Congenital heart disease

Prenatal and Postnatal Ambient Air Pollution and Kawasaki Disease: A Systematic Review and Meta-Analysis

JACC AdvPublished systematic review and meta-analysis

Pooled result · KD after short-term postnatal exposure to PM2.5Result — go to the resultOdds ratio 1.011 95% CI 1.003–1.019

Authors' conclusion

Both prenatal and postnatal exposure to several ambient pollutants are associated with the risk of KD.

Study context

Population
Studies investigating the effects of ambient air pollution on Kawasaki disease (KD)
Participants
124,857 participants13 studies
Comparison
Pooled ORs for an increase in ambient air pollutant concentration of 10 μg/m³
Outcome
KD after short-term postnatal exposure to PM2.5
Methodological detailsfixed- or random-effects model
  • Fixed- or random-effects model

Pooled result

As reported in the abstract

Odds ratio

1.011

95% CI 1.003–1.019

Per 10 μg/m³ increase in PM2.5
OR 1.011 (95% CI 1.003–1.019)

Per 10 μg/m³ increase in PM2.5, as printed

Further pooled results

OutcomeOR (95% CI)
KD after short-term postnatal exposure to PM10I2 = 38%; high-quality evidence1.004 (1.000–1.008)
KD after long-term postnatal exposure to PM2.5I2 = 41%; high-quality evidence1.415 (1.179–1.697)

KD occurrence with other pollutant exposures

Prenatal exposure to carbon monoxide, nitric oxide, nitrogen oxides, and sulfur dioxide; short-term postnatal exposure to nitric oxide; and long-term postnatal exposure to carbon monoxide and nitrogen oxides were also associated with KD occurrence

Risk of bias

Studies at high risk of bias
Seven studies

Original publication

Prenatal and Postnatal Ambient Air Pollution and Kawasaki Disease: A Systematic Review and Meta-Analysis. JACC Adv. Published 14 March 2025. doi:10.1016/j.jacadv.2025.101651

Composed by AI from the published abstract and checked against it. How Briefs are made →

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