Chest radiograph findings in children with COVID-19-A retrospective analysis from a tertiary care paediatric hospital in South India.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-02-06 DOI:10.1093/tropej/fmad016

Kanimozhi Vendhan, Mithra Kathirrajan, Gopinathan Kathirvelu, Balasubramanian S

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Abstract

Objective: The primary aim of this study is to document the chest X-ray findings in children with COVID-19 pneumonia. The secondary aim is to correlate chest X-ray findings to patient outcome.

Methods: We performed a retrospective analysis of children (0-18 years) with SARS-CoV-2 admitted to our hospital from June 2020 to December 2021. The chest radiographs were assessed for: peribronchial cuffing, ground-glass opacities (GGOs), consolidation, pulmonary nodules and pleural effusion. The severity of the pulmonary findings was graded using a modification of the Brixia score.

Results: There were a total of 90 patients with SARS-CoV-2 infection; the mean age was 5.8 years (age range 7 days to 17 years). Abnormalities were seen on the CXR in 74 (82%) of the 90 patients. Bilateral peribronchial cuffing was seen in 68% (61/90), consolidation in 11% (10/90), bilateral central GGOs in 2% (2/90) and unilateral pleural effusion in 1% (1/90). Overall the average CXR score in our cohort of patients was 6. The average CXR score in patients with oxygen requirement was 10. The duration of hospital stay was significantly longer in those patients with CXR score >9.

Conclusion: The CXR score has the potential to serve as tool to identify children at high risk and may aid planning of clinical management in such patients.

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来自南印度一家三级儿科医院的covid -19患儿胸片检查结果回顾性分析

目的:本研究的主要目的是记录COVID-19肺炎儿童的胸部x线表现。第二个目的是将胸部x线检查结果与患者预后联系起来。方法:对2020年6月至2021年12月在我院住院的0-18岁SARS-CoV-2患儿进行回顾性分析。胸片评估:支气管周围弯曲，磨玻璃影(GGOs)，实变，肺结节和胸腔积液。使用改进的Brixia评分对肺部症状的严重程度进行分级。结果:共有90例SARS-CoV-2感染患者;平均年龄5.8岁(年龄范围7天至17岁)。90例患者中有74例(82%)在CXR上发现异常。68%(61/90)出现双侧支气管周围卡口，11%(10/90)出现实变，2%(2/90)出现双侧中央ggo, 1%(1/90)出现单侧胸腔积液。总的来说，我们这组患者的平均CXR评分为6分。需氧量患者的平均CXR评分为10分。CXR评分>9的患者住院时间明显延长。结论:CXR评分有可能作为识别高危儿童的工具，并可能有助于制定此类患者的临床管理计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.