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CT findings predicting lung resection in children with complicated community-acquired pneumonia
B. Kucerova, AS. Kovacova, N. Polivka, K. Cejnarová, M. Doucha, S. Coufal, S. Hlava, M. Wasserbauer, V. Dotlacil, M. Kyncl, J. Snajdauf, V. Koucky, P. Pohunek, M. Rygl
Language English Country Germany
Document type Journal Article
NLK
ProQuest Central
from 1997-02-01 to 1 year ago
Medline Complete (EBSCOhost)
from 2000-01-01 to 1 year ago
Nursing & Allied Health Database (ProQuest)
from 1997-02-01 to 1 year ago
Health & Medicine (ProQuest)
from 1997-02-01 to 1 year ago
Family Health Database (ProQuest)
from 1997-02-01 to 1 year ago
- MeSH
- Child MeSH
- Community-Acquired Infections * diagnostic imaging MeSH
- Humans MeSH
- Lung diagnostic imaging surgery MeSH
- Pneumonia * diagnostic imaging MeSH
- Tomography, X-Ray Computed MeSH
- Retrospective Studies MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
PURPOSE: To investigate computed tomography (CT) features which predict lung resection in children with complicated community-acquired pneumonia. METHODS: A retrospective study of CT findings of patients with complicated pneumonia treated between January 2010 and December 2019. Fisher's exact test and ROC curves were used for statistical analysis. RESULTS: The study cohort consisted of 84 patients who underwent chest CT for complicated pneumonia. Lung resection was performed in 36 patients, 3 patients were treated by lung decortication, 45 patients were cured conservatively. Seven CT features were found statistically significant among the patients who underwent lung resection. 80.5% of patients from the resection group had two or more of these features on the initial CT scan, 64% had three or more. According to ROC analysis, simultaneous occurrence of multiple cavities equal to or greater than 3 cm and lung abscess predicted a pulmonary resection. CONCLUSION: The combination of CT features which clearly predict lung resection are the simultaneous occurrence of multiple cavities ≥ 3 cm and lung abscess. The most common triple combination of CT signs in the resected group of patients were multiple cavities ≥ 3 cm, consolidation of lung tissue and pleural effusion < 3 cm.
References provided by Crossref.org
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