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

Long-Term Prognosis

Since Kawasaki disease was first described more than 40 years ago, outcomes have improved significantly. With proper identification and treatment, the incidence of coronary artery lesions has declined to approximately 3% to 5%, from an initial rate of 25% to 30% previously.95 Long-term management of children following diagnosis of Kawasaki disease depends largely on whether or not they develop coronary artery lesions. Risk stratification schemes exist to help guide follow-up. These can be found in the AHA guidelines on Kawasaki disease, and they are summarized in Table 4.

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