01) and longer length of stay (aOR = 1.05; P < .001). These data may support delayed discharge in children with PCE and KD in the hopes of preventing readmission. Special consideration needs to be given to how black children with KD are managed.


Assuntos
Sistemas de Informação em Saúde/estatística & dados numéricos , Síndrome de Linfonodos Mucocutâneos/epidemiologia , Derrame Pericárdico/epidemiologia , Negro ou Afro-Americano/estatística & dados numéricos , Pré-Escolar , Estudos de Coortes , Comorbidade , Feminino , Humanos , Tempo de Internação/estatística & dados numéricos , Masculino , Readmissão do Paciente/estatística & dados numéricos , Estudos Retrospectivos , Fatores de Risco , Estados Unidos/epidemiologia
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