High incidence and mortality of pneumothorax in critically Ill patients with COVID-19.
Heart Lung
; 50(1): 37-43, 2021.
Article
in English
| MEDLINE | ID: covidwho-856729
ABSTRACT
BACKGROUND:
The clinical characteristics of the patients with COVID-19 complicated by pneumothorax have not been clarified.OBJECTIVES:
To determine the epidemiology and risks of pneumothorax in the critically ill patients with COVID-19.METHODS:
Retrospectively collecting and analysing medical records, laboratory findings, chest X-ray and CT images of 5 patients complicated by pneumothorax.RESULTS:
The incidence of pneumothorax was 10% (5/49) in patients with ARDS, 24% (5/21) in patients receiving mechanical ventilation, and 56% (5/9) in patients requiring invasive mechanical ventilation, with 80% (4/5) patients died. All the 5 patients were male and aged ranging from 54 to 79 years old. Pneumothorax was most likely to occur 2 weeks after the beginning of dyspnea and associated with reduction of neuromuscular blockers, recruitment maneuver, severe cough, changes of lung structure and function.CONCLUSIONS:
Pneumothorax is a frequent and fatal complication of critically ill patients with COVID-19.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumothorax
/
COVID-19
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Heart Lung
Year:
2021
Document Type:
Article
Affiliation country:
J.hrtlng.2020.10.002
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