A Study on Clinico-Radiological Correlation of Pneumonia in Paediatric Age Group Patients (2 months-5 years) in a Tertiary Medical Institute
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
Aim: The objective of the study is to find out the correlation between clinical diagnosis of pneumonia and its radiological changes . Material and Methods: One fifty and two children aged 2months to 5 years, admitted at the department of Paediatrics, Midnapore Medical College and Hospital, West Bengal, from April 2016 to March 2017 with tachypnoea and/or chest retraction were included in the study. Children with known cardiovascular disease, asthma, tuberculosis and neurological disorders were excluded. Detailed clinical history taking, meticulous clinical examinations were performed and Chest x-rays were taken on admission for all included patients. Result: Sensitivity, Specificity, PPV, NPV of tachypnoea was 98.06%, 24.49%, 73.19% and 85.71% respectively. Sensitivity, specificity, PPV, NPV of grunting were calculated to be 9.70%,100%, 100% & 34.50% respectively. Fever, cough and tachypnoea together were present in 96(63.16%) children. Sensitivity and specificity of presence of fever, cough, and tachypnoea were 76.70% and 65.31%; PPV and NPV were calculated to be 82.29% and 57.14% respectively. Conclusion: Presence of Tachypnoea was the most sensitive parameter to diagnosis pneumonia. Grunting was the most specific parameter and had highest positive predictive value in respect of radiologically confirmed pneumonia.
Authors and Affiliations
Muhammad Bin Selim Halder
Keywords
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