Spontaneous Pneumothorax in Post COVID-19 Patients - A Case Series

Wadhawan, Gaurav; Thakkar, Konark; Singh, Ravdeep

doi:10.26502/jsr.10020200

Cited by 2 publications

(2 citation statements)

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“…Smoking is considered an important predisposing factor for PNX. However, in previous publications, the majority of PNX patients were non-smokers [ 6 , 11 , 12 , 13 ]. In the present study, it was found that 56.8% of the patients who developed PNX did not have a history of smoking, and this result was similar to the results of other studies.…”

Section: Discussionmentioning

confidence: 98%

Evaluation of Patients Who Developed Pneumothorax Due to COVID-19

ÇORAPLI>

Tekin

2022

Diagnostics

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Background: Although SARS-CoV-2 infection often affects the lungs, pneumothorax is extremely rare. The aim of this study was to analyze the characteristics of patients who were hospitalized due to COVID-19 and who developed pneumothorax (PNX) and to analyze their risk factors. Methods: Patients who developed PNX, among the patients who were followed up in the hospital due to COVID-19 between 1 April 2020 and 1 April 2022, were included in the study. The mean and standard deviation values of the descriptive statistics were obtained from patient data. The entire application was carried out using IBM SPSS 26 (IBM Corp., Armonk, NY, USA). p values < 0.05 were considered statistically significant. Results: We observed that advanced age and male gender increase the risk of COVID-19 patientsdeveloping PNX, but smoking, sepsis, and being followed-up with mechanical ventilation do not increase this risk. In addition, we observed that the presence of an additional disease increases the mortality rate. Conclusion: We show that advanced age and male gender increase the risk for PNX, which is a rare complication of COVID-19, and that comorbidity is associated with mortality in these patients.

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Section: Discussionmentioning

confidence: 98%

Evaluation of Patients Who Developed Pneumothorax Due to COVID-19

ÇORAPLI>

Tekin

2022

Diagnostics

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“…Across the pandemic waves, the frequency of GGO lesions on chest CT scans increased among the non-COVID cases with SP-SPM (reaching from 0% in the first wave to 50% in the fifth wave). This trend might imply a potential history of SARS-CoV-2 infection in these cases and would indicate a higher risk of SP or SPM in patients with such a medical record, as was mentioned in several reports [22,[29][30][31].…”

Section: Imaging and Laboratory Findings In Patients With Sp-spmmentioning

confidence: 53%

Non-Ventilated Patients with Spontaneous Pneumothorax or Pneumomediastinum Associated with COVID-19: Three-Year Debriefing across Five Pandemic Waves

Marza,

Cindrea,

Petrica

et al. 2023

JPM

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Spontaneous pneumothorax and pneumomediastinum (SP–SPM) are relatively rare medical conditions that can occur with or independently of COVID-19. We conducted a retrospective analysis of SP–SPM cases presented to the emergency departments (EDs) of two University-affiliated tertiary hospitals from 1 March 2020 to 31 October 2022. A total of 190 patients were identified: 52 were COVID-19 cases, and 138 were non-COVID-19 cases. The primary outcome we were looking for was in-hospital mortality. The secondary outcomes concerned the disease severity assessed by (a) days of hospitalization; (b) required mechanical ventilation (MV); and (c) required intensive care (IC). All were investigated in the context of the five pandemic waves and the patients’ age and comorbidities. The pandemic waves had no significant effect on the outcomes of these patients. Logistic regression found age (OR = 1.043; 95%CI 1.002–1.085), COVID-19 (OR = 6.032; 95%CI 1.757–20.712), number of comorbidities (OR = 1.772; 95%CI 1.046–3.001), and ground-glass opacities over 50% (OR = 5.694; 95%CI 1.169–27.746) as significant risk predictors of in-hospital death while controlling for gender, smoking, the pandemic wave, and the extension of SP–SPM. The model proved good prediction performance (Nagelkerke R-square = 0.524) and would hold the same significant predictors for MV and IC.

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Spontaneous Pneumothorax in Post COVID-19 Patients - A Case Series

Cited by 2 publications

References 0 publications

Evaluation of Patients Who Developed Pneumothorax Due to COVID-19

Evaluation of Patients Who Developed Pneumothorax Due to COVID-19

Non-Ventilated Patients with Spontaneous Pneumothorax or Pneumomediastinum Associated with COVID-19: Three-Year Debriefing across Five Pandemic Waves

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