Evaluation of Radiographic Findings in Children with Different Severity of Pneumonia Aged from 1 Month to 18 Years Old
Keywords:Pneumonia; Radiographic changes; pediatrics.
Objectives: to evaluate the relationship between different chest X-ray (CXR) radiologic findings in pediatric
patients admitted with different severity of pneumonia. Material and methods: The present descriptiveanalytical
cross-sectional study took place in Ali Ibn Abitaleb Hospital (Zahedan, Iran). Every pediatric
patient with the clinical diagnosis of pneumonia enrolled and the study population was divided into nonsevere,
severe, and very severe groups based on the world health organization criteria of pneumonia severity.
The CXR findings of every pediatric patient were reported and the correlation between the radiologic
findings and disease severity was evaluated. Results: A total of 352 patients with a mean age of 22.63
months enrolled and the majority of patients were male (212, 60.2%). The intensity of disease was nonsevere
in the majority of patients (279, 79.3%) and severe in 17.6%. There was a significant difference
between disease severity groups in terms of age (p<0.001) and radiographic findings (p<0.001). There was a
significant relationship between severe disease and age (p=0.002, OR=0.964, 95% CI for OR: 0.942, 0.986).
Moreover, there was a significant relationship between very severe disease and reticular pattern (p=0.042,
OR=9.543, 95% CI for OR: 1.086, 83.886). Conclusion: The present study demonstrated that CXR findings
in children with pneumonia are correlated with disease severity and consolidation and reticular patterns are
the important findings indicating disease severity in children.
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