Abstract O.05: The Incidence and Outcome of Kawasaki Shock Syndrome:2003-2013
Kawasaki disease (KD) is the leading cause of acquired heart disease in children with a subset presenting in shock. We sought to describe the incidence and outcomes of KD shock in the US.
Methods: The Pediatric Health Information Systems (PHIS), 1/2004-12/2013, dataset including all hospitalizations at 44 of the largest freestanding children’s hospitals in the US was used. We assumed KD shock patients were admitted to the ICU.
Results: KD admissions included 16,417 patients, 1,179 requiring ICU care, KD shock, with an annual incidence of 8 - 13%, Figure 1.
Among KD shock admissions (versus non-ICU KD), the length of stay (10 vs 4 days, P<0.001) and mortality (10 vs 1 death) is higher in the shock group. The rate of coronary artery (CA) changes during initial admission for KD shock was higher than non-shock, Figure 2 (P<0.001).
Conclusions: KD shock may not be an uncommon presentation given 8-13% of KD admissions required ICU care. KD shock patients are more likely to have complications including coronary artery changes, mechanical ventilation, ECMO, and longer hospitalizations than non-ICU admissions.
Author Disclosures: S.K. Sexson Tejtel: None. A.A. Ramirez: None. T. Seery: None. A. Liou: None. D. Canter: None. M. DeGuzman: None. C.A. Altman: None.
- © 2015 by American Heart Association, Inc.