Browsing by Autor "Laura Melissa Mendez"

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    Chest X-Ray Interpretation in the EPICO Pediatric COVID-19 Study: Addressing Misconceptions
    (2025) Luis Miguel Navarro‐Ramirez; Pablo Vásquez‐Hoyos; María Lucia Mesa-Rubio; Melisa Naranjo Vanegas; Diego Montero; Claudia Burgos; Laura Melissa Mendez; María Rodríguez-Pérez; Arianna Martinez; Paola Andrea Sánchez
    Chest X-Ray Interpretation in the EPICO Pediatric COVID-19 Study: Addressing MisconceptionsLuis Miguel Navarro‐Ramirez¹˒² | Pablo Vásquez‐Hoyos³˒⁴ | María Lucía Mesa‐Rubio⁵ | Melisa Naranjo Vanegas¹˒⁶ | Daniela Duarte-Montero¹˒⁷ | Claudia Burgos⁵ | Laura Melissa Mendez⁵ | María Margarita Rodriguez⁵ | Arianna Martinez⁵ | Paola Sanchez⁵ | Carolina Tovar⁵ | Gabriela Friedrich¹ | Gustavo Adolfo Triana‐Rodriguez⁸ | Mónica Royero‐Arias⁹ | Jessica Echeverry¹⁰ | Tamara Gamo¹⁰ | Luz Ángela Moreno⁴˒¹⁰ | Olga Lucía Baquero¹¹ | Luz Marina Mejía¹² | Sonia Restrepo‐Gualteros⁵ | Sergio Moreno‐Lopez¹ | Juan Gabriel Piñeros⁵ | Carlos Álvarez‐Moreno⁴˒¹³ | Alejandro Díaz‐Díaz¹⁴˒¹⁵ | Iván Felipe Gutierrez¹⁶ | Clara Galvis‐Diaz¹⁷ | José Manuel Nieto¹⁸ | Irati Gastesi¹⁹ | Cinta Moraleda¹⁹ | Alfredo Tagarro García¹⁹ | Andrea Ramirez Varela²⁰˒²¹˒²² | EPICO‐Colombia and EPICO‐AEP working groups¹ School of Medicine, Universidad de los Andes, Bogotá D.C., Colombia ² Craig Dalsimer Division of Adolescent Medicine, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA ³ Red Colaborativa Pediátrica de Latinoamérica (LARed Network), Montevideo, Uruguay ⁴ School of Medicine, Universidad Nacional de Colombia, Bogotá D.C., Colombia ⁵ Department of Pediatrics, Fundación Santa Fe de Bogotá, Universidad de los Andes, Bogotá D.C., Colombia ⁶ Medical Imaging & AI Group - Bioscience Center, Ayudas Diagnósticas Sura, Medellín, Antioquia, Colombia ⁷ PediAFe Research Group, Fundación Santa Fe de Bogotá, Universidad de los Andes, Bogotá D.C., Colombia ⁸ Department of Diagnostic Imaging, Fundación Santa Fe de Bogotá, Bogotá D.C., Colombia ⁹ Pediatric Radiology, Servicios de Salud San Vicente Fundación, Medellín, Antioquia, Colombia ¹⁰ HOMI, Fundación Hospital Infantil de la Misericordia, Bogotá D.C., Colombia ¹¹ Clínica Infantil Colsubsidio, Bogotá D.C., Colombia ¹² Instituto de Ortopedia Infantil Roosevelt, Bogotá D.C., Colombia ¹³ Clínica Universitaria Colombia, Clínica Colsanitas, Bogotá D.C., Colombia ¹⁴ Pediatric Infectious Diseases, Hospital Pablo Tobón Uribe, Medellín, Antioquia, Colombia ¹⁵ Pediatric Infectious Diseases, Hospital General de Medellín, Medellín, Antioquia, Colombia ¹⁶ Pediatric Infectious Diseases, Clínica Infantil Santa Maria del Lago, Clínica Colsanitas, Bogotá D.C., Colombia ¹⁷ Hospital Militar Central, Bogotá D.C., Colombia ¹⁸ Hospital Regional de la Orinoquía, Yopal, Casanare, Colombia ¹⁹ Fundación Investigación Biomédica Hospital Universitario 12 de Octubre (FIBH12O), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain ²⁰ Department of Epidemiology, School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas, USA ²¹ Department of Pediatrics, McGovern Medical School, University of Texas Health Sciences Center at Houston (UTHealth), Houston, Texas, USA ²² School of Public Health, Center for Health Equity, University of Texas Health Science Center at Houston, Houston, Texas, USACorresponding author: Luis Miguel Navarro-Ramirez | Lm.navarror@uniandes.edu.coAddress for reprint: Universidad de los Andes, School of Medicine, Carrera 7 # 116-05, Bogotá DC, Colombia.To the editor,We appreciate the opportunity to respond to the commentary by Daungsupawong and Wiwanitkit regarding our manuscript, “What to Look for in Chest X-Rays of Pediatric Patients With COVID-19: Insights From a Colombian Cohort” [1,2]. We thank the authors for their interest in our work and their thoughtful engagement. Several of the concerns raised in the commentary were, in fact, addressed in the original manuscript; nonetheless, we welcome the opportunity to clarify these points and provide additional context where needed.
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    WHAT TO LOOK FOR IN CHEST X-RAYS OF PEDIATRIC PATIENTS WITH COVID-19: INSIGHTS FROM A COLOMBIAN COHORT.
    (2023) Melisa Naranjo Vanegas; Claudia Burgos; Laura Melissa Mendez; María Margarita Rodriguez; Arianna Martinez; Paola Andrea Sánchez; Carolina Tovar; Pablo Vásquez‐Hoyos; María Lucia Mesa-Rubio; Gustavo Triana
    Background: Despite advancements in vaccination and the transition from pandemic to endemic, SARS-CoV-2 continues to pose a medical challenge, particularly among children. In this context, imaging diagnostics, such as chest x-rays, are crucial to the initial treatment of patients. This study aims to characterize the radiological findings in pediatric patients with confirmed SARS-CoV-2 infection in Colombia between April 2020 and November 2021, as well as their potential association with intensive care admission. Methods: In Colombia, a multicenter cohort comprised patients aged 29 days to 17 years with confirmed SARS-CoV-2 infection and chest X-ray administered within 72 hours of hospitalization. In two separate groups, four radiologists evaluated the images. A fifth radiologist reviewed all the X-rays; and subsequently, these readings were used to calculate the kappa coefficient and to resolve discrepancies among the other radiologists. The results were compared to admission to intensive care. Results: Analysis was conducted on 392 patients with a mean age of 2 years, the majority of whom (42%) were infants. Sixty-eight percent of the radiographs had normal results. Peribronchial thickening and interstitial opacity were the most common aberrant findings (59%), followed by alveolar opacity (12%). 88 percent of findings were bilateral. The most common association between peribronchial thickening and intensive care admission was ventilatory failure. Interobserver agreement was low for peribronchial thickening (kappa = 0.1), but higher for consolidations and alveolar opacities (kappa = 0.4 and 0.5, respectively). Conclusion: In pediatric patients with SARS-CoV-2, radiological findings are nonspecific and interobserver agreement is minimal. Although consolidation and alveolar opacities demonstrated greater concordance, they were not associated with clinical differences; therefore, chest radiography is not considered useful for determining the severity of COVID-19 in children.