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Turkish Journal of Medical Sciences

Author ORCID Identifier

OKTAY PERK 0000-0002-2586-5954

ŞAHİN SİNCAR 0000-0001-9383-8723

GÜRKAN BOZAN 0000-0001-5041-8892

DEMET DEMİRKOL 0000-0001-9578-9267

NAZAN ÜLGEN TEKEREK 0000-0002-4577-1488

MEY TALİP 0000-0002-6409-3854

ARZU OTO 0000-0002-0362-9061

FEYZA İNCEKÖY GİRGİN 0000-0002-0116-0351

FERHAT SARI 0000-0002-4721-6656

NURETTİN ONUR KUTLU 0000-0002-3306-6570

ALTAN GÜNEŞ 0000-0002-0365-1218

TANIL KENDİRLİ 0000-0001-9458-2803

ÖMER SUAT FİTÖZ 0000-0002-0180-0013

EMEL UYAR 0000-0002-8265-0618

BİRSEL ŞEN AKOVA 0000-0003-2843-0611

HATİCE ALBAYRAK 0000-0002-0753-7818

HASAN AĞIN 0000-0003-3306-8899

EBRU ATİKE ONGUN 0000-0002-1248-8635

EŞE EDA TURANLI 0000-0001-5876-0510

SARE GÜNTÜLÜ ŞIK 0000-0002-4526-0485

DOI

10.55730/1300-0144.5818

Abstract

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.

Keywords

COVID-19, pediatric intensive care units, respiratory system, SARS-CoV-2, tomography

First Page

517

Last Page

528

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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