Kawasaki-like group (1) n = 25 (47.2%) KD: 14, IKD: 11 | Shock group (2) n = 17 (32%) | Fever, inflammatory group (3) n = 11 (20.8%) | p | |||||
---|---|---|---|---|---|---|---|---|
Demographic and clinical characteristics at admission, n (%) | ||||||||
Age in years, median (min.-max.) | 6 (3–10) | 9 (3–17) | 6 (19 months − 15 years) | 0.49 | ||||
Male sex | 11 (44%) | 11 (64.7%) | 10 (90.9%) | 0.027 | ||||
Comorbidities, n (%) | 4 (16%) | 3 (17.6%) | 4 (36.4%) | 0.97 | ||||
Fever, days at admission, median | 6 | 5 | 4 | 0.144 | ||||
Gastrointestinal symptoms | 19 (76%) | 13 (76.5%) | 6 (54.5%) | 0.09 | ||||
Mucocutaneous symptoms | 25 (100%) | 12 (70.6%) | 2 (18.2%) | < 0.001 | ||||
Cardiovascular symptoms | 14 (56%) | 13 76.5%) | 3 (27.3%) | 0.078 | ||||
Respiratory symptoms | 8 (32%) | 6 (35.3%) | 5 (45.5%) | 0.333 | ||||
Neurological symptoms | 1 (4%) | 2 (11.8%) | 2 (18.2%) | 0.547 | ||||
Renal symptoms | 1 (4%) | 6 (35.3%) | 4 (36.4%) | 0.030 | ||||
SARS-CoV-2 test results, n (%) | ||||||||
Positive RT-PCR | 4 (16%) | 4 (23.5%) | 4 (36.4%) | 0.093 | ||||
Positive serology | 21/24 (87.5%) | 12 (70.6%) | 9 (81.8%) | 0.198 | ||||
Laboratory confirmed SARS-CoV-2 infection | 24 (96%) | 13 (76.5%) | 10 (90.9%) | 0.091 | ||||
Epidemiological link to confirmSARS-CoV-2 infection | 11 (44%) | 6 (35.3%) | 3 (27.3%) | 0.386 | ||||
Cardiogical disorders, n (%) | ||||||||
Myocardial dysfunction | 6 (24%) | 11 (64.7%) | 0 | 0.037 | ||||
Coronary artery abnormalities | 3 (12%) | 1 (5.9%) | 1 (9.1%) | 0.80 | ||||
Coronary artery aneurysm | 0 | 0 | 0 | N.A. | ||||
Mitral valve regurgitation | 10 (25%) | 4 (23.5%) | 0 | 0.151 | ||||
Pericardial effusion | 4 (16%) | 4 (23.5%) | 1 (9.1%) | 0.933 | ||||
Abnormal ECG | 7 (28%) | 9 (52.9%) | 0 | 0.182 | ||||
Laboratory test at admission (normal range), median (IQR), % of aberrant values | ||||||||
Platelets (150–400 Giga/L) | 236 (128–330) | 52.00% | 216 (122–274) | 47.06% | 275 (250–347) | 18.18% | 0.683 | |
WBC count (4.5–11.5 Giga/L) | 12.84 (9.23–17.15) | 68.00% | 12 (9.71–14.43) | 58.82% | 11.31 (9.16–16.87) | 36.36% | 0.969 | |
Absolute lymphocyte count (0.9-4 Giga/L) | 1.395 (0.95–2.84) | 36.00% | 1.28 (0.9–1.75) | 29.41% | 2.32 (1.69–3.21) | 9.09% | 0.185 | |
C-reactive protein (< 2.2 mg/L) | 186.16 (133.21-243.13) | 100.00% | 174.12 (115,8-205) | 100.00% | 43 (28.73-139.14) | 90.91% | 0.003 | |
PCT (< 0.5 ug/L) | 1.91 (0.7–3.77) | 80.00% | 2.6 (0.87–8.09) | 88.24% | 0.9 (0.2–2.3) | 45.45% | 0.272 | |
Interleukin-6 (< 7 ng/L) | 211.4 (124.1-358.37) | 100.00% | 144.95 (51.52–299.5) | 94.12% | 100.21 (22.89-215.05) | 72.73% | 0.504 | |
Cardiac TnT (< 10 ng/L) | 23.21 (19.05–49.98) | 60.00% | 21.175 (14.13–59.79) | 82.35% | 29.3 (19.24–50.42) | 63.64% | 0.431 | |
Pro-BNP (< 191.1 ng/L) < 191,1 | 1634.74 (829.8-7590.16) | 80.00% | 2909 (2400.94-1045.88) | 88.24% | 3016.61 (678.17-6425.63) | 63.64% | 0.803 | |
Ferritin (13–150 ug/L) | 396.2 (262.05-642.75) | 80.00% | 559.8 (385.9-703.6) | 100.00% | 188.3 (124.8-356.1) | 45.45% | 0.147 | |
INR | 1.03 (0.96–1.11) | N/A | 1.06 (0.97–1.11) | N/A | 1.04 (0.98–1.08) | N/A | 0.248 | |
D-dimer (< 0.5 mg FEU/L) | 2.42 (1.53–3.84) | 88.00% | 3.58 (1.7–6.44) | 100.00% | 1.89 (0.7–3.62) | 90.91% | 0.258 | |
Albumin (35–52 g/L) | 34 (30–38) | 44.00% | 32.5 (28.75–35.25) | 58.82% | 36 (34–38) | 27.27% | 0.307 | |
Urea (1.4–6.8 mmol/L) | 4.55 (3.7–7.4) | 24.00% | 5.15 (3.77–8.02) | 29.41% | 3.8 (2.55–4.55) | 0.00% | 0.072 | |
Creatinine (26–88 umol/L) | 39.5 (33-52.75) | 4.00% | 48.5 (37-72.5) | 17.65% | 40 (28.5–52.5) | 0.00% | 0.144 | |
GPT (< 40 U/L) | 28 (19–60) | 24.00% | 23 (14-39.75) | 23.53% | 14 (12-18.5) | 0.00% | 0.335 | |
Bicarbonate (24 mmol/L) | 24.45 (22.97–25.5) | 8.00% | 25.75 (23.55–27.9) | 17.65% | 24.1 (22.17–25.92) | 18.18% | 0.476 | |
Clinical outcome, n (%) | ||||||||
Days of pediatric intensive care unit (median) | 0 | 4 | 0 | N/A | ||||
Oxygen therapy | 4 (16%) | 3 (17.6%) | 1 (9.1%) | 0.97 | ||||
Non-invasive respiratory support | 0 | 2 (11.8%) | 1 (9.1%) | 0.1106 | ||||
Invasive mechanical ventilation | 0 | 1 (5.9%) | 0 | 0.16 | ||||
Vasoactive drugs | 6 (24%) | 12 (70.6%) | 0 | 0.049 | ||||
Death | 0 | 0 | 0 | N/A |