Table 4.
Performances of the Kawanet, abnormal initial echocardiography and modified-Kawanet score among different cohorts, ethnicities and patient characteristics, N=363.
Cohort | Score | Need for second-line treatment |
||
---|---|---|---|---|
AUC | Sensitivity | Specificity | ||
Italian cohort, N=177 | Kawanet scorea (NA=23) | 0.55 | 30% | 76% |
Abnormal initial echocardiographyb (NA=4) | 0.68 | 65% | 70% | |
Kawanet score + abnormal initial echocardiographya,b (NA=27) | 0.72 | 80% | 53% | |
French cohort, N=186 | Kawanet scorea | 0.62 | 52% | 69% |
Abnormal initial echocardiographyb | 0.68 | 48% | 87% | |
Kawanet score + abnormal initial echocardiographya,b | 0.70 | 74% | 55% | |
European ethnicity, N=183 | Kawanet scorea (NA=17) | 0.60 | 36% | 78% |
Abnormal initial echocardiographyb (NA=4) | 0.69 | 64% | 74% | |
Kawanet score + abnormal initial echocardiographya,b (NA=21) | 0.73 | 80% | 56% | |
African/Afro-Caribbean ethnicity, N=110 | Kawanet scorea (NA=2) | 0.60 | 53% | 66% |
Abnormal initial echocardiographyb | 0.66 | 47% | 86% | |
Kawanet score + abnormal initial echocardiographya,b (NA=2) | 0.65 | 65% | 51% | |
Asian ethnicity, N=37 | Kawanet scorea | 0.69 | 75% | 67% |
Abnormal initial echocardiographyb | 0.70 | 50% | 90% | |
Kawanet score + abnormal initial echocardiographya,b | 0.85 | 100% | 61% | |
Complete KD, n=227 | Kawanet scorea (NA=13) | 0.58 | 44% | 67% |
Abnormal initial echocardiographyb (NA=4) | 0.66 | 47% | 84% | |
Kawanet score + abnormal initial echocardiographya,b (NA=17) | 0.70 | 76% | 49% | |
Incomplete KD, n=136 | Kawanet scorea (NA=10) | 0.62 | 41% | 80% |
Abnormal initial echocardiographyb | 0.72 | 71% | 73% | |
Kawanet score + abnormal initial echocardiographya,b (NA=10) | 0.71 | 88% | 47% | |
Male, n=222 | Kawanet scorea (NA=12) | 0.54 | 42% | 68% |
Abnormal initial echocardiographyb (NA=2) | 0.70 | 61% | 79% | |
Kawanet score + abnormal initial echocardiographya,b (NA=14) | 0.67 | 78% | 47% | |
Female, n=141 | Kawanet scorea (NA=11) | 0.70 | 47% | 77% |
Abnormal initial echocardiographyb (NA=2) | 0.60 | 40% | 81% | |
Kawanet score + abnormal initial echocardiographya,b (NA=13) | 0.78 | 87% | 51% | |
age <4 years, n=291 | Kawanet scorea (NA=17) | 0.59 | 39% | 77% |
Abnormal initial echocardiographyb (NA=2) | 0.71 | 63% | 79% | |
Kawanet score + abnormal initial echocardiographya,b (NA=19) | 0.71 | 79% | 52% | |
age ≥4 years, n=72 | Kawanet scorea (NA=6) | 0.56 | 54% | 50% |
Abnormal initial echocardiographyb (NA=2) | 0.57 | 31% | 83% | |
Kawanet score + abnormal initial echocardiographya,b (NA=8) | 0.67 | 85% | 33% |
With a threshold ≥ 2.
Defined as initial coronary dilatation, aneurysm, pericarditis, myocarditis, or ventricular dysfunction. Kawanet score: 1 point per variable. Modified Kawanet score 2: 1 point per variable for the Kawanet score, 2 points for the initial echocardiography.