Comparison of radiologic findings between SARS-CoV-2 and other respiratory tract viruses in critically ill children during the COVID-19 pandemic
Makaleler > Tam Makale · 2024
Yazarlar: OKTAY PERK, TANIL KENDİRLİ, EMEL UYAR, BİRSEL ŞEN AKOVA, HATİCE ALBAYRAK, HASAN AĞIN, EBRU ATİKE ONGUN, EŞE EDA TURANLI, SARE GÜNTÜLÜ ŞIK, ŞAHİN SİNCAR, GÜRKAN BOZAN, DEMET DEMİRKOL, NAZAN ÜLGEN TEKEREK, MEY TALİP, ARZU OTO, FEYZA İNCEKÖY GİRGİN, FERHAT SARI, NURETTİN ONUR KUTLU, ALTAN GÜNEŞ, ÖMER SUAT FİTÖZ
Turkish Journal of Medical Sciences, Uluslararası, Wos, 2024, cilt 54, ss 517-528
Özet
Background/aim: This study was planned because the radiological distinction of COVID-19 and respiratory viral panel (RVP)-positive cases is necessary to prioritize intensive care needs and ensure non-COVID-19 cases are not overlooked. With that purpose, the objective of this study was to compare radiologic findings between SARS-CoV-2 and other respiratory airway viruses in critically ill children with suspected COVID-19 disease. Materials and methods: This study was conducted as a multicenter, retrospective, observational, and cohort study in 24 pediatric intensive care units between March 1 and May 31, 2020. SARS-CoV-2- or RVP polymerase chain reaction (PCR)-positive patients' chest X-ray and thoracic computed tomography (CT) findings were evaluated blindly by pediatric radiologists. Results: We enrolled 225 patients in the study, 81 of whom tested positive for Coronovirus disease-19 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The median age of all patients was 24 (7-96) months, while it was 96 (17-156) months for COVID-19-positive patients and 17 (6-48) months for positive for other RVP factor (p < 0.001). Chest X-rays were more frequently evaluated as normal in patients with SARS-CoV-2 positive results (p = 0.020). Unilateral segmental or lobar consolidation was observed more frequently on chest X-rays in rhinovirus cases than in other groups (p = 0.038). CT imaging findings of bilateral peribronchial thickening and/or peribronchial opacity were more frequently observed in RVP-positive patients (p = 0.046). Conclusion: Chest X-ray and CT findings in COVID-19 patients are not specific and can be seen in other respiratory virus infections.