Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients.
Background: Spontaneous pneumothorax (SP) and or spontaneous pneumomediastinum (SM) are once in a while found clinical complication among the COVID-19 patients. Objectives: This study aims to investigate the occurrence of spontaneous pneumothorax and or spontaneous pneumomediastinum, risk factors,...
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| Format: | Article |
| Language: | English |
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South Valley University, Faculty of Medicine
2022-07-01
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| Series: | SVU - International Journal of Medical Sciences |
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| Online Access: | https://svuijm.journals.ekb.eg/article_236777.html |
| _version_ | 1811254725943754752 |
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| author | Mohamed Sabry Abdelmotaleb* |
| author_facet | Mohamed Sabry Abdelmotaleb* |
| author_sort | Mohamed Sabry Abdelmotaleb* |
| collection | DOAJ |
| description | Background: Spontaneous pneumothorax (SP) and or spontaneous pneumomediastinum (SM) are once in a while found clinical complication among the COVID-19 patients.
Objectives: This study aims to investigate the occurrence of spontaneous pneumothorax and or spontaneous pneumomediastinum, risk factors, and outcomes among COVID-19 patients.
Patients and methods: This is a retrospective chart review of all COVID-19 patients who complicated with a spontaneous pneumothorax and/or spontaneous pneumomediastinum with subcutaneous emphysema from April 2020 to December 2021.
Results: A total 49 COVID-19 patients who complicated with a spontaneous pneumothorax and/or spontaneous pneumomediastinum with subcutaneous emphysema were included in the study. Incidence of a SP and/or SM with SC emphysema among ICU admitted COVID-19 patients was 8.03% (49/610) and was 0.98% (49/5000) among all hospitalized COVID-19 patients. The overall mean age was 53.31± 15.36 and most of them were males 33 (67.35%) patients. 31 (63.27%) patients had co-morbidities. We had 24(48.98%) patients with spontaneous pneumothorax without spontaneous pneumomediastinum and subcutaneous emphysema, 17(34.69%) patients had spontaneous pneumothorax with spontaneous pneumomediastinum and subcutaneous emphysema and 8(16.33%) patients had spontaneous pneumomediastinum and subcutaneous emphysema without, Spontaneouspneumothorax.11(22.45%) patients were managed conservatively while right Chest tube was inserted in 16(32.65%) patients, left chest tube was inserted in 9(18.37%) patients and bilateral chest tubes were inserted in 13(26.53%) patients. Total mortality was 33 (67.35%) patients
Conclusions: Spontaneous pneumothorax is one of the complications of COVID-19 with a higher mortality rate and worse prognosis. |
| first_indexed | 2024-04-12T17:12:59Z |
| format | Article |
| id | doaj.art-4b6d1c98accb4065a965bcad11cce27d |
| institution | Directory Open Access Journal |
| issn | 2735-427X 2636-3402 |
| language | English |
| last_indexed | 2024-04-12T17:12:59Z |
| publishDate | 2022-07-01 |
| publisher | South Valley University, Faculty of Medicine |
| record_format | Article |
| series | SVU - International Journal of Medical Sciences |
| spelling | doaj.art-4b6d1c98accb4065a965bcad11cce27d2022-12-22T03:23:45ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022022-07-0152253261https://dx.doi.org/10.21608/svuijm.2022.136679.1310Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients.Mohamed Sabry Abdelmotaleb*0Department of Cardiothoracic surgery, Faculty of Medicine, Menoufia University, Shebin Elkoum, Menoufia, EgyptBackground: Spontaneous pneumothorax (SP) and or spontaneous pneumomediastinum (SM) are once in a while found clinical complication among the COVID-19 patients. Objectives: This study aims to investigate the occurrence of spontaneous pneumothorax and or spontaneous pneumomediastinum, risk factors, and outcomes among COVID-19 patients. Patients and methods: This is a retrospective chart review of all COVID-19 patients who complicated with a spontaneous pneumothorax and/or spontaneous pneumomediastinum with subcutaneous emphysema from April 2020 to December 2021. Results: A total 49 COVID-19 patients who complicated with a spontaneous pneumothorax and/or spontaneous pneumomediastinum with subcutaneous emphysema were included in the study. Incidence of a SP and/or SM with SC emphysema among ICU admitted COVID-19 patients was 8.03% (49/610) and was 0.98% (49/5000) among all hospitalized COVID-19 patients. The overall mean age was 53.31± 15.36 and most of them were males 33 (67.35%) patients. 31 (63.27%) patients had co-morbidities. We had 24(48.98%) patients with spontaneous pneumothorax without spontaneous pneumomediastinum and subcutaneous emphysema, 17(34.69%) patients had spontaneous pneumothorax with spontaneous pneumomediastinum and subcutaneous emphysema and 8(16.33%) patients had spontaneous pneumomediastinum and subcutaneous emphysema without, Spontaneouspneumothorax.11(22.45%) patients were managed conservatively while right Chest tube was inserted in 16(32.65%) patients, left chest tube was inserted in 9(18.37%) patients and bilateral chest tubes were inserted in 13(26.53%) patients. Total mortality was 33 (67.35%) patients Conclusions: Spontaneous pneumothorax is one of the complications of COVID-19 with a higher mortality rate and worse prognosis.https://svuijm.journals.ekb.eg/article_236777.htmlcovid-19; emphysema; pneumomediastinum; pneumonia; pneumothorax |
| spellingShingle | Mohamed Sabry Abdelmotaleb* Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients. SVU - International Journal of Medical Sciences covid-19; emphysema; pneumomediastinum; pneumonia; pneumothorax |
| title | Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients. |
| title_full | Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients. |
| title_fullStr | Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients. |
| title_full_unstemmed | Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients. |
| title_short | Spontaneous pneumothorax and spontaneous pneumomediastinum in COVID-19 patients. |
| title_sort | spontaneous pneumothorax and spontaneous pneumomediastinum in covid 19 patients |
| topic | covid-19; emphysema; pneumomediastinum; pneumonia; pneumothorax |
| url | https://svuijm.journals.ekb.eg/article_236777.html |
| work_keys_str_mv | AT mohamedsabryabdelmotaleb spontaneouspneumothoraxandspontaneouspneumomediastinumincovid19patients |