Table 3.
Comparison of medication use among multi-system inflammatory syndrome in children cohort stratified by presence of cardiac complications.
Variable of interest | All cases (n = 39) | Cardiac complications present (n = 19) | Cardiac complications absent (n = 20) | p-value |
---|---|---|---|---|
n (%) | n (%) | n (%) | ||
Any vasoactive | 21 (54%) | 12 (63%) | 9 (45%) | 0.34 |
Dopamine | 1 (3%) | 0 | 1 (5%) | 1.00 |
Epinephrine | 21 (54%) | 12 (63%) | 9 (45%) | 0.34 |
Milrinone | 10 (26%) * | 8 (42%) | 2 (10%) | 0.03 |
Norepinephrine | 6 (15%) | 5 (26%) | 1 (5%) | 0.09 |
Immune therapy | ||||
Intravenous immunoglobulin | 38 (97%) | 18 (95%)** | 20 (100%) | 0.49 |
Anakinra | 29 (74%) | 16 (84%) | 13 (65%) | 0.27 |
Any steroid | 10 (26%) | 7 (37%) | 3 (15%) | 0.16 |
Dexamethasone | 1 (3%) | 0 | 1 (5%) | 1.00 |
Hydrocortisone | 9 (23%) | 6 (32%) | 3 (15%) | 0.27 |
Prednisone | 1 (3%) | 1 (5%) | 0 | 0.49 |
Any anticoagulant (enoxaparin or rivaroxaban) | 35 (90%) | 18 (95%) | 17 (85%) | 0.61 |
Aspirin | 38 (97%) | 18 (95%) | 20 (100%) | 0.49 |
The indication for milrinone therapy included myocardial systolic dysfunction (n = 6), shock (n = 3), and low blood pressure (n = 1).
One patient was diagnosed retrospectively with multi-system inflammatory syndrome.The patient presented in shock with multi-system involvement and received hydrocortisone prior to the first report of multi-system inflammatory syndrome in children in United Kingdom in April 2020. Therefore, the patient did not receive intravenous immunoglobulin (IVIG) as per our protocol. The patient had mild systolic dysfunction that resolved by time of last follow up. No coronary artery abnormality was seen.
Statistically significant differences are marked by bold rows.