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Is there an association between intravenous immunoglobulin resistance and coronary artery lesion in Kawasaki disease?—Current evidence based on a meta-analysis

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  • Xiaolan Zheng
  • Jinhui Li
  • Peng Yue
  • Lei Liu
  • Jiawen Li
  • Kaiyu Zhou
  • Yimin Hua
  • Yifei Li

Abstract

Background: Coronary artery lesion (CAL) caused by Kawasaki disease (KD) is a leading cause of acquired heart disease in children. Initial treatment of intravenous immunoglobulin (IVIG) can reduce the incidence of CAL. Although most of the current studies have shown a certain correlation between CAL and IVIG resistance, the conclusions are not completely consistent. Thus, we performed this meta-analysis to evaluate the association between IVIG resistance and CAL in KD. Methods: PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, and China National Knowledge Infrastructure through April 21, 2020 were searched to detect relevant studies. Data analysis was performed with STATA 15.1. Results: A total of 53 relevant studies were eligible to this analysis, including 30312 KD patients, of which 4750 were IVIG resistance and 25562 were responders. There was a significant difference found between IVIG resistance and IVIG response groups in the incidence of CAL (P

Suggested Citation

  • Xiaolan Zheng & Jinhui Li & Peng Yue & Lei Liu & Jiawen Li & Kaiyu Zhou & Yimin Hua & Yifei Li, 2021. "Is there an association between intravenous immunoglobulin resistance and coronary artery lesion in Kawasaki disease?—Current evidence based on a meta-analysis," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-17, March.
    • Handle: RePEc:plo:pone00:0248812
    DOI: 10.1371/journal.pone.0248812
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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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