Pediatric COVID-19: Correlations between Clinical and Imaging Perspectives
Table 2
Relations between COVID-19 clinical classification, radiological findings, and severity scores.
Variables
Clinical classification of COVID-19
value
Mild
Moderate
Severe
Critical
Abnormal chest X-ray findings
4 (33.3%)
9 (40.9%)
16 (57.1%)
16 (88.9%)
0.009
Ground-glass opacities and lung consolidations
1 (8.3%)
8 (36.3%)
11 (39.3%)
12 (66.7%)
0.024
Peribronchial thickenings and peribronchial opacities
3 (25%)
3 (22.7%)
5 (17.8%)
2 (11.1%)
0.961
Pleural effusions
0 (0.0%)
2 (9.0%)
4 (14.3%)
1 (5.6%)
0.834
Pneumothorax
0 (0.0%)
1 (4.5%)
0 (0.0%)
2 (11.1%)
0.559
Cardiomegaly
0 (0.0%)
0 (0.0%)
2 (7.1%)
2 (11.1%)
0.361
RSNA chest radiographic finding suggestive for COVID-19
Negative
10 (83.3%)
10 (40.9%)
12 (42.8%)
3 (16.7%)
Indeterminant
1 (16.7%)
11 (50.0%)
8 (28.6%)
7 (38.9%)
0.060
Typical
0 (0.0%)
0 (0.0%)
2 (7.2%)
4 (22.2%)
Atypical
1 (8.3%)
1 (4.5%)
6 (21.4%)
4 (22.2%)
RSNA CT chest findings suggestive for COVID-19
Negative
10 (83.3%)
10 (40.9%)
12 (42.9%)
3 (16.7%)
Indeterminant
1 (16.7%)
10 (45.5%)
7 (25%)
6 (33.3%)
0.043
Typical
0 (0.0%)
0 (0.0%)
2 (7.1%)
5 (27.8%)
Atypical
1 (8.3%)
2 (9%)
7 (25%)
4 (22.2%)
COVID-19 severity assessment score, median (IQR)
0 (0–4)
4.5 (2–5)
3 (2–5)
3.5 (2–5)
0.017
RAPID-COVID score, median (IQR)
1 (1–4)
2 (1–6)
3 (1–6)
6 (1–8)
0.001
Respiratory failure
0 (0.0%)
0 (0.0%)
6 (21.4%)
16 (88.9%)
0.001
Chest X-ray score, median (IQR)
0 (0–6)
1 (0–6)
2 (1–6)
4 (1–6)
<0.001
Chest CT severity score (CT-SS), median (IQR)
0 (0–4)
6 (0–12)
6 (0–14)
24 (12–28)
<0.001
RSNA: Radiological Society of North America Expert Consensus Statement; RAPID-COVID score: rapid evaluation of anamnesis, PO2, imaging disease, and dyspnea-COVID score. is significant; is highly significant.
