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Table 3 Management of patients in the experimental group on day 2 follow-up visit

From: Multi-centre, randomised, open-label, blinded endpoint assessed, trial of corticosteroids plus intravenous immunoglobulin (IVIG) and aspirin, versus IVIG and aspirin for prevention of coronary artery aneurysms (CAA) in Kawasaki disease (KD): the KD CAA prevention (KD-CAAP) trial protocol

Temperature

CRP

Treatment plan

 < 38 °C

 ≤ 10 mg/L

Continue with prednisolone at 2 mg/kg/day no additional treatment required [reassess on day 5]; reduce aspirin to 3–5 mg/kg/day when afebrile for at least 48 h and continue for at least 21 days after resolution of fevera

 < 38 °C

 > 10 mg/L but ≤ 50% of baseline

Continue with prednisolone at 2 mg/kg/day no additional treatment required [reassess on day 5]; reduce aspirin to 3–5 mg/kg/day when afebrile for at least 48 h and continue for at least 21 days after resolution of fevera

 < 38 °C

 > 10 mg/L and still > 50% of baseline

Continue with prednisolone at 2 mg/kg/day and administer second dose of IVIG; reduce aspirin to 3–5 mg/kg/day when afebrile for at least 48 h and continue for at least 21 days after resolution of fevera

 ≥ 38 °C

 ≤ 10 mg/L

Continue with prednisolone at 2 mg/kg and administer second dose of IVIG; continue with aspirin at 40 mg/kg/day until afebrile

 ≥ 38 °C

 ≤ 10 mg/L but ≤ 50% of baseline

Continue with prednisolone at 2 mg/kg/day and administer second dose of IVIG; continue with aspirin at 40 mg/kg/day until afebrile

 ≥ 38 °C

 ≤ 10 mg/L and still > 50% of baseline

Continue with prednisolone at 2 mg/kg/day and administer second dose of IVIG; continue with aspirin at 40 mg/kg/day until afebrile

  1. a Following local standard of care