Spontaneous Pneumothorax Incidence and Clinical Features in Non-Intubated COVID-19 Patients

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Tarih

2023

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Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Objective: In this study, we aimed to review the pneumothorax incidence and results of patients receiving treatment due to COVID-19 infection. Method: A total of 41,525 cases who were admitted to the emergency department between 01 April 2020 and 01 January 2021 with COVID-19 symptoms were reviewed. Of these patients 14,611 were hospitalized. Clinical and laboratory features of patients who had been diagnosed with spontaneous pneumothorax with PA chest radiography were evaluated and included in the study. Results: A total of 11 cases who were diagnosed with spontaneous pneumothorax and had a positive PCR test were included in the study. Of these cases, 8 were male and 3 were female. The age distribution was 50-84 and the mean age was 66.5 years. None of our cases had received invasive or non-invasive mechanical ventilation before diagnosis. The most common comorbidities were chronic obstructive pulmonary disease (6/11) and hypertension (2/11). Pneumothorax was right-sided in six cases and left-sided in four cases. It was concurrently bilateral in one case. Conclusion: Spontaneous pneumothorax is a rarely encountered condition in COVID-19 patients and its pathophysiological mechanisms are still unknown. The incidence of spontaneous pneumothorax in non-intubated COVID-19 patients is approximately 10-fold more frequent then normal population. This result demonstrates that spontaneous pneumothorax incidence secondary to COVID-19 infection is much higher than expected.

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Anahtar Kelimeler

COVID-19, pneumothorax, tube thoracostomy, viral pneumonia, lung disease

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Cilt

12

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3

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