Pediatric rheumatology

The incidence of Kawasaki disease using hospital admissions data for England 2006–2021

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Incidence rates of kDa derived from hospital admission data in England were higher than in studies relying on clinician reporting.

Study context

Population
Children under 16 with Kawasaki disease (ICD-10 M303) in hospital admissions data, England, 1 April 2006–31 March 2021cases of Kawasaki Disease (kDa)
Participants
5,908 participants
Exposure
Age <5 years vs Age 5-9 vs Age 10-15
Outcome
Incidence of Kawasaki disease
Methodological detailshospital episode statistics, Poisson regression, national population-based, 83 diagnoses validated against hospital medical records: >97% accuracy
  • Hospital episode statistics
  • Poisson regression
  • National population-based
  • 83 diagnoses validated against hospital medical records: >97% accuracy

Main finding

As reported in the abstract

Incidence of kDa by age

Aged <5 years

8.9

95% CI 8.6–9.2 · /100 000 person-years

Aged 5-9

2.4

95% CI 2.3–2.6 · /100 000 person-years

Aged 10-15

0.6

95% CI 0.6–0.7

Observational data: associations, not effects.

Further findings

OutcomeAdjusted IRR (CI)
Incidence by ethnicity (vs White)Asianvs White2.1 (2.0–2.2)
Incidence by ethnicity (vs White)Blackvs White3.0 (2.8–3.3)
Incidence by ethnicity (vs White)Other ethnicitiesvs White4.5 (4.2–4.8)
Incidence by deprivation (IMD quintile)Least deprived IMD quintilevs Most deprived quintile0.81 (0.77–0.84)

Sex

Male : female ratio
1.5 : 1

Original publication

The incidence of Kawasaki disease using hospital admissions data for England 2006–2021. Rheumatology (Oxford). Published 30 January 2023. doi:10.1093/rheumatology/kead051

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