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Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review
INTRODUCTION: As we learn more about the novel multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19 infection, the protocols for long-term follow-up have evolved and only some of these protocols have been published. Here, we review the current literature on follow-up guidel...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9768426/ https://www.ncbi.nlm.nih.gov/pubmed/36568433 http://dx.doi.org/10.3389/fped.2022.1069632 |
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author | Jose, Jerin Tresa Selamet Tierney, Elif Seda |
author_facet | Jose, Jerin Tresa Selamet Tierney, Elif Seda |
author_sort | Jose, Jerin Tresa |
collection | PubMed |
description | INTRODUCTION: As we learn more about the novel multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19 infection, the protocols for long-term follow-up have evolved and only some of these protocols have been published. Here, we review the current literature on follow-up guidelines in MIS-C patients. METHODS: We conducted a PUBMED search of all articles published on “MIS-C” and the term “follow-up” between 2020 and 2022. Inclusion criteria were that (1) the study was an observational study or case series, and (2) the study population included pediatric population who met the diagnostic criteria for MIS-C. RESULTS: There were 206 publications on MIS-C and follow-up in the last 2 years with 11 studies that fit the inclusion criteria. These papers were representing 11 different centers and encompassed a total of 343 participants. Seven of the 11 studies had participants follow-up with their cardiologist within 1 month of discharge. Between 12% and 62% of patients within each study had depressed left ventricular ejection fraction (LVEF) at admission. At the initial follow-up visit, five studies showed a normal LVEF in all patients while the other seven studies showed 2%–13% patients continuing to have depressed LVEF. In eight of the 11 studies, 9%–52% of patients had coronary artery dilation at admission. At their initial follow-up visit, 3%–28% of patients continued to have coronary artery dilation. CONCLUSION: There is some institutional variation in the outpatient follow-up protocols in patients diagnosed with MIS-C. A standardized follow-up guidelines might be helpful to monitor long-term prognosis of these patients. |
format | Online Article Text |
id | pubmed-9768426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97684262022-12-22 Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review Jose, Jerin Tresa Selamet Tierney, Elif Seda Front Pediatr Pediatrics INTRODUCTION: As we learn more about the novel multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19 infection, the protocols for long-term follow-up have evolved and only some of these protocols have been published. Here, we review the current literature on follow-up guidelines in MIS-C patients. METHODS: We conducted a PUBMED search of all articles published on “MIS-C” and the term “follow-up” between 2020 and 2022. Inclusion criteria were that (1) the study was an observational study or case series, and (2) the study population included pediatric population who met the diagnostic criteria for MIS-C. RESULTS: There were 206 publications on MIS-C and follow-up in the last 2 years with 11 studies that fit the inclusion criteria. These papers were representing 11 different centers and encompassed a total of 343 participants. Seven of the 11 studies had participants follow-up with their cardiologist within 1 month of discharge. Between 12% and 62% of patients within each study had depressed left ventricular ejection fraction (LVEF) at admission. At the initial follow-up visit, five studies showed a normal LVEF in all patients while the other seven studies showed 2%–13% patients continuing to have depressed LVEF. In eight of the 11 studies, 9%–52% of patients had coronary artery dilation at admission. At their initial follow-up visit, 3%–28% of patients continued to have coronary artery dilation. CONCLUSION: There is some institutional variation in the outpatient follow-up protocols in patients diagnosed with MIS-C. A standardized follow-up guidelines might be helpful to monitor long-term prognosis of these patients. Frontiers Media S.A. 2022-12-07 /pmc/articles/PMC9768426/ /pubmed/36568433 http://dx.doi.org/10.3389/fped.2022.1069632 Text en © 2022 Jose and Selamet Tierney. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Jose, Jerin Tresa Selamet Tierney, Elif Seda Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review |
title | Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review |
title_full | Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review |
title_fullStr | Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review |
title_full_unstemmed | Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review |
title_short | Outpatient monitoring of patients with multisystem inflammatory syndrome (MIS-C): A mini review |
title_sort | outpatient monitoring of patients with multisystem inflammatory syndrome (mis-c): a mini review |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9768426/ https://www.ncbi.nlm.nih.gov/pubmed/36568433 http://dx.doi.org/10.3389/fped.2022.1069632 |
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