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

Clin Pediatr (Phila). 2021 Jan;60(1):9-15. doi: 10.1177/0009922820927021.

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.

Publication types

  • Multicenter Study

MeSH terms

  • Black or African American / statistics & numerical data
  • Child, Preschool
  • Cohort Studies
  • Comorbidity
  • Female
  • Health Information Systems / statistics & numerical data*
  • Humans
  • Length of Stay / statistics & numerical data
  • Male
  • Mucocutaneous Lymph Node Syndrome / epidemiology*
  • Patient Readmission / statistics & numerical data
  • Pericardial Effusion / epidemiology*
  • Retrospective Studies
  • Risk Factors
  • United States / epidemiology