Effect of Revision of Japanese Diagnostic Criterion for Fever in Kawasaki Disease on Treatment and Cardiovascular Outcome
スポンサーリンク
概要
- 論文の詳細を見る
Background The aim of this study was to investigate the effect of a revision of the fever criterion for initial intravenous immunoglobulin (IVIG) treatment, and cardiovascular sequelae, in the new Japanese diagnostic criteria for Kawasaki disease. Methods and Results Patients who were reported in the 16^<th> and 18^<th> nationwide surveys in Japan were analyzed. New criteria group comprised patients who received the diagnosis of Kawasaki disease in the 18^<th> nationwide survey (n=18, 789). Old criteria group was comprised patients who received their diagnosis in the 16^<th> nationwide survey (n=15, 017). The difference between the new and old criteria for complete cases was only 1%. The proportion of patients who were treated with IVIG within 4 days of illness onset in the new criteria group was significantly lower than in the old criteria group (27.7% vs 30.7%). Multivariate logistic regression analysis identified criteria sex, age, recurrence, diagnosis, last day of initial IVIG and additional IVIG treatment as significant independent factors for cardiovascular sequelae. Conclusions The guideline revision improves diagnostic sensitivity somewhat, but reflects the clinical reality of the disease that approximately 30% of patients are treated with IVIG within 4 days of illness onset. (Circ J 2007; 71 : 1791-1793)
- 社団法人日本循環器学会の論文
- 2007-10-20
著者
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Nakamura Yosikazu
Department of Public Health, Jichi Medical University
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MATSUISHI Toyojiro
Department of Pediatrics and Child Health, Kurume University School of Medicine
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MATSUISHI Toyojiro
Kurume University School of Medicine
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Suda Kenji
Department Of Pediatrics And Child Health Kurume University School Of Medicine
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Suda Kenji
Departjnents Of Pediatrics And Cardiovascular Surgery Natlonal Cardlovascular Center
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Matsuishi Toyojiro
Department Of Pediatrics And Child Health Kurume University School Of Medicine
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Matuishi Toyojiro
Department Of Pediatrics And Child Health Kurume University School Of Medicine
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IEMURA Motofumi
Department of Pediatrics and Child Health, Kurume University School of Medicine
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Muta Hiromi
Departments of Pediatrics, Kurume University School of Medicine
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Ishii Masahiro
Kitasato University School of Medicine
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Nakamura Yosikazu
Department Of Public Health Jichi Medical University
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Nakamura Yosikazu
Department Of Health Science Division Of Epidemiology And Community Health Jichi Medical School
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Ishii Masahiro
Department Of Pediatrics Kitasato University
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Iemura Motohumi
Department Of Pediatrics And Child Health Kurume University School Of Medicine
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Suda Kenji
Department Of Pediatrics Kurume University Of Medicine
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Muta Hiromi
Department Of Medicine And Bioregulatory Science Graduate School Of Medical Sciences Kyushu Universi
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Iemura Motofumi
Department Of Pediatrics And Child Health Kurume University School Of Medicine
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suda Kenji
DepartJnents of Pediatrics and cardiovascular Surgery , Natlonal Cardlovascular Center
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MATSUISHI Toyojiro
Department of Pediatrics & Child Health, Kurume University School of Medicine
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Muta Hiromi
Department of Advanced Molecular and Cell Therapy, Kyushu University Hospital, and Department of Molecular Genetics, Division of Molecular and Clinical Genetics, Medical Institute of Bioregulation, Kyushu University
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