Pericardial Effusion in Children Admitted With Kawasaki Disease: A Multicenter Retrospective Cohort Study From the Pediatric Health Information System

Amy G. Schexnayder; Xinyu Tang; R. Thomas Collins; Stephen M. Schexnayder; Elijah Holbrook Bolin

doi:10.1177/0009922820927021

Pericardial Effusion in Children Admitted With Kawasaki Disease: A Multicenter Retrospective Cohort Study From the Pediatric Health Information System

Amy G. Schexnayder, Xinyu Tang, R. Thomas Collins, Stephen M. Schexnayder, Elijah Holbrook Bolin

Pediatrics

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	9-15
Number of pages	7
Journal	Clinical Pediatrics
Volume	60
Issue number	1
DOIs	https://doi.org/10.1177/0009922820927021
State	Published - Jan 2021

Bibliographical note

Publisher Copyright:
© The Author(s) 2020.

Keywords

Kawasaki
pericardial effusion

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

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10.1177/0009922820927021

Cite this

@article{6ce42d2ad3e84b38b7c27d2e0a5a700f,

title = "Pericardial Effusion in Children Admitted With Kawasaki Disease: A Multicenter Retrospective Cohort Study From the Pediatric Health Information System",

abstract = "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.",

keywords = "Kawasaki, pericardial effusion",

author = "Schexnayder, \{Amy G.\} and Xinyu Tang and Collins, \{R. Thomas\} and Schexnayder, \{Stephen M.\} and Bolin, \{Elijah Holbrook\}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2020.",

year = "2021",

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doi = "10.1177/0009922820927021",

language = "English",

volume = "60",

pages = "9--15",

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T1 - Pericardial Effusion in Children Admitted With Kawasaki Disease

T2 - A Multicenter Retrospective Cohort Study From the Pediatric Health Information System

AU - Schexnayder, Amy G.

AU - Tang, Xinyu

AU - Collins, R. Thomas

AU - Schexnayder, Stephen M.

AU - Bolin, Elijah Holbrook

N1 - Publisher Copyright: © The Author(s) 2020.

PY - 2021/1

Y1 - 2021/1

N2 - 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.

AB - 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.

KW - Kawasaki

KW - pericardial effusion

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JF - Clinical Pediatrics

IS - 1

ER -

Pericardial Effusion in Children Admitted With Kawasaki Disease: A Multicenter Retrospective Cohort Study From the Pediatric Health Information System

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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