TY - JOUR ID - 4002 TI - Diagnostic Value of Chest Radiography in Pediatric Cardiovascular Diseases: A Retrospective Study in Tabriz, Northwest of Iran JO - International Journal of Pediatrics JA - IJP LA - en SN - 2345-5047 AU - Molaie, Akbar AU - Abdinia, Babak AU - Zakeri, Roya AU - Talei, Ali AD - Assistant Professor of Pediatric Cardiology,Pediatric Health Research Center, Tabriz University of Medical Sciences,Tabriz, Iran. AD - Pdiatric Health Resarch Center,Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran AD - Pediatrician, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Y1 - 2015 PY - 2015 VL - 3 IS - 2.1 SP - 9 EP - 13 KW - Cardiovascular KW - Chest X-ray KW - Children DO - 10.22038/ijp.2015.4002 N2 - Background and Objective: Chest X-ray is usually the first radiography performed for a newborn. This test is easily accessible and yet a basic screening method. Different results have been reported in various studies regarding the diagnostic value of chest X-ray in cardiovascular disease in children. Materials and Methods: The study was carried out retrospectively using the medical files of 100 patients under 15 years of age who were referred to Tabriz Children’s Hospital during 2013-2014. The data obtained were analyzed with SPSS-17. The mean difference test was used to compare the quantitative variables. P-values less than 0.05 were considered significant. Findings: Fifty-two patients (52%) were male. Their mean age was 4.54  1.22 (0-108) months, and the patients’ mean weight was 4.38  0.34 (1.25-27) kg. Cardiovascular examination and radiology report were negative in 70% and 57% of the patients, respectively, while cardiologic assessments revealed cardiovascular problems in 70% of the cases. The diagnostic accuracy, sensitivity, and specificity, and the positive and negative predictive value of chest X-ray in this study were 61%, 80%, 53%, 86%, and 42%, respectively. In addition, gender, age, weight, the presence or absence of clinical signs, and the type of cardiovascular disease had no effect on the diagnostic accuracy of chest X-ray. Conclusion: According to the results, chest radiography cannot be referred to as a test to confirm or rule-out cardiovascular disease in children. Therefore, when a cardiovascular disease is suspected in physical examination, echocardiography can be recommended without a need for chest X-ray. UR - https://ijp.mums.ac.ir/article_4002.html L1 - https://ijp.mums.ac.ir/article_4002_c682939b1e968cdce6a3990e1834570b.pdf ER -