Title:Comparison of Computed Tomography Findings between Adult and Pediatric
COVID-19 Patients
Volume: 20
Author(s): Yeliz Dadalı, Sercan Özkaçmaz*, Erdal Ünlü, Ayşe Özkaçmaz, Muhammed Alparslan, İlyas Dündar, Ensar Turko, Mesut Özgökçe, Fatma Durmaz and Cemil Göya
Affiliation:
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
Keywords:
Pediatrics, Adult, COVID-19, Pneumonia, Reverse halo sign, Multidetector computed tomography, Crazy paving pattern, Bronchiectasis.
Abstract:
Purpose:
This study aims to compare chest computed tomography (CT) findings between adult and pediatric patients with coronavirus disease-19
(COVID-19) pneumonia.
Materials and Methods:
This study included 30 pediatric patients aged 1 to 17 years and 30 adult patients over 18 years of age with COVID-19 pneumonia confirmed by
reverse transcriptase-polymerase chain reaction (RT-PCR) who have findings related to COVID-19 on Chest Computed Tomography. The CT
findings of adult and pediatric patients were compared with a z-test.
Results:
Bilateral involvement (p:0.00056), involvement in all five lobes (p<0.00001), and central and peripheral involvement (p:0.01928) were
significantly higher in the adult group compared to the pediatric group. In the pediatric group, the frequency of unilateral involvement (p:0.00056),
involvement of solitary lobe (p:0.00132), and peripheral involvement (p: 0.01928) were significantly higher than in the adult group. The most
common parenchymal finding in adults and pediatric patients was ground-glass opacities (100% and 83%, respectively). Among the parenchymal
findings in adults, ground-glass opacities with consolidation (63%) were the second most common finding, followed by air bronchogram (60%) in
adults, while in pediatric patients, halo sign (27%) and nodule (27%) were the second most common, followed by the ground-glass opacities with
consolidation (23%).
Conclusion:
The CT findings of pediatric COVID-19 patients must be well-known as the course of the disease is usually less severe, and the radiological
findings are uncertain when compared with adults.
