The Predictors of Pneumonia in Children with COVID-19

Autor: Meyri Arzu Yoldaş, Aslı Çelebi Tayfur, Ayşegül Danış, Fatma Hancı, Halil İbrahim Atasoy, Semih Bolu, Zeliha Coşgun, Melike Elif Kalfaoğlu, Seyit Ali Kayış
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: The Journal of Pediatric Academy, Vol 4, Iss 1, Pp 12-17 (2023)
Druh dokumentu: article
ISSN: 2718-0875
DOI: 10.4274/jpea.2023.200
Popis: 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.
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