The Predictors of Pneumonia in Children with COVID-19.

Autor: Yoldaş, Meyri Arzu, Tayfur, Aslı Çelebi, Danış, Ayşegül, Hancı, Fatma, Atasoy, Halil İbrahim, Bolu, Semih, Coşgun, Zeliha, Kalfaoğlu, Melike Elif, Kayış, Seyit Ali
Předmět:
Zdroj: Journal of Pediatric Academy (J. Pediatr. Acad.); 2023, Vol. 4 Issue 1, p12-17, 6p
Abstrakt: The purpose of this study was to evaluate the relationship between the presence of pneumonia and blood parameters in cases of Coronavirus disease (COVID-19) and to examine their predictive characteristics in terms of pneumonia. We reviewed the file records of 151 pediatric patients with a diagnosis of COVID-19 confirmed by the real time-reverse transcription polymerase chain reaction test in nasopharyngeal swabs. The patients were divided into two groups based on direct chest X-ray and computed tomography results in [Group 1 (n:41), with pneumonia findings, and Group 2 (n:110), with no pneumonia findings]. The groups' demographic data, clinical and laboratory findings were compared. Pulmonary involvement was determined in 41 (27.1%) of the 151 patients. The [body mass index (BMI) Z-score], red blood cell distribution width (RDW), mean platelet volume (MPV), neutrophil lymphocyte ratio, passive leg raise, and D-dimer levels were significantly higher in patients with pneumonia than those without pneumonia in our study. Based on multivariate logistic regression analysis, BMI Z-score, MPV, and RDW were found to be independent risk factors of pneumonia in patients. The current study showed higher levels of blood parameters in patients with coronavirus disease 2019 (COVID -19) presenting with pneumonia than those without pneumonia. We suggest that BMI-Z score and MPV value may assist in predicting pulmonary involvement in patients with COVID-19. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index