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Epidemiology of Kawasaki Disease in South Korea: A Nationwide Survey 2015-2017.

Authors :
Kim GB
Eun LY
Han JW
Kim SH
Yoon KL
Han MY
Yu JJ
Choi JW
Rhim JW
Source :
The Pediatric infectious disease journal [Pediatr Infect Dis J] 2020 Nov; Vol. 39 (11), pp. 1012-1016.
Publication Year :
2020

Abstract

Background: This study aimed to investigate recent epidemiologic features of Kawasaki disease (KD) in South Korea.<br />Methods: The ninth triennial nationwide questionnaire survey collected data on the demographic findings, symptoms and signs, treatment patterns and coronary artery complications of acute-phase KD occurred in 2015-2017 from 98 hospitals with pediatric residency programs and 108 community hospitals without residency programs.<br />Results: We received data from 93 of the 98 hospitals (response rate: 94.9%) with residency programs and 75 of the 108 community-based children's hospitals (response rate: 69.4%) without residency programs. In the 3-year survey period, a total of 15,378 (5449 in 2015, 5171 in 2016 and 4758 in 2017) cases of KD were reported. The mean age at diagnosis was 33.0 ± 24.8 months (range: 0-205 months), and the male-to-female ratio was 1.41:1. The overall KD incidence was 196.9 (202.2 in 2015, 197.1 in 2016 and 191.0 in 2017) per 100,000 younger than 5 years population. Recurrent cases were 4.85%. KD occurred more frequently during winter (December-January) and late spring (May-June). Intravenous immunoglobulin (IVIG) was administered to 95% of the patients; nonresponder rate for the first IVIG was 14.8%. Coronary artery aneurysms and giant coronary artery aneurysms (internal diameter >8 mm) occurred in 1.7% and 19 patients, respectively. Two patients died due to multiorgan failure and hepatic encephalopathy.<br />Conclusion: Peak incidence of KD in South Korea was 202.2 per 100,000 younger than 5 years population (2015), and the incidence of giant coronary artery aneurysm decreased to 0.09% (2017).

Details

Language :
English
ISSN :
1532-0987
Volume :
39
Issue :
11
Database :
MEDLINE
Journal :
The Pediatric infectious disease journal
Publication Type :
Academic Journal
Accession number :
33075217
Full Text :
https://doi.org/10.1097/INF.0000000000002793