Incidence, clinical associations and outcomes of intrathoracic complications with and without ARDS in COVID-19 pneumonia

Escalon, Joanna G.; Toy, Dennis; Groner, Lauren K.; Legasto, Alan C.; Weisman, Stacey Versoza; Rotman, J; Asrani, Ashwin; Mahmood, Syed; Truong, Quynh A.

doi:10.1016/j.clinimag.2022.02.029

Cited by 4 publications

(1 citation statement)

References 39 publications

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“…A convenience sample was considered for this analysis, with consecutive patients included until the latest follow-up. A formal sample size calculation was, therefore, not performed; yet the study power retrospectively calculated was 97%, considering a null hypothesis proportion of barotrauma 0.02,[ [18] , [19] , [20] , [21] ] and an actual proportion of0.046, with an alpha of 0.05.…”

Section: Methodsmentioning

confidence: 99%

Macklin effect on baseline chest CT scan accurately predicts barotrauma in COVID-19 patients

Paternoster

Belmonte

Scarano

et al. 2022

Respiratory Medicine

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Section: Methodsmentioning

confidence: 99%

Macklin effect on baseline chest CT scan accurately predicts barotrauma in COVID-19 patients

Paternoster

Belmonte

Scarano

et al. 2022

Respiratory Medicine

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Evolution of SARS-CoV-2 related pneumatoceles: A case report

Camacho,

Arevalo,

Connolly

et al. 2024

Respiratory Medicine Case Reports

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Tube Thoracostomy Complications in Patients With ARDS Requiring ECMO: Worse in COVID-19 Patients?

Laverty,

Ivins-O’Keefe,

Adams

et al. 2023

Military Medicine

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Introduction The incidence and management outcomes of COVID-19 patients with acute respiratory distress syndrome (ARDS) on veno-venous extracorporeal membrane oxygenation (V-V ECMO) requiring chest tubes are not well-described. This study sought to explore differences in tube thoracostomy rates and subsequent complications between patients with and without COVID-19 ARDS on V-V ECMO. Materials and Methods This study is a single institution, retrospective cohort study of patients with COVID-19 ARDS requiring V-V ECMO. The control cohort consisted of patients who required V-V ECMO for ARDS-related diagnoses from January 2018 to January 2021. The primary outcome was any complication following initial tube thoracostomy placement. Study approval was obtained from the Brooke Army Medical Center Institutional Review Board (C.2017.152d). Results Twenty-five COVID-19 patients and 38 controls were included. Demographic parameters did not differ between the groups. The incidence of pneumothorax was not significantly different between the two groups (44% COVID-19 vs. 22% control, OR 2.8, 95% CI 0.95–7.9, P = 0.09). Patients with COVID-19 were as likely to receive tube thoracostomy as controls (36% vs. 24%, OR 1.8, 95% CI 0.55–5.7). Complications, however, were more likely to occur in the COVID-19 group (89% vs. 33%, OR 16, 95% CI, 1.6–201, P = 0.0498). Conclusions Tube thoracostomy placement in COVID-19 patients with ARDS requiring V-V ECMO is common, as are complications following initial placement. Clinicians should anticipate the need for re-intervention in this patient population. Small-bore (14Fr and smaller) pigtail catheters appeared to be safe and efficacious in this setting, but further study on tube thoracostomy management in ECMO patients is needed.

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Incidence, clinical associations and outcomes of intrathoracic complications with and without ARDS in COVID-19 pneumonia

Cited by 4 publications

References 39 publications

Macklin effect on baseline chest CT scan accurately predicts barotrauma in COVID-19 patients

Macklin effect on baseline chest CT scan accurately predicts barotrauma in COVID-19 patients

Evolution of SARS-CoV-2 related pneumatoceles: A case report

Tube Thoracostomy Complications in Patients With ARDS Requiring ECMO: Worse in COVID-19 Patients?

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