Repeated systematic surveillance of Kawasaki disease in Ontario from 1995 to 2006
Background: Rising incidences of Kawasaki disease (KD) have been reported worldwide. Reported herein are the results of 4 triennial KD surveillances conducted in Ontario. Methods: Between 1995 and 2006 all hospitals in Ontario were asked on 4 occasions to identify all patients with discharge diagn...
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| Veröffentlicht in: | Pediatrics international 2010-10, Vol.52 (5), p.699-706 |
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| creator | Lin, Yahui T. Manlhiot, Cedric Ching, Joyce C.Y. Han, Ra K. Nield, Lynne E. Dillenburg, Rejane Pepelassis, Dion Lai, Lillian S. Smythe, John F. Chahal, Nita Yeung, Rae S.M. McCrindle, Brian W. |
| description | Background: Rising incidences of Kawasaki disease (KD) have been reported worldwide. Reported herein are the results of 4 triennial KD surveillances conducted in Ontario.
Methods: Between 1995 and 2006 all hospitals in Ontario were asked on 4 occasions to identify all patients with discharge diagnoses of KD and report incident cases.
Results: The latest surveillance identified 697 new KD patients (100% response rate) for a total of 2378 KD patients through all 4 surveillances. Yearly incidence was 26.2/100 000 for |
| doi_str_mv | 10.1111/j.1442-200X.2010.03092.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_756667204</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2150664351</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5522-dee9b123f5479a1df506a1a6ece58dce9be3cc7ffe2da4f3a1fdabb96d02b12a3</originalsourceid><addsrcrecordid>eNqNkU1vEzEQhi0EoqXwF5DFhdMGf6zt3QMHlDYFUVGoQPRmTeyx5DSbTe1dmvx7vKTkwAlfbHmeZzx6TQjlbMbLerea8boWlWDsdiZYuWWStWK2e0JOj4Wn5SxFUzVMmxPyIucVY6wxTf2cnBSHy5rrU_LtBrcIA3qa93nADoboaB7TL4zrNWwc0j7Qz_AAGe4i9TEjZKRxQ683A6TY05D6jvK2VXToaXlXvyTPAqwzvnrcz8iPxcX3-cfq6vry0_zDVeWUEqLyiO2SCxlUbVrgPiimgYNGh6rxrhRROmdCQOGhDhJ48LBcttozUTyQZ-Ttoe829fcj5sF2MTucpsZ-zNYorbURrC7km3_IVT-mTRmuQErVsjWmQM0BcqnPOWGw2xQ7SHvLmZ1Ctys7ZWunbO0Uuv0Tut0V9fVj_3HZoT-Kf1MuwPsD8BDXuP_vxvbrxfl0Kn518GP5ot3Rh3RntZFG2Z9fLu3i_HbBb-atncvfaiye0w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>755543977</pqid></control><display><type>article</type><title>Repeated systematic surveillance of Kawasaki disease in Ontario from 1995 to 2006</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Lin, Yahui T. ; Manlhiot, Cedric ; Ching, Joyce C.Y. ; Han, Ra K. ; Nield, Lynne E. ; Dillenburg, Rejane ; Pepelassis, Dion ; Lai, Lillian S. ; Smythe, John F. ; Chahal, Nita ; Yeung, Rae S.M. ; McCrindle, Brian W.</creator><creatorcontrib>Lin, Yahui T. ; Manlhiot, Cedric ; Ching, Joyce C.Y. ; Han, Ra K. ; Nield, Lynne E. ; Dillenburg, Rejane ; Pepelassis, Dion ; Lai, Lillian S. ; Smythe, John F. ; Chahal, Nita ; Yeung, Rae S.M. ; McCrindle, Brian W.</creatorcontrib><description>Background: Rising incidences of Kawasaki disease (KD) have been reported worldwide. Reported herein are the results of 4 triennial KD surveillances conducted in Ontario.
Methods: Between 1995 and 2006 all hospitals in Ontario were asked on 4 occasions to identify all patients with discharge diagnoses of KD and report incident cases.
Results: The latest surveillance identified 697 new KD patients (100% response rate) for a total of 2378 KD patients through all 4 surveillances. Yearly incidence was 26.2/100 000 for <5 years old, 6.7/100 000 for 5–9 years old and 0.9/100 000 for 10–14 years old. KD incidence significantly increased from 1995 to 2006, although the increase seemed to plateau between the 3rd and 4th surveillance. There was an increase in the proportion of patients diagnosed with incomplete KD and a significant reduction in the rate of coronary artery abnormalities, possibly due to better disease recognition and treatment. Hospitals reporting <20 cases per surveillance were found to be more likely to report cases with incomplete KD. These patients were also less likely to be treated with i.v. immunoglobulin and aspirin but were more likely to be treated with antibiotics, suggesting uncertainties regarding diagnosis and management of KD patients in those centers.
Conclusions: The incidence of KD in Ontario is possibly one of the highest outside of Asia and has been rising since 1995. Although the most recent surveillance demonstrated improved cardiac outcomes, treatment delays or absence thereof continue to be a problem. Effective diagnosis and prompt treatment remain critical aspects of KD management.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/j.1442-200X.2010.03092.x</identifier><identifier>PMID: 20113416</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adolescent ; Age Distribution ; Child ; Child, Preschool ; Clinical trials ; coronary vessel anomalies ; Disease ; Disease Outbreaks ; epidemiology ; Female ; Health Surveys ; Hospitalization - statistics & numerical data ; Humans ; i.v. immunoglobulins ; Incidence ; Infant ; Infant, Newborn ; International Classification of Diseases ; Male ; mucocutaneous lymph node syndrome ; Mucocutaneous Lymph Node Syndrome - diagnosis ; Mucocutaneous Lymph Node Syndrome - epidemiology ; Ontario - epidemiology ; pediatrics ; Risk Assessment ; Seasons ; Severity of Illness Index ; Sex Distribution ; Time Factors ; Young Adult</subject><ispartof>Pediatrics international, 2010-10, Vol.52 (5), p.699-706</ispartof><rights>2010 The Authors. Pediatrics International © 2010 Japan Pediatric Society</rights><rights>2010 The Authors. Pediatrics International © 2010 Japan Pediatric Society.</rights><rights>Copyright © 2010 Japan Pediatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5522-dee9b123f5479a1df506a1a6ece58dce9be3cc7ffe2da4f3a1fdabb96d02b12a3</citedby><cites>FETCH-LOGICAL-c5522-dee9b123f5479a1df506a1a6ece58dce9be3cc7ffe2da4f3a1fdabb96d02b12a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-200X.2010.03092.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-200X.2010.03092.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20113416$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Yahui T.</creatorcontrib><creatorcontrib>Manlhiot, Cedric</creatorcontrib><creatorcontrib>Ching, Joyce C.Y.</creatorcontrib><creatorcontrib>Han, Ra K.</creatorcontrib><creatorcontrib>Nield, Lynne E.</creatorcontrib><creatorcontrib>Dillenburg, Rejane</creatorcontrib><creatorcontrib>Pepelassis, Dion</creatorcontrib><creatorcontrib>Lai, Lillian S.</creatorcontrib><creatorcontrib>Smythe, John F.</creatorcontrib><creatorcontrib>Chahal, Nita</creatorcontrib><creatorcontrib>Yeung, Rae S.M.</creatorcontrib><creatorcontrib>McCrindle, Brian W.</creatorcontrib><title>Repeated systematic surveillance of Kawasaki disease in Ontario from 1995 to 2006</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background: Rising incidences of Kawasaki disease (KD) have been reported worldwide. Reported herein are the results of 4 triennial KD surveillances conducted in Ontario.
Methods: Between 1995 and 2006 all hospitals in Ontario were asked on 4 occasions to identify all patients with discharge diagnoses of KD and report incident cases.
Results: The latest surveillance identified 697 new KD patients (100% response rate) for a total of 2378 KD patients through all 4 surveillances. Yearly incidence was 26.2/100 000 for <5 years old, 6.7/100 000 for 5–9 years old and 0.9/100 000 for 10–14 years old. KD incidence significantly increased from 1995 to 2006, although the increase seemed to plateau between the 3rd and 4th surveillance. There was an increase in the proportion of patients diagnosed with incomplete KD and a significant reduction in the rate of coronary artery abnormalities, possibly due to better disease recognition and treatment. Hospitals reporting <20 cases per surveillance were found to be more likely to report cases with incomplete KD. These patients were also less likely to be treated with i.v. immunoglobulin and aspirin but were more likely to be treated with antibiotics, suggesting uncertainties regarding diagnosis and management of KD patients in those centers.
Conclusions: The incidence of KD in Ontario is possibly one of the highest outside of Asia and has been rising since 1995. Although the most recent surveillance demonstrated improved cardiac outcomes, treatment delays or absence thereof continue to be a problem. Effective diagnosis and prompt treatment remain critical aspects of KD management.</description><subject>Adolescent</subject><subject>Age Distribution</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical trials</subject><subject>coronary vessel anomalies</subject><subject>Disease</subject><subject>Disease Outbreaks</subject><subject>epidemiology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>i.v. immunoglobulins</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>International Classification of Diseases</subject><subject>Male</subject><subject>mucocutaneous lymph node syndrome</subject><subject>Mucocutaneous Lymph Node Syndrome - diagnosis</subject><subject>Mucocutaneous Lymph Node Syndrome - epidemiology</subject><subject>Ontario - epidemiology</subject><subject>pediatrics</subject><subject>Risk Assessment</subject><subject>Seasons</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Time Factors</subject><subject>Young Adult</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1vEzEQhi0EoqXwF5DFhdMGf6zt3QMHlDYFUVGoQPRmTeyx5DSbTe1dmvx7vKTkwAlfbHmeZzx6TQjlbMbLerea8boWlWDsdiZYuWWStWK2e0JOj4Wn5SxFUzVMmxPyIucVY6wxTf2cnBSHy5rrU_LtBrcIA3qa93nADoboaB7TL4zrNWwc0j7Qz_AAGe4i9TEjZKRxQ683A6TY05D6jvK2VXToaXlXvyTPAqwzvnrcz8iPxcX3-cfq6vry0_zDVeWUEqLyiO2SCxlUbVrgPiimgYNGh6rxrhRROmdCQOGhDhJ48LBcttozUTyQZ-Ttoe829fcj5sF2MTucpsZ-zNYorbURrC7km3_IVT-mTRmuQErVsjWmQM0BcqnPOWGw2xQ7SHvLmZ1Ctys7ZWunbO0Uuv0Tut0V9fVj_3HZoT-Kf1MuwPsD8BDXuP_vxvbrxfl0Kn518GP5ot3Rh3RntZFG2Z9fLu3i_HbBb-atncvfaiye0w</recordid><startdate>201010</startdate><enddate>201010</enddate><creator>Lin, Yahui T.</creator><creator>Manlhiot, Cedric</creator><creator>Ching, Joyce C.Y.</creator><creator>Han, Ra K.</creator><creator>Nield, Lynne E.</creator><creator>Dillenburg, Rejane</creator><creator>Pepelassis, Dion</creator><creator>Lai, Lillian S.</creator><creator>Smythe, John F.</creator><creator>Chahal, Nita</creator><creator>Yeung, Rae S.M.</creator><creator>McCrindle, Brian W.</creator><general>Blackwell Publishing Asia</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201010</creationdate><title>Repeated systematic surveillance of Kawasaki disease in Ontario from 1995 to 2006</title><author>Lin, Yahui T. ; Manlhiot, Cedric ; Ching, Joyce C.Y. ; Han, Ra K. ; Nield, Lynne E. ; Dillenburg, Rejane ; Pepelassis, Dion ; Lai, Lillian S. ; Smythe, John F. ; Chahal, Nita ; Yeung, Rae S.M. ; McCrindle, Brian W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5522-dee9b123f5479a1df506a1a6ece58dce9be3cc7ffe2da4f3a1fdabb96d02b12a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Age Distribution</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical trials</topic><topic>coronary vessel anomalies</topic><topic>Disease</topic><topic>Disease Outbreaks</topic><topic>epidemiology</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>i.v. immunoglobulins</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>International Classification of Diseases</topic><topic>Male</topic><topic>mucocutaneous lymph node syndrome</topic><topic>Mucocutaneous Lymph Node Syndrome - diagnosis</topic><topic>Mucocutaneous Lymph Node Syndrome - epidemiology</topic><topic>Ontario - epidemiology</topic><topic>pediatrics</topic><topic>Risk Assessment</topic><topic>Seasons</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Time Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Yahui T.</creatorcontrib><creatorcontrib>Manlhiot, Cedric</creatorcontrib><creatorcontrib>Ching, Joyce C.Y.</creatorcontrib><creatorcontrib>Han, Ra K.</creatorcontrib><creatorcontrib>Nield, Lynne E.</creatorcontrib><creatorcontrib>Dillenburg, Rejane</creatorcontrib><creatorcontrib>Pepelassis, Dion</creatorcontrib><creatorcontrib>Lai, Lillian S.</creatorcontrib><creatorcontrib>Smythe, John F.</creatorcontrib><creatorcontrib>Chahal, Nita</creatorcontrib><creatorcontrib>Yeung, Rae S.M.</creatorcontrib><creatorcontrib>McCrindle, Brian W.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Yahui T.</au><au>Manlhiot, Cedric</au><au>Ching, Joyce C.Y.</au><au>Han, Ra K.</au><au>Nield, Lynne E.</au><au>Dillenburg, Rejane</au><au>Pepelassis, Dion</au><au>Lai, Lillian S.</au><au>Smythe, John F.</au><au>Chahal, Nita</au><au>Yeung, Rae S.M.</au><au>McCrindle, Brian W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repeated systematic surveillance of Kawasaki disease in Ontario from 1995 to 2006</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2010-10</date><risdate>2010</risdate><volume>52</volume><issue>5</issue><spage>699</spage><epage>706</epage><pages>699-706</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background: Rising incidences of Kawasaki disease (KD) have been reported worldwide. Reported herein are the results of 4 triennial KD surveillances conducted in Ontario.
Methods: Between 1995 and 2006 all hospitals in Ontario were asked on 4 occasions to identify all patients with discharge diagnoses of KD and report incident cases.
Results: The latest surveillance identified 697 new KD patients (100% response rate) for a total of 2378 KD patients through all 4 surveillances. Yearly incidence was 26.2/100 000 for <5 years old, 6.7/100 000 for 5–9 years old and 0.9/100 000 for 10–14 years old. KD incidence significantly increased from 1995 to 2006, although the increase seemed to plateau between the 3rd and 4th surveillance. There was an increase in the proportion of patients diagnosed with incomplete KD and a significant reduction in the rate of coronary artery abnormalities, possibly due to better disease recognition and treatment. Hospitals reporting <20 cases per surveillance were found to be more likely to report cases with incomplete KD. These patients were also less likely to be treated with i.v. immunoglobulin and aspirin but were more likely to be treated with antibiotics, suggesting uncertainties regarding diagnosis and management of KD patients in those centers.
Conclusions: The incidence of KD in Ontario is possibly one of the highest outside of Asia and has been rising since 1995. Although the most recent surveillance demonstrated improved cardiac outcomes, treatment delays or absence thereof continue to be a problem. Effective diagnosis and prompt treatment remain critical aspects of KD management.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>20113416</pmid><doi>10.1111/j.1442-200X.2010.03092.x</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Age Distribution Child Child, Preschool Clinical trials coronary vessel anomalies Disease Disease Outbreaks epidemiology Female Health Surveys Hospitalization - statistics & numerical data Humans i.v. immunoglobulins Incidence Infant Infant, Newborn International Classification of Diseases Male mucocutaneous lymph node syndrome Mucocutaneous Lymph Node Syndrome - diagnosis Mucocutaneous Lymph Node Syndrome - epidemiology Ontario - epidemiology pediatrics Risk Assessment Seasons Severity of Illness Index Sex Distribution Time Factors Young Adult |
| title | Repeated systematic surveillance of Kawasaki disease in Ontario from 1995 to 2006 |
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