RT Journal
A1 King W, Schlieper A, Birdi N, Cappelli M, Korneluk Y, Rowe PC
T1 THe effect of kawasaki disease on cognition and behavior
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2000
FD May 1
VO 154
IS 5
SP 463
OP 468
DO 10.1001/archpedi.154.5.463
UL http://dx.doi.org/10.1001/archpedi.154.5.463
AB Objective 
    To determine whether there are associated long-term deficits in the cognitive, academic, or behavioral outcomes of children with a previous episode of Kawasaki disease.Design 
    Cohort analytic study.Setting 
    A tertiary care pediatric hospital in Ottawa, Ontario.Participants 
    Thirty-two patients with a past diagnosis of Kawasaki disease. Siblings of the patients with Kawasaki disease were eligible to be controls.Measures 
    A blinded psychometrist (Y.K.) assessed cognition by the appropriate Wechsler Intelligence scale, academic achievement by the Wechsler Individual Achievement Test, and behavior by the Achenbach Child Behavior Checklist.Results 
    No differences were found in cognitive or academic measures and the mean scores corresponded closely to national norms. Parents rated their children who had Kawasaki disease as having significantly more internalizing (P<.03) and attentional (P<.02) behavior problems than controls; the risk of a clinically significant behavioral score was 3.3 times greater (P<.03; 95% confidence interval, 1.1-9.9) than for sibling controls.Conclusions 
    While no effect on cognitive development or academic performance was demonstrated, these results provide preliminary indication of a post–Kawasaki disease deficit in internalizing and attentional behavior.