<< Evidence-Based Management Of Kawasaki Disease In The Emergency Department

Risk Classification

Although several risk classification criteria have been proposed, the most commonly applied in the United States are those proposed by Beiser et al.67 These criteria are generally used to predict which patients are at a high risk of developing coronary artery aneurysms among patients who were treated with IVIG within 10 days of the onset of fever. The scoring system uses baseline neutrophil and band counts, hemoglobin, platelet count, and temperature on the day after the patient receives IVIG to categorize patients into high-risk and low-risk categories. The negative predictive value of the score appears to be appropriate, as no patients in the low-risk group developed coronary artery aneurysms.

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