Pneumothorax in Critically ill Patients with COVID-19 Infection: Incidence, Clinical Characteristics and Outcomes in a Case Control Multicenter Study
| Autor: | Boris Shkolnik, Rachel Vancavage, Edward Conuel, Biplab K. Saha, Amit Chopra, Hamid Yaqoob, Nagendra Madisi, Spyridon Zouridis, Ali Hani Al-Tarbsheh, Paul J. Feustel, Kurt Hu, Oleg Epelbaum, Hau Chieng, Jeannette Mullins, Sahar Ahmad, Natalya Kozlova, Ronaldo Ortiz-Pacheco, Woon H. Chong, Nidhi J. Shah, Kinner M. Patel, Divyansh Bajaj, John T. Huggins, Jozef Oweis, Marc A. Judson |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_treatment Pneumomediastinum Respiratory physiology 03 medical and health sciences coronavirus disease 2019 0302 clinical medicine Intensive care medicine Intubation 030212 general & internal medicine Original Research business.industry SARS-CoV-2 Incidence (epidemiology) Case-control study Pneumothorax COVID-19 Retrospective cohort study respiratory system medicine.disease mortality respiratory tract diseases 030228 respiratory system Barotrauma Anesthesia incidence business |
| Zdroj: | Respiratory Medicine |
| ISSN: | 1532-3064 0954-6111 |
| Popis: | BACKGROUND: The clinical features and outcomes of mechanically ventilated patients with COVID-19 infection who develop a pneumothorax has not been rigorously described or compared to those who do not develop a pneumothorax. PURPOSE: To determine the incidence, clinical characteristics, and outcomes of critically ill patients with COVID-19 infection who developed pneumothorax. In addition, we compared the clinical characteristics and outcomes of mechanically ventilated patients who developed a pneumothorax with those who did not develop a pneumothorax. METHODS: This study was a multicenter retrospective analysis of all adult critically ill patients with COVID-19 infection who were admitted to intensive care units in 4 tertiary care centers in the United States. RESULTS: A total of 842 critically ill patients with COVID-19 infection were analyzed, out of which 594 (71%) were mechanically ventilated. The overall incidence of pneumothorax was 85/842 (10%), and 80/594 (13%) in those who were mechanically ventilated. As compared to mechanically ventilated patients in the non-pneumothorax group, mechanically ventilated patients in the pneumothorax group had worse respiratory parameters at the time of intubation (mean PaO2:FiO2 ratio 105 vs 150, P |
| Databáze: | OpenAIRE |
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