The study comprise a nationwide, voluntary, on-line survey of inflammatory syndromes inchildren for retrospective (since 4th March 2020) and prospective data collection. Ouraim was to capture and describe multisystem inflammatory syndrome in children (MIS-C) inPoland.
The voluntary surveillance for retrospective (since 4th March) and prospective data
collection was initiated under the National Consultant of Pediatrics auspices. Anonymized
patient data from pediatric hospitals from all over the country are extracted from
electronic and paper records and collected through online form developed for that
purpose. Before the surveillance was launched, reporting clinicians underwent an online
training, which included the current state of knowledge about multisystem inflammatory
syndrome in children (MIS-C). Patient management is at the discretion of the relevant
treating clinicians.
KD and aKD were defined following the American Heart Association (AHA) guidelines.
TSS was established based on modified criteria by the Centers for Disease Control and
Prevention.
MAS was diagnosed based on the Paediatric Rheumatology International Trials Organization
(PRINTO) criteria for MAS classification.
The definition of the inflammatory syndrome was based on the WHO MIS-C definition with
the exclusion of SARS-CoV-2 confirmation.
For patients who met the inclusion criteria, demographic data, past medical history, data
on COVID-19 exposure, clinical symptoms, physical examination findings, laboratory,
imaging, and cardiologic tests results, treatment, and outcome data are collected.
All study definitions are defined in accordance to relevant guidelines and evaluated
automatically with the use of a dedicated software.
Other: multisystem inflammatory syndrome in children (MIS-C)
as in group description
Inclusion Criteria:
- patients who required hospitalization since 4th March 2020;
- diagnosed Kawasaki disease (KD) or incomplete (atypical) Kawasaki disease (aKD) or
toxic shock syndrome (TSS) or macrophage activation syndrome (MAS) or unspecified
inflammatory syndrome;
Exclusion Criteria:
- other infectious and non-infectious causes that could be responsible for the disease
SARS-CoV-2 polymerase chain reaction (PCR) or serology result could have been positive or
negative. Due to limited availability and reliability of serologic testing, proven or
likely COVID-19 criterion was not a condition determining inclusion to the registry.
Medical University of Warsaw Children's Hospital
Warsaw, Poland
Wroclaw Medical University
Wrocław, Poland
Magdalena Okarska-Napierała, PhD
+48503065849
magda.okarska@gmail.com
Natalia Dudek, MD
natalia.dudek@gmail.com
Magdalena Okarska-Napierała, Principal Investigator
Medical University of Warsaw