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Risk factors for suspected pulmonary embolism in children: Complication of Mycoplasma pneumoniae pneumonia.
Gu, Hui; Li, Bowen; Han, Yicheng; Yang, Shifeng; Wang, Ximing.
Afiliación
  • Gu H; Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, #324, Jingwu Road, Jinan, Shandong 250021, China.
  • Li B; Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, #324, Jingwu Road, Jinan, Shandong 250021, China.
  • Han Y; Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, #324, Jingwu Road, Jinan, Shandong 250021, China.
  • Yang S; Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, #324, Jingwu Road, Jinan, Shandong 250021, China.
  • Wang X; Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, #324, Jingwu Road, Jinan, Shandong 250021, China. Electronic address: wxming369@163.com.
Eur J Radiol ; 176: 111474, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38696918
ABSTRACT

PURPOSE:

Pulmonary embolism (PE) is not a rare complication of Mycoplasma pneumoniae pneumonia (MPP) in children. We sought to determine the incidence of PE in children with MPP who underwent clinically indicated CT pulmonary angiography (CTPA) and to evaluate the risk factors for PE.

METHODS:

All 106 children with MPP who were clinically suspected of having PE and who underwent CTPA were retrospectively enrolled from June 2018 to December 2021. The clinical features, laboratory data, and radiological parameters were recorded (e.g., lung consolidation involved and the Qanadli score). A Cox proportional hazards model and area under the receiver operating characteristic (ROC) curve were used to evaluate the risk factors and prognostic discriminatory capacity for PE.

RESULTS:

PE was detected in 26 of 106 (24.5 %) children (mean age, 6.2 years ± 3.3 years; 53 boys). Sixteen of the 26 (61.5 %) children with PE were boys. The mean age of the children with PE was 8.1 ± 2.9 years, and the mean Qanadli score was 15.3 ± 10.2. Children with PE had higher D-dimer levels (9.3 ± 7.1 mg/Lvs. 3.6 ± 3.8 mg/L) and a greater frequency of lung lobe consolidation (25 (96.2 %) vs. 64 (80.0 %)) (all P < 0.05). For children with MPP, age (hazard ratio (HR) = 1.96 (95 % CI1.04, 3.71; P = 0.037), D-dimer level (HR = 1.52, 95 % CI 1.03, 2.24; P = 0.029), and bilateral lung consolidation (HR = 2.41, 95 % CI 1.03, 5.58; P = 0.043) were found to be independent predictors of PE.

CONCLUSION:

Clinical and CT radiological predictors could be used to predict PE in children with MPP. The use of risk factor assessment as a tool has the potential to guide more appropriate use of CTPA in children.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía por Mycoplasma / Embolia Pulmonar / Angiografía por Tomografía Computarizada Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Eur J Radiol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía por Mycoplasma / Embolia Pulmonar / Angiografía por Tomografía Computarizada Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Eur J Radiol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Irlanda