Evidence map›Paper›PMID 32926572›Full record

SynthesisPediatric pulmonology2021

Pediatric lung imaging features of COVID-19: A systematic review and meta-analysis.

Gustavo Nino, Jonathan Zember, Ramon Sanchez-Jacob, Maria J Gutierrez, Karun Sharma, Marius George Linguraru

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pediatric pulmonology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. SARS-CoV-2 Infection and COVID-19 in Children.Clinics in chest medicine · 2023
    Review
  5. Article
  6. Which Groups of Children Are at More Risk of Fatality during COVID-19 Pandemic? A Case-Control Study in Yazd, Iran.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
  7. Article
  8. Review
  9. Risk factors for disease severity and mortality of children with Covid-19: A study at a Vietnamese Children's hospital.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. COVID-19 in Children.Pediatric clinics of North America · 2022
    Review
  14. Article
  15. Article
  16. COVID-19 in a group of children with asthma: presentation, severity, and outcome.American journal of clinical and experimental immunology · 2022
    Article
  17. Article
  18. Review
  19. Covid-19 imaging: A narrative review.Annals of medicine and surgery (2012) · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Gustavo NinoDivision of Pediatric Pulmonary and Sleep Medicine, Children's National Hospital, Washington, District of Columbia, USA.ORCID 0000-0001-8621-6109
Jonathan ZemberDepartment of Pediatrics, George Washington University School of Medicine, Washington, District of Columbia, USA.
Ramon Sanchez-JacobDepartment of Pediatrics, George Washington University School of Medicine, Washington, District of Columbia, USA.
Maria J GutierrezDivision of Pediatric Allergy and Immunology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0001-5494-5841
Karun SharmaDepartment of Pediatrics, George Washington University School of Medicine, Washington, District of Columbia, USA.
Marius George LinguraruDepartment of Pediatrics, George Washington University School of Medicine, Washington, District of Columbia, USA.
Children's National · USJohns Hopkins University · US

Funding

THE HUMAN INFANT AIRWAY EPITHELIUM AND RECURRENT WHEEZING AFTER RV AND RSV INFECTIONR01HL141237 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI NINO, GUSTAVO · 2019 to 2022
$2.8M
Imaging biomarkers of severe respiratory infections in premature infants Phase IIR42HL145669 · NHLBI · KITWARE, INC. · PI ENQUOBAHRIE, ANDINET ASMAMAW, LINGURARU, MARIUS GEORGE · 2021 to 2022
$1.7M
TSLP responses in the human infant airway epithelium and recurrent wheezing after RV and RSV InfectionR56HL141237 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI NINO, GUSTAVO · 2018 to 2018
$442k
Imaging Biomarkers of Severe Respiratory Infections in Premature InfantsR41HL145669 · NHLBI · KITWARE, INC. · PI ENQUOBAHRIE, ANDINET ASMAMAW, LINGURARU, MARIUS GEORGE · 2018 to 2018
$225k
NHLBI NIH HHS HL141237 andNHLBI NIH HHS HL145669NHLBI NIH HHS R01 HL141237NHLBI NIH HHS R41 HL145669NHLBI NIH HHS R42 HL145669NHLBI NIH HHS R56 HL141237
6 · The paper itself

Abstract

rationalePediatric COVID-19 studies have been mostly restricted to case reports and small case series, which have prevented the identification of specific pediatric lung disease patterns in COVID-19. The overarching goal of this systematic review and meta-analysis is to provide the first comprehensive summary of the findings of published studies thus far describing COVID-19 lung imaging data in the pediatric population.

methodsA systematic literature search of PubMed was performed to identify studies assessing lung-imaging features of COVID-19 pediatric patients (0-18 years). A single-arm meta-analysis was conducted to obtain the pooled prevalence and 95% confidence interval (95% CI).

resultsA total of 29 articles (n = 1026 children) based on chest computerized tomography (CT) images were included. The main results of this comprehensive analysis are as follows: (1) Over a third of pediatric patients with COVID-19 (35.7%, 95% CI: 27.5%-44%) had normal chest CT scans and only 27.7% (95% CI: 19.9%-35.6%) had bilateral lesions. (2) The most typical pediatric chest CT findings of COVID-19 were ground-glass opacities (GGO) (37.2%, 95% CI: 29.3%-45%) and the presence of consolidations or pneumonic infiltrates (22.3%, 95% CI: 17.8%-26.9%). (3) The lung imaging findings in children with COVID-19 were overall less frequent and less severe than in adult patients. (4) Typical lung imaging features of viral respiratory infections in the pediatric population such as increased perihilar markings and hyperinflation were not reported in children with COVID-19.

conclusionChest CT manifestations in children with COVID-19 could potentially be used for early identification and prompt intervention in the pediatric population.

Indexed as

Radiography, ThoracicTomography, X-Ray ComputedAdolescentAdultChildChild, PreschoolCOVID-19FemaleHumansInfantLungMaleSensitivity and Specificitylung CT scanmeta-analysispediatric COVID-19SARS-CoV-2

Identifiers

PMID32926572
PMCPMC8287438
OpenAlexW3085026028

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.