What to Look for in Chest X‐Rays of Pediatric Patients With COVID‐19: Insights From a Colombian Cohort
Rattachement africain : co, uy, us, es. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Despite advancements in vaccination and the transition from pandemic to endemic, SARS-CoV-2 continues to pose a medical challenge, particularly among children. In this context, imaging diagnostics, such as chest x-rays, are crucial to the initial treatment of patients. This study aims to characterize the radiological findings in pediatric patients with confirmed SARS-CoV-2 infection in Colombia between April 2020 and November 2021, as well as describe the clinical presentation, including those admission to intensive care. METHODS: In Colombia, a multicenter cohort comprised patients aged 29 days to 17 years with confirmed SARS-CoV-2 infection and chest X-ray taken within 72 h of hospitalization. In two separate groups, four radiologists evaluated the images. A fifth radiologist reviewed all the X-rays; and subsequently, these readings were used to calculate the kappa coefficient and to solve discrepancies among the other radiologists. The results were compared from admission to intensive care. RESULTS: Analysis was conducted on 392 patients with a median age of 2 years, the majority of whom (42%) were infants. Sixty-eight percent of the radiographs had normal results. Peribronchial thickening and interstitial opacity were the most common aberrant findings (59%), followed by alveolar opacity (12%). 88 percent of findings were bilateral. In our cohort, peribronchial thickening was the most common radiological pattern found in patients admitted the PICU and with ventilatory failure. Interobserver agreement was low for peribronchial thickening (kappa = 0.1), but higher for consolidations and alveolar opacities (kappa = 0.4 and 0.5, respectively). CONCLUSION: In pediatric patients with SARS-CoV-2, radiological findings are nonspecific and interobserver agreement is minimal. Although consolidation and alveolar opacities demonstrated greater concordance, they did not appear to reflect the clinical presentation; therefore, our results can suggest chest radiography is not considered useful for determining the severity of COVID-19 in children. There is a need for more investigations.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- What to Look for in Chest X‐Rays of Pediatric Patients With COVID‐19: Insights From a Colombian Cohort
- Date Crossref
- 28/02/2025
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Universidad de Los Andes pays non établi dans la noticeUniversité ou école supérieure
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Fundación Santa Fe de Bogotá pays non établi dans la noticeOrganisation à but non lucratif
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Universidad Nacional de Colombia pays non établi dans la noticeUniversité ou école supérieure
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RedCLARA pays non établi dans la noticeInstitution
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Hospital Universitario Infantil San José pays non établi dans la noticeÉtablissement de santé
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Casa del Niño Hospital Infantil pays non établi dans la noticeÉtablissement de santé
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Universidad de Los Andes, Fundación Santa Fe de Bogotá et Universidad Nacional de Colombia, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.