Risk factors and performance of coronary aneurysm risk scores in children with Kawasaki disease.

In this Turkish pediatric cohort, established Kawasaki disease risk scoring systems demonstrated variable diagnostic performance for predicting coronary artery aneurysm, with no single scoring system providing consistently balanced sensitivity and specificity.

Age at diagnosis, fever duration, and timing of intravenous immunoglobulin treatment may provide useful clinical indicators during patient assessment.