Unique ID issued by UMIN | UMIN000041579 |
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Receipt number | R000047464 |
Scientific Title | A multicenter, retrospective longitudinal observational study about Quarantine and social Isolation for COVID-19 and its impact on Kawasaki disease |
Date of disclosure of the study information | 2020/08/28 |
Last modified on | 2022/02/26 23:26:05 |
A multicenter, retrospective longitudinal observational study about Quarantine and social Isolation for COVID-19 and its impact on Kawasaki disease
QUICK study
A multicenter, retrospective longitudinal observational study about Quarantine and social Isolation for COVID-19 and its impact on Kawasaki disease
QUICK study
Japan |
Kawasaki disease
Pediatrics |
Others
NO
To clarify whether the pathogens spread by contact or droplets would have an association with the occurrence of Kawasaki Disease.
Others
The change in clinical features and the presence of SARS-CoV-2 in KD patients in 2020.
Others
Others
Not applicable
The ratio of the number of patients with KD to patients with infections was admitted from February to May 2015-2019 and 2020.
Clinical features of Kawasaki Disease in 2020.
Observational
Not applicable |
16 | years-old | > |
Male and Female
1) patient admitted from 2017 to 2020.
2) patient admitted with a diagnosis of KD or an infectious disease.
The diagnosis of KD was made based on Japanese diagnostic guidelines for Kawasaki disease. Both complete and incomplete KD are included. Include infectious diseases are as follows; respiratory tract infection (respiratory syncytial virus (RSV), human metapneumovirus (hMPV), adenovirus, influenza virus, Streptococcus pyogenes, the others, and unknown pathogens), gastrointestinal infection, exanthema subitum, skin and soft tissue infection. In patients with respiratory tract infections, pathogens are identified with serological tests, culture, or rapid immunochromatographic tests.
1) admission for the recurrence of the same disease within 4 weeks
2) patient with immunodeficiency
3) patient with rheumatic disease, autoimmune disease or malignant disease
4) patient receiving immunosuppressive agents
5) patient who moved from other medical areas within 2 weeks before admission.
5000
1st name | Toshiro |
Middle name | |
Last name | Hara |
Fukuoka Children's Hospital
Kawasaki disease center
8130017
5-1-1, Kashiiteriha,Higashi-ku, Fukuoka-shi, Fukuoka
+81-92-682-7000
hara.t@fcho.jp
1st name | Kenji |
Middle name | |
Last name | Furuno |
Fukuoka Children's Hospital
Kawasaki disease center
8130017
5-1-1, Kashiiteriha,Higashi-ku, Fukuoka-shi, Fukuoka
+81-92-682-7000
furuno.k@kd-research.com
Fukuoka Children's Hospital
Kawasaki disease center
Fukuoka Children's Hospital Research Grant
Local Government
Fukuoka Children's Hospital
5-1-1, Kashiiteriha,Higashi-ku, Fukuoka-shi, Fukuoka
+81-92-682-7000
okada.sy@fcho.jp
NO
九州大学病院(福岡県)、国立病院機構九州医療センター(福岡県)、福岡赤十字病院(福岡県)、国家公務員共済組合浜の町病院(福岡県)、国立病院機構福岡東医療センター(福岡県)、自治医科大学(栃木県)
2020 | Year | 08 | Month | 28 | Day |
http://www.fcho.jp/childhp/security.html
Published
JAMA Netw Open. 2021;4(4):e214475. Published 2021 Apr 1. doi:10.1001/jamanetworkopen.2021.4475
1649
Admissions for KD showed no significant change between April and May in 2015 to 2019 vs the same months in 2020. However, the number of admissions for droplet-transmitted or contact-transmitted respiratory tract infections decrease; and gastrointestinal infections showed significant decreases between April and May in 2015 to 2019 vs the same months in 2020.
2022 | Year | 02 | Month | 26 | Day |
2021 | Year | 04 | Month | 01 | Day |
This multicenter, longitudinal, cross-sectional study was conducted from 2015 to 2020 at Fukuoka Children's Hospital and 5 adjacent general hospitals.
The number of admissions for KD and infectious diseases were analyzed. Participants were pediatric patients admitted to the participating hospitals for KD or infectious diseases.
Not applicable
The primary end points were the ratios of patients with KD to patients with respiratory tract or gastrointestinal infections admitted from April to May in 2015 to 2019 and 2020.
Completed
2020 | Year | 05 | Month | 08 | Day |
2020 | Year | 05 | Month | 13 | Day |
2020 | Year | 06 | Month | 01 | Day |
2020 | Year | 12 | Month | 31 | Day |
2021 | Year | 01 | Month | 14 | Day |
2021 | Year | 01 | Month | 20 | Day |
2021 | Year | 01 | Month | 31 | Day |
Demographic information in all patients included age, gender, and date of birth.
In patients with KD, clinical information including, days of illness on admission and at diagnosis, past history, clinical manifestations (duration of fever, and other symptoms), laboratory data, treatment, cardiac involvement and prognosis are reviewed. Laboratory data include white blood cell count (WBC), neutrophil percentage, hemoglobin, platelet count, total bilirubin, aspartate transaminase, alanine aminotransferase, serum sodium, and C-reactive protein. Treatment details include day of illness and dose of first intravenous immunoglobulin (IVIG) treatment, other intensification therapy, and needs of any additional therapy. Cardiac assessment has function, coronary diameter, valvular regurgitation, and pericardial effusion, which are evaluated at 3 time points: pretreatment, within 4weeks (the worst data), and after 4weeks. In KD patients in 2020, SARS-CoV-2 RNA or anti- SARS-CoV-2 IgG antibody results are corrected. IVIG resistance is defined when KD patients need additional IVIG therapy after 1st IVIG. Coronary arterial lesion (CAL) is defined when the Z-score of luminal diameter of one of the coronary arteries is > 2.5. In patients with infectious diseases, final diagnosis, diagnostic methods, and the pathogens are reviewed.
2020 | Year | 08 | Month | 27 | Day |
2022 | Year | 02 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047464
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