Grasa et al reported risk scores based on the KAWA-RACE cohort. One risk score predicts the risk of coronary artery aneurysms. The authors are from multiple institutions in Spain.
Patient selection: Kawasaki disease
Parameters:
(1) gender
(2) age at admission
(3) days of fever
(4) lymphadenopathy
(5) serum creatinine in mg/dL
(6) serum C-reactive protein (CRP) in mg/dL
(7) hemoglobin in g/dL
(8) serum sodium in mmol/L
Parameters
Finding
Points
gender
female
0
male
1.7
age at admission
< 4 months
2.9
>= 4 months
0
days of fever
< 10 days
0
>= 10 days
2.8
lymphadenopathy
no
0
yes
1
serum creatinine
< 0.3 mg/dL
0
>= 0.3 mg/dL
3.5
serum CRP
< 13.6 mg/dL
0
>= 13.6 mg/dL
1.1
hemoglobin
< 10 g/dL
1.3
>= 10 g/dL
0
serum sodium
< 130 mmol/L
2.4
>= 130 mmol/L
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 16.7
• A score >= 8 is associated with a high risk of coronary artery aneurysm.
