the inflammatory markers of multisystem inflammatory

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The Inflammatory Markers of Multisystem Inflammatory Syndrome in children (MIS-C) and adolescents during the COVID-19 Pandemic: A Meta-analysis Yan Zhao 1 , Li-juan Yin 2* , Jenil Patel 3 , Lei Tang 1 and Ying Huang 2 Affiliations: 1 Department of Pediatrics, People’s Hospital of Chongqing Banan District, Chongqing, 401320, China. 2 Department of Respiratory Medicine, Children’s Hospital of Chongqing Medical University; National Clinical Research Center for Child Health and Disorders; Ministry of Education Key Laboratory of Child Development and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics; Chongqing, 400014, China. Electronic address: [email protected] . 3 Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Corresponding Author: Lijuan Yin, Electronic address: [email protected] ; Address: Children's Hospital of Chongqing Medical University, Zhongshan Second Road of Yuzhong District, Chongqing 400014, China; Telephone: +86 13983885611. Word count: 2993

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Page 1: The Inflammatory Markers of Multisystem Inflammatory

The Inflammatory Markers of Multisystem Inflammatory Syndrome in children

(MIS-C) and adolescents during the COVID-19 Pandemic: A Meta-analysis

Yan Zhao1, Li-juan Yin

2*, Jenil Patel

3, Lei Tang

1and Ying Huang

2

Affiliations: 1Department of Pediatrics, People’s Hospital of Chongqing Banan District,

Chongqing, 401320, China. 2Department of Respiratory Medicine, Children’s Hospital of Chongqing Medical

University; National Clinical Research Center for Child Health and Disorders;

Ministry of Education Key Laboratory of Child Development and Disorders; China

International Science and Technology Cooperation Base of Child Development and

Critical Disorders; Chongqing Key Laboratory of Pediatrics; Chongqing, 400014,

China. Electronic address: [email protected]. 3Department of Epidemiology, Fay W. Boozman College of Public Health, University

of Arkansas for Medical Sciences

Corresponding Author:

Lijuan Yin, Electronic address: [email protected]; Address: Children's

Hospital of Chongqing Medical University, Zhongshan Second Road of Yuzhong

District, Chongqing 400014, China; Telephone: +86 13983885611.

Word count: 2993

Page 2: The Inflammatory Markers of Multisystem Inflammatory

eFigure 2: forest plots of MIS-C vs. COVID-19

eFigure 3: forest plots of MIS-C vs. severe/non-severe COVID-19

eFigure 4: forest plots of MIS-C vs. KD

eFigure 5: forest plots of severe MIS-C vs. non-severe MIS-C

eFigure 6: forest plots of MIS-C with coronary artery abnormality vs. MIS-C without

coronary artery abnormality

eFigure 7: forest plots of KD during SARS-CoV-2 epidemic vs. before SARS-CoV-2

epidemic

eTable in the Supplement

Page 3: The Inflammatory Markers of Multisystem Inflammatory

eFigure 2: forest plots of MIS-C vs. COVID-19

Page 4: The Inflammatory Markers of Multisystem Inflammatory

eFigure 3: forest plots of MIS-C vs. severe/non-severe COVID-19

Page 5: The Inflammatory Markers of Multisystem Inflammatory

eFigure 4: forest plots of MIS-C vs. KD

Page 6: The Inflammatory Markers of Multisystem Inflammatory

eFigure 5: forest plots of severe MIS-C vs. non-severe MIS-C

Page 7: The Inflammatory Markers of Multisystem Inflammatory

eFigure 6: forest plots of MIS-C with coronary artery abnormality vs. MIS-C without

coronary artery abnormality

Page 8: The Inflammatory Markers of Multisystem Inflammatory

eFigure 7: forest plots of KD during SARS-CoV-2 epidemic vs. before SARS-CoV-2

epidemic

Page 9: The Inflammatory Markers of Multisystem Inflammatory

eTable in the Supplement

Risk of bias assessment(case-control study)

Risk of bias assessment(cohort study)

Score

Outcome Comp

arabili

ty

Selection Study

Author/

Year

Non-

response

rate

Same

ascertai

nment

Ascertai

nment of

exposure

Definition

of

controls

Selectio

n of

controls

Represent

ative of

cases

Case

definition

adequacy

7 * * * * * * * Pereira

MFB2020

7 * * * * * * * Elizabeth

M. Dufort

2020

6 * * * * * * Naim

Ouldali20

20

8 * * * * * * * * Kazuki

Iio2020

Scor

e

Outcome

Com

para

bility

Selection

Study

Author/

Year

Adequac

y of

Follow

Up of

Cohorts

Was Follow-

Up Long

Enough for

Outcomes to

Occur

Assessm

ent of

Outcom

e

Demonstratio

n That

Outcome of

Interest Was

Not Present at

Start of Study

Ascert

ainmen

t of

Exposu

re

Selection

of the

Non-

Exposed

Cohort

Represent

ativeness

of the

Exposed

Cohort

7 * * * * * * * Christina

A.

Rostad202

0

6 * * * * * * Camila

Rosat

Consiglio

2020

6 * * * * * * Stuart P.

Weisberg2

020

7 * * * * * * * Carl A.

Pierce

8 * * * * * * * * Caroline

Diorio202

0

7 * * * * * * * Elizabeth

M.

Anderson

2020

8 * * * * * * * * Olivia V

Swann202

Page 10: The Inflammatory Markers of Multisystem Inflammatory

0

7 * * * * * * * Whittaker

E 2020

7 * * * * * * * Marie

Pouletty

2020

7 * * * * * * * Patrick

Davies202

0

8 * * * * * * * * Rosa

Pino2020

7 * * * * * * * Juan P.

Torres202

0

7 * * * * * * * Pui Y.

Lee2020

8 * * * * * * * * Simone

Jhaveri20

20

7 * * * * * * * L.R.

Feldstein2

020

7 * * * * * * * Lucio

Verdoni20

20