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Large scale epidemiologic study on incidence and factors influencing prognosis of Kawasaki disease

Research Project

Project/Area Number 12470100
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionSaitama Prefectural University

Principal Investigator

YANAGAWA Hiroshi  SAITAMA PREFECTURAL UNIVERSITY, PROFESSOR, 保健医療福祉学部, 教授 (30077169)

Co-Investigator(Kenkyū-buntansha) OKI Izumi  JICHI MEDICAL SCHOOL, 医学部, 助手 (50296092)
NAKAMURA Yosikazu  JICHI MEDICAL SCHOOL, PROFESSOR, 医学部, 教授 (50217915)
MIURA Yoshihiko  SAITAMA PREFECTURAL UNIVERSITY, PROFESSOR, 保健医療福祉学部, 教授 (10143421)
Project Period (FY) 2000 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥16,100,000 (Direct Cost: ¥16,100,000)
Fiscal Year 2001: ¥7,000,000 (Direct Cost: ¥7,000,000)
Fiscal Year 2000: ¥9,100,000 (Direct Cost: ¥9,100,000)
KeywordsKawasaki disease / Epidemiology / Gamma-globulin / Prognosis / Recurrence / cardiac sequelae / Nationwide survey / Database of patients / γグロブリン治療 / 予後 / 罹患率 / ガンマグロブリン治療
Research Abstract

(1) Epidemiologic analysis of the incidence of Kawasaki disease
As a results of the nationwide survey of Kawasaki disease, 15,314 patients were reported in 1999 and 2000. The epidemiologic and clinical pictures of these patients were analyzed. The time space relationship of the incidence was found.
Four-hundred forty nine deaths were reported from 1970 to 1998. The fatality rate was 0.29 % with male/female ratio 1.5. The fatality rate in children < 1 years old was 3.9 times higher than 1 year old and over. The fatality rate decreased after the increase of the patients treated with gamma globulin.
(2) Analysis of risk factors of cardiac sequelae
Factors associated with the cardiac sequelae after 1 month and 1 year of onset were analyzed. In 1 month after onset, age (< 1 year), recurrence and increase of noutrophile leucocyte were risk factors. In 1 year after onset, recurrence, increase of leucocyte and neutrophile leucocyte were risk factors. Administration of high dose IVGG prevented the cardiac sequelae after 1 year of onset.
Factors associated with recurrence were age (<1 year old), presence of cardiac sequelae, high dose of IVGG treatment at initial episode.
(3) Development of data base of Kawasaki disease patients
Data base of 169,000 patients were constructed. The data base will be applicable to the evaluation of the long term prognosis of the patients.

Report

(3 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • Research Products

    (18 results)

All Other

All Publications (18 results)

  • [Publications] Oki I: "A multicenter collaborative study on the risk factors of cardiac sequelae due to Kawasaki disease : a one-year follow-up study"Acta Paediatr. 89. 1435-1438 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Hirata S: "Incidence rate of recurrent Kawasaki disease and related risk factors : from the results of nationwide surveys of Kawasaki disease in Japan"Acta Paediatr. 90. 40-44 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yanagawa H: "Incidence survey of Kawasaki disease in 1997 and 1998 in Japan"Pediatrics. 107. e33 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Hirata S: "Long-term consequences of Kawasaki disease among first-year junior high school students"Arch Pediatr Adolesc Med. 156. 77-80 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 中村好一: "川崎病全国調査からみた医療施設の特性と心後遺症"小児科診療. 63. 671-676 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 屋代真弓: "川崎病患者に対する最近8年間のガンマグロブリン治療方式の変遷"日児誌. 105. 12-16 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Oki I: "A multicenter collaborative study on the risk factors of cardiac sequelae due to Kawasaki disease : a one-year follow-up study"Acta Paediatr. 89. 1435-8 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Hirata S: "Incidence rate of recurrent Kawasaki disease and related risk factors : from the results of nationwide surveys of Kawasaki disease in Japan"Acta Paediatr. 90. 40-44 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yanagawa H: "Incidence survey of Kawasaki disease in 1997 and 1998 in Japan"Pediatrics. 107. e33 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Hirata S: "Long-term consequences of Kawasaki disease among first-year junior high school students"Arch Pediatr Adolesc Med. 156. 77-80 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Oki I: "A multicenter collaborative study on the risk factors of cardiac sequelae due to Kawasaki disease : a one-year follow-up study"Acta Paediatr. 89. 1435-1438 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Hirata S: "Incidence rate of recurrent Kawasaki disease and related risk factors : from the results of nationwide surveys of Kawasaki disease in Japan"Acta Paediatr. 90. 40-44 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yanagawa H: "Incidence survey of Kawasaki disease in 1997 and 1998 in Japan"Pediatrics. 107. e33 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Hirata S: "Long-term consequences of Kawasaki disease among first-year junior high school students"Arch Pediatr Adolesc Med. 156.. 77-80 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 屋代真弓: "川崎病患者に対する最近8年間のガンマグロブリン治療方式の変遷"日児誌. 105. 12-16 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 中村好一: "川崎病全国調査からみた医療施設の特性と心後遺症"小児科診療. 63・5. 671-676 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 平田静弘: "川崎病の再発危険因子"小児科. 41・9. 1651-1657 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 屋代真弓: "過去15回の全国調査で報告された川崎病死亡例の疫学特性"日本小児科学会誌. 104・12. 1179-1183 (2000)

    • Related Report
      2000 Annual Research Report

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Published: 2000-04-01   Modified: 2016-04-21  

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