| Autor: |
Andrea Ilundain López de Munain, Cristina Jimenez Veintemilla, Mercedes Herranz Aguirre, Natividad Viguria Sánchez, Beatriz Ramos-Lacuey, María Urretavizcaya-Martínez, Laura Echeverría Esandi, María del Mar Pina López, Marcos García Howard, Alejandro Fernández-Montero, Laura Moreno-Galarraga |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
European Journal of Radiology Open, Vol 8, Iss , Pp 100337- (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2352-0477 |
| DOI: |
10.1016/j.ejro.2021.100337 |
| Popis: |
Purpose: Many articles have been published regarding chest-imaging in COVID-19, but fewer studies have been published in pediatric populations. COVID-19 symptoms in children are generally milder and radiological tests have fewer positive findings. Indications for chest imaging in pediatric COVID-19 patients remain unclear. This study aims to describe the chest radiographs performed in COVID-19 patients in a pediatric hospital, to review the current chest X-ray indications and to develop an specific age-adjusted protocol for chest-imaging in children with COVID-19. Methods: Retrospective study in hospitalized pediatric COVID-19 patients in Navarre, Spain. Between March and December 2020, 44 children were included (mean age 3.8-year-old, 50 % males). Demographic information, cause of admission, symptoms, and clinical evolution were described. Chest imaging technique performed, indications and findings were analyzed. A literature review was performed searching for current COVID-19 pediatric chest-imaging indications. Results: Chest X-rays were performed in 35 patients (80 % of admissions) and most common indications were fever and respiratory symptoms. 53 % of the chest X-rays were considered “normal” and the classical bilateral diffuse interstitial pattern, described in adults, was only present in 22 %. All patients with pathological chest X-rays were symptomatic and reported fever (100 %) and fever tended to be longer (fever duration: 4.25 vs. 2.46 days p:0.048) in patients with pathological radiographs. We present a specific protocol for chest-imaging in pediatric COVID-19 cases. Conclusions: COVID-19 clinical manifestations and radiological findings are milder and less specific in children. Imaging should not be used as a screening tool or a routine complementary test in pediatric COVID-19 patients, not even in hospitalized cases. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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