Objective The primary aim of this study is to document the chest X-ray findings in children with COVID-19 pneumonia. The secondary aim is to correlate chest X-ray findings to patient outcome. Methods We performed a retrospective analysis of children (0–18 years) with SARS-CoV-2 admitted to our hospital from June 2020 to December 2021. The chest radiographs were assessed for: peribronchial cuffing, ground-glass opacities (GGOs), consolidation, pulmonary nodules and pleural effusion. The severity of the pulmonary findings was graded using a modification of the Brixia score. Results There were a total of 90 patients with SARS-CoV-2 infection; the mean age was 5.8 years (age range 7 days to 17 years). Abnormalities were seen on the CXR in 74 (82%) of the 90 patients. Bilateral peribronchial cuffing was seen in 68% (61/90), consolidation in 11% (10/90), bilateral central GGOs in 2% (2/90) and unilateral pleural effusion in 1% (1/90). Overall the average CXR score in our cohort of patients was 6. The average CXR score in patients with oxygen requirement was 10. The duration of hospital stay was significantly longer in those patients with CXR score >9. Conclusion The CXR score has the potential to serve as tool to identify children at high risk and may aid planning of clinical management in such patients.

中文翻译：

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COVID-19 患儿的胸片表现——印度南部一家三级儿科医院的回顾性分析

目的 本研究的主要目的是记录 COVID-19 肺炎儿童的胸部 X 光检查结果。次要目的是将胸部 X 光检查结果与患者结果相关联。方法 我们对 2020 年 6 月至 2021 年 12 月入院的 SARS-CoV-2 患儿（0-18 岁）进行了回顾性分析。胸片评估了：支气管周围套囊、磨玻璃影（GGO）、实变、肺结节和胸腔积液。使用修正的 Brixia 评分对肺部发现的严重程度进行分级。结果 SARS-CoV-2感染患者共90例；平均年龄为 5.8 岁（年龄范围为 7 天至 17 岁）。90 名患者中有 74 名 (82%) 在 CXR 上发现异常。双侧支气管周围套囊见于 68% (61/90)，实变见于 11% (10/90)，双侧中央 GGO 占 2% (2/90)，单侧胸腔积液占 1% (1/90)。总体而言，我们患者队列中的平均 CXR 评分为 6。需要氧气的患者的平均 CXR 评分为 10。CXR 评分＞9 的患者住院时间明显更长。结论 CXR 评分有可能作为识别高危儿童的工具，并可能有助于规划此类患者的临床管理。