Comparison of clinical and radiological characteristics of COVID-19 patients with and without pneumothorax and/or pneumediastinum.

IF 0.7 Q4 RESPIRATORY SYSTEM Tuberkuloz ve Toraks-Tuberculosis and Thorax Pub Date : 2022-09-01 DOI:10.5578/tt.20229707

Emine Argüder, Meltem Fidan, Halil Tekdemir, Bökebatur Ahmet Raşit Mendi, Abdullah Fidan, Hayriye Cankar Dal, Ümran Özden Sertçelik, İrem Şerifoğlu, Sibel Günay, Dilek Kazancı, Sema Turan, Hatice Kılıç, H Canan Hasanoğlu, Ayşegül Karalezli

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Abstract

Introduction: Pneumothorax (PTX) and pneumomediastinum (PM) are frequently encountered in patients with Coronavirus disease 2019 (COVID-19) and complicate the management of these patients. In this study, we aimed to evaluate the risk factors that cause PTX/PM complications in patients hospitalized due to COVID-19 pneumonia and the effects of these complications on the course of the disease.

Materials and methods: A total of 503 patients with COVID-19 hospitalized in the COVID-19 ward or intensive care unit (ICU) between September 2020 and December 2020 were included in the study.

Result: The median age of patients was 65 (min-max, 21-99) years. Of the patients 299 (59.4%) were male and 204 (40.6%) were female. Of the cases, 26 (5.2%) developed PTX or PM. The patients who developed PTX/PM were older than patients who did not [58.5 (min-max, 21-96) vs 65 years (min-max, 22-99), p= 0.029]. The percentage of PTX/PM development was significantly higher in male patients [F/M= 4/22 (2/7.4%) vs 200/277 (98/92.6%), p= 0.007]. Hypertension as a comorbidity was more commonly seen in the group without PTX/PM (p= 0.007). Ground-glass opacity was the most common tomographic finding in both groups, it was significantly higher in those who did not develop PTX/PM (p<0.001). The length of hospital stay was shorter in patients with PTX/PM (p<0.001), but mortality was higher (p= 0.04).

Conclusions: PTX/PM were relatively more common in COVID-19 patients. These complications may negatively affect the prognosis of the disease.

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合并和不合并气胸和/或纵隔肺炎的COVID-19患者的临床和影像学特征比较

简介:2019冠状病毒病(COVID-19)患者经常出现气胸(PTX)和纵隔气肿(PM)，使这些患者的治疗复杂化。在本研究中，我们旨在评估导致COVID-19肺炎住院患者PTX/PM并发症的危险因素及其对病程的影响。材料与方法:选取2020年9月至2020年12月在新冠肺炎病房或重症监护病房(ICU)住院的503例新冠肺炎患者作为研究对象。结果:患者中位年龄65岁(最小-最大21-99岁)。其中男性299例(59.4%)，女性204例(40.6%)。26例(5.2%)发生PTX或PM。发生PTX/PM的患者比未发生PTX/PM的患者年龄大[58.5 (min-max, 21-96) vs 65 (min-max, 22-99)， p= 0.029]。PTX/PM在男性患者中的发展比例明显更高[F/M= 4/22 (2/7.4%) vs 200/277 (98/92.6%)， p= 0.007]。高血压作为合并症在没有PTX/PM的组中更为常见(p= 0.007)。毛玻璃影是两组中最常见的断层扫描发现，在未发生PTX/PM的患者中明显更高(结论:PTX/PM在COVID-19患者中相对更常见)。这些并发症可能对疾病的预后产生负面影响。

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来源期刊

Tuberkuloz ve Toraks-Tuberculosis and Thorax RESPIRATORY SYSTEM-

CiteScore

1.50

自引率

9.10%

发文量