COMMON PATHOLOGICAL FINDINGS IN PAEDIATRIC CHEST RADIOGRAPHS IN NNAMDI AZIKIWE UNIVERSITY TEACHING HOSPITAL, NNEWI
Anierobi, Charles Okechukwu
hisroyalty0@gmail.com Department of Medical Radiography, Faculty of Health Science and Technology, Nnamdi Azikiwe University, Awka
The study examined common pathological findings in paediatric chest radiographs in Nnamdi Azikiwe University Teaching Hospital, Nnewi. A descriptive cross-sectional study was adopted for the study. The work targeted all paediatric patients who underwent chest x-ray investigation in the radiology department of Nnamdi Azikiwe University in the year 2017. A purposive sampling method was adopted in sampling participants for the study. The research was done using records that met the inclusion criteria dating the year 2017. A total of 100 patient records, below fourteen years of age that met the criteria for inclusion were used after scrutinizing records of patients. Data obtained were analyzed using descriptive statistics of mean, frequency and standard deviation. Results showed that At Nnamdi Azikiwe University Teaching Hospital (NAUTH), out of 100 paediatric patients recorded who had plain chest x-ray examinations, 63%(n=52) patients presented with normal radiographic findings while 37%(n=48) presented with pathological findings. It also revealed that the common pathological findings are bronchopneumonia 15%(n=19), foreign body 4%(n=8), pulmonary tuberculosis 4%(n=5), interstitial lung disease 4%(n=8), pneumonic consolidation 3%(n=3), congestive cardiac failure 4%(n=4), pleural effusion 2%(n=1), then the normal findings of this study include normal study 63%(n=52). Bronchopneumonia has the highest frequency of occurrence at 15%, where male patients were more affected than females. The age group range of range of 0-3 years is more susceptible to most diseases apart from normal findings, this may be related to this age’s physiological immune status (congenital or non-congenital) or social behaviour. It was recommended among others that Chest X-rays should also be seconded with 2-D echocardiography or ultrasound for most cases of congenital cardiopathies.
Ahmed D.; Belgin U.; Pinar, B. & Arif, H. C. (2006). Role of chest X-ray in the management of patients with chest pain and dysponea in the emergency department. Turkish Journal of Emergency Medicine 6 (2): 60.1304-7361
Chen, K.; Liew, Y.; Wong, H. (2000). Sonographic septation: A useful prognostic indicator of acute thoracic empyema. Journal of Ultrasound Medicine 19, 837–843
Cherian, T. (2005). Standardized interpretation of paediatric chest radiographs for the diagnosis of pneumonia in epidemiological studies. Bull World Health Organ 83 (5), 353-359
Coley BD (2005). Paediatric chest ultrasound. Radiology Clinic of North America. 43 (3), 405–418
Cooley WC, Sagerman PJ (2011). American Academy of Paediatrics; American Academy of Family Physicians; American College of Physicians; Transition Clinical Authoring Group. Supporting the health care transition from adolescence to adulthood in the medical home. Paediatrics.;128 (1):182–200
Copley, S. J.; Coren, M.; Nicholas, A.G.; Rubens, M. B.; Bush, A., Hansell, D. M. (2000). Diagnostic accuracy of thin-section CT and chest radiography of pediatric interstitial lung disease. AJR Am J Roentgenol. 2000 Feb;174 (2), 549-54
Donna, M. D Alessandro (2012). Theracpaedoa. Virtual Paediatric Hospital; 39 (Suppl 1):S57–S64
Frush DP, Frush KS (2008). The ALARA concept in paediatric imaging: building bridges between radiology and emergency medicine: consensus conference on imaging safety and quality for children in the emergency setting, Orlando, FL—executive summary. Paediatric Radiology 38 (Supply 4): S629–S632
Mattew, S. & Kelly et al. (2016). Radiographic findings and outcomes of pneumonia among children in Bostwana. The Paediatric Infectious Disease Journal 35 (3), 257-262DOI: 10.1097/INF.0000000000000990
Roiha et al (2008). Viral etiology of acute respiratory infections with cough in infancy: A community-based birth cohort study. Pediatr Infect Dis J. 2008 Feb;27(2):100-5.
Siamak N. & William, C. (2019). Chest x-ray, reasons for produce, normal and abnormal results. NIH. Chest X Ray. https://www.nhlbi.nih.gov/health/health-topics/topics/cxray
Sobia Nizami, Naila Nadeem (2010). Chest radiograph in the paediatric inpatient: A chart review. Pak J Med Sci 26 (4), 814-817
Stephen, M.; Selbst, R. M.; Ruddy, B. J. & Clark, F. M. (1988). Paediatric chest pain: A prospective study. Paediatrics 82 (3), 319-323. DOI: 10.1542/peds.82.3.319
Wikipedia (2021). Lung Volumes. The free encyclopaedia. https://en.wikipedia.org/w/index php?title=Lung_volumes&oldid=1206443005
William C. S. (2018). Clinical definition of paediatric with medical complexity.
Yolanda, V. G. & Speets, A. M. (2006). Chest radiohraphy in general practice: Indications, diagnostic yield and consequences for patient management. Br J Gen Pract 56 (529), 574-8
Chen, K.; Liew, Y.; Wong, H. (2000). Sonographic septation: A useful prognostic indicator of acute thoracic empyema. Journal of Ultrasound Medicine 19, 837–843
Cherian, T. (2005). Standardized interpretation of paediatric chest radiographs for the diagnosis of pneumonia in epidemiological studies. Bull World Health Organ 83 (5), 353-359
Coley BD (2005). Paediatric chest ultrasound. Radiology Clinic of North America. 43 (3), 405–418
Cooley WC, Sagerman PJ (2011). American Academy of Paediatrics; American Academy of Family Physicians; American College of Physicians; Transition Clinical Authoring Group. Supporting the health care transition from adolescence to adulthood in the medical home. Paediatrics.;128 (1):182–200
Copley, S. J.; Coren, M.; Nicholas, A.G.; Rubens, M. B.; Bush, A., Hansell, D. M. (2000). Diagnostic accuracy of thin-section CT and chest radiography of pediatric interstitial lung disease. AJR Am J Roentgenol. 2000 Feb;174 (2), 549-54
Donna, M. D Alessandro (2012). Theracpaedoa. Virtual Paediatric Hospital; 39 (Suppl 1):S57–S64
Frush DP, Frush KS (2008). The ALARA concept in paediatric imaging: building bridges between radiology and emergency medicine: consensus conference on imaging safety and quality for children in the emergency setting, Orlando, FL—executive summary. Paediatric Radiology 38 (Supply 4): S629–S632
Mattew, S. & Kelly et al. (2016). Radiographic findings and outcomes of pneumonia among children in Bostwana. The Paediatric Infectious Disease Journal 35 (3), 257-262DOI: 10.1097/INF.0000000000000990
Roiha et al (2008). Viral etiology of acute respiratory infections with cough in infancy: A community-based birth cohort study. Pediatr Infect Dis J. 2008 Feb;27(2):100-5.
Siamak N. & William, C. (2019). Chest x-ray, reasons for produce, normal and abnormal results. NIH. Chest X Ray. https://www.nhlbi.nih.gov/health/health-topics/topics/cxray
Sobia Nizami, Naila Nadeem (2010). Chest radiograph in the paediatric inpatient: A chart review. Pak J Med Sci 26 (4), 814-817
Stephen, M.; Selbst, R. M.; Ruddy, B. J. & Clark, F. M. (1988). Paediatric chest pain: A prospective study. Paediatrics 82 (3), 319-323. DOI: 10.1542/peds.82.3.319
Wikipedia (2021). Lung Volumes. The free encyclopaedia. https://en.wikipedia.org/w/index php?title=Lung_volumes&oldid=1206443005
William C. S. (2018). Clinical definition of paediatric with medical complexity.
Yolanda, V. G. & Speets, A. M. (2006). Chest radiohraphy in general practice: Indications, diagnostic yield and consequences for patient management. Br J Gen Pract 56 (529), 574-8