Chest radiograph in hospitalized children with COVID-19. A review of findings and indications

Munain, Andrea Ilundain López de; Veintemilla, Cristina Jimenez; Aguirre, Mercedes; Viguria, Natividad; Ramos-Lacuey, Beatriz; Urretavizcaya-Martinez, María; Esandi, Laura Echeverría; López, María del Mar Pina; Howard, Marcos García; Fernández-Montero, Alejandro; Moreno‐Galarraga, Laura

doi:10.1016/j.ejro.2021.100337

Cited by 10 publications

(7 citation statements)

References 32 publications

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“…In the pediatric population, diffuse GGO appearance was the most common finding in the chest CT studies similar to that in adults, followed by patchy consolidation [33,39]. In some studies, the most frequent involvement of COVID-19 pneumonia was reported as the bilateral diffuse interstitial pattern and multifocal involvement in children [5]. In our study group, single lobe involvement was observed in all cases while multifocal involvement was not detected in any of our cases.…”

Section: Discussionsupporting

confidence: 68%

“…As of December 19, 2021 the disease remains a global threat with over 275 million cases and 5 million deaths being reported in a period of nearly two years [4]. In the adult population, the clinical course of SARS-CoV-2 infections ranges from mild to severe respiratory tract disease (with pneumonia usually being a prominent clinical finding) and death, whereas in children, the infection is mostly asymptomatic or milder forms of the disease are reported with a wider clinical manifestation range and low hospitalization and mortality rates [5,6]. During the early period of the pandemic, chest radiography (chest-X ray, CXR) was preferred as the primary imaging modality for clinical monitoring and treatment adjustment in adult patients with COVID-19 [7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of Clinical and Chest Radiography Features in Predicting Patient Prognosis in Children with COVID-19

Bolat¹,

Cuce²,

Şenoğlu³

et al. 2022

jmvi

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The findings of chest radiography (chest-X ray, CXR) have not been confirmed in evaluating the prognosis of pediatric patients with coronavirus disease 2019 . In this study, we aimed to analyze the prognostic value of the CXR infiltration severity scoring system at the initial presentation of pediatric patients with COVID-19. Hospitalization and long-term data were recorded. The admission CXR data of 310 patients aged 1 month to 18 years who presented to our hospital between March 2020 and January 2021 with the diagnosis of COVID-19 confirmed by the real-time reverse transcription-polymerase chain reaction (RT-PCR) test were included in the study. The CXR images of each patient were evaluated in terms of the presence, type and localization of lesions by a radiologist, and the lung severity scores were calculated. Clinical and laboratory variables were also noted. The relationship between clinical parameters, imaging findings and patient outcomes was statistically evaluated. The median age was 9.1±5.2 years, and 59.7% of the patients (185/310) were male. Abnormal CXR findings were found in 6.5% (20/310) of the patients. CT was performed in 25 patients (8.1%), of whom 20 had normal CT findings. The time between the onset of complaints and admission to the hospital was 2.8±1.1 days in patients with abnormal CXR findings 3.0±1.4 days in those with normal findings, indicating no statistically significant difference (p=0.58). The duration of hospital stay of the patients with abnormal and normal CXR findings was 9.75±2.6 vs 9.47±2.0 days, respectively, and the difference was not statistically significant (p=0.78). None of the patients required intubation, and all had a good prognosis. For patients aged 1 month-18 years presenting to the emergency department with COVID-19, CXR presents as a useful modality in the diagnosis of associated pneumonia and it has similar results compared with CT. Our results revealed that CXR could be used in symptomatic children to assess COVID-19 pneumonia. We suggest that CT should be used for the further analysis of possible pathologic findings or complications on CXR, if clinically indicated.

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Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Efficacy of Clinical and Chest Radiography Features in Predicting Patient Prognosis in Children with COVID-19

Bolat¹,

Cuce²,

Şenoğlu³

et al. 2022

jmvi

View full text Add to dashboard Cite

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“…Although vertical transplacental transmission of COVID-19 and severe cases of neonatal COVID-19 infections have been reported, the overall literature on the maternal transmission of COVID-19 remains relatively sparse at this time and is under investigation 19–22 . Based on reported cases thus far, chest radiographs range from clear to diffusely opacified in an interstitial and/or airspace distribution 23,24 …”

Section: Spectrum Of Neonatal Lung Disordersmentioning

confidence: 99%

“…[19][20][21][22] Based on reported cases thus far, chest radiographs range from clear to diffusely opacified in an interstitial and/or airspace distribution. 23,24 Pulmonary Interstitial Emphysema (PIE)…”

Section: Neonatal Pneumoniamentioning

confidence: 99%

Neonatal and Infant Lung Disorders

Yoon,

Concepcion,

DiPrete

et al. 2023

Journal of Thoracic Imaging

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A multitude of lung disorders ranging from congenital and genetic anomalies to iatrogenic complications can affect the neonate or the infant within the first year of life. Neonatal and infant chest imaging, predominantly by plain radiography and computed tomography, is frequently employed to aid in diagnosis and management; however, these disorders can be challenging to differentiate due to their broad-ranging, and frequently overlapping radiographic features. A systematic and practical approach to imaging interpretation which includes recognition of radiologic patterns, utilization of commonly accepted nomenclature and classification, as well as interpretation of imaging findings in conjunction with clinical history can not only assist radiologists to suggest the diagnosis, but also aid clinicians in management planning. The contents of this article were endorsed by the leadership of both the World Federation of Pediatric Imaging (WFPI), and the International Society of Pediatric Thoracic Imaging (ISPTI).

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“…The most frequently observed imaging abnormalities are prominent peribronchial markings and hyperinflation, while consolidation or ground-glass opacity affecting the lower lobes occurs in the most severe forms. 25 As suggested by the majority of the experts, 26,27 chest radiography is considered the most appropriate first step in children not responding to outpatient management and requiring hospitalization.…”

Section: Chest Radiographymentioning

confidence: 99%

COVID-19 in Children: Update on Diagnosis and Management

Esposito

Abate

Laudisio

et al. 2021

Semin Respir Crit Care Med

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In December 2019, a new infectious disease called coronavirus disease 2019 (COVID-19) attributed to the new virus named severe scute respiratory syndrome coronavirus 2 (SARS-CoV-2) was detected. The gold standard for the diagnosis of SARS-CoV-2 infection is the viral identification in nasopharyngeal swab by real-time polymerase chain reaction. Few data on the role of imaging are available in the pediatric population. Similarly, considering that symptomatic therapy is adequate in most of the pediatric patients with COVID-19, few pediatric pharmacological studies are available. The main aim of this review is to describe and discuss the scientific literature on various imaging approaches and therapeutic management in children and adolescents affected by COVID-19. Clinical manifestations of COVID-19 are less severe in children than in adults and as a consequence the radiologic findings are less marked. If imaging is needed, chest radiography is the first imaging modality of choice in the presence of moderate-to-severe symptoms. Regarding therapy, acetaminophen or ibuprofen are appropriate for the vast majority of pediatric patients. Other drugs should be prescribed following an appropriate individualized approach. Due to the characteristics of COVID-19 in pediatric age, the importance of strengthening the network between hospital and territorial pediatrics for an appropriate diagnosis and therapeutic management represents a priority.

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Chest radiograph in hospitalized children with COVID-19. A review of findings and indications

Cited by 10 publications

References 32 publications

Efficacy of Clinical and Chest Radiography Features in Predicting Patient Prognosis in Children with COVID-19

Efficacy of Clinical and Chest Radiography Features in Predicting Patient Prognosis in Children with COVID-19

Neonatal and Infant Lung Disorders

COVID-19 in Children: Update on Diagnosis and Management

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