none 10.18502/wjpn.v8i1.21584 Knowledge E DMCC Knowledge E DMCC 7770 198445659 390917 1784631363 10.18502 2026-08-11T10:52:44Z 2026-07-21T10:56:04Z 0 World Journal of Peri & Neonatology WJPN 2645-4068 07 21 2026 Bozorgmehr Samanian Mehran Karimi Amir Pasha Amel Shahbaz Farimah Shamsi Reza Nafisi Moghadam Background: Although COVID-19 is generally milder in children, asubset develops severe pulmonary involvement requiring hospitalization.Evidence linking chest CT abnormalities to clinical outcomes inhospitalized children is limited. We evaluated CT findings and theirassociation with clinical presentation, disease severity, oxygen saturation,and short-term outcome. Methods:Hospital, Yazd, Iran. Clinical data and CT images (interpreted by aradiologist) were extracted from medical records. Associations were tested.Results: CT abnormalities were presentopacity was most common (50%), followed by consolidation (29.3%),atelectasis (14.6%), and pleural effusion (8.5%). Severe/critical disease was0.006). Oxygen saturation <94% was strongly associated with CTabnormalities (95.8% vs. 71.8%, P = 0.02). All six deaths occurred amongpatients with abnormal CT (P = 0.03). No significant associations were foundfor fever, cough, respiratory distress, or age group. Age group (1 month 1year, 1 5 years, 5 13 years, 13 18 years) was not significantly associatedwith CT findings.Conclusion: In hospitalized children with clinically indicated chest CT,pulmonary abnormalities were frequent and associated with severedisease and hypoxemia, while symptoms alone did not predict radiologicinvolvement. All deaths occurred in the abnormal-CT group. Routine CTscreening is not supported, and findings require prospective validation 05 24 2026 10.18502/wjpn.v8i1.21584 https://publish.kne-publishing.com/index.php/WJPN/article/view/21584 https://wjpn.ssu.ac.ir/article_488.html