Pneumothorax in COVID-19 disease- incidence and clinical characteristics
Abstract Background Spontaneous pneumothorax is an uncommon complication of COVID-19 viral pneumonia. The exact incidence and risk factors are still unknown. Herein we review the incidence and outcomes of pneumothorax in over 3000 patients admitted to our institution for suspected COVID-19 pneumonia...
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | Respiratory Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12931-020-01504-y |
| _version_ | 1817984145250320384 |
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| author | Massa Zantah Eduardo Dominguez Castillo Ryan Townsend Fusun Dikengil Gerard J. Criner |
| author_facet | Massa Zantah Eduardo Dominguez Castillo Ryan Townsend Fusun Dikengil Gerard J. Criner |
| author_sort | Massa Zantah |
| collection | DOAJ |
| description | Abstract Background Spontaneous pneumothorax is an uncommon complication of COVID-19 viral pneumonia. The exact incidence and risk factors are still unknown. Herein we review the incidence and outcomes of pneumothorax in over 3000 patients admitted to our institution for suspected COVID-19 pneumonia. Methods We performed a retrospective review of COVID-19 cases admitted to our hospital. Patients who were diagnosed with a spontaneous pneumothorax were identified to calculate the incidence of this event. Their clinical characteristics were thoroughly documented. Data regarding their clinical outcomes were gathered. Each case was presented as a brief synopsis. Results Three thousand three hundred sixty-eight patients were admitted to our institution between March 1st, 2020 and June 8th, 2020 for suspected COVID 19 pneumonia, 902 patients were nasopharyngeal swab positive. Six cases of COVID-19 patients who developed spontaneous pneumothorax were identified (0.66%). Their baseline imaging showed diffuse bilateral ground-glass opacities and consolidations, mostly in the posterior and peripheral lung regions. 4/6 cases were associated with mechanical ventilation. All patients required placement of a chest tube. In all cases, mortality (66.6%) was not directly related to the pneumothorax. Conclusion Spontaneous pneumothorax is a rare complication of COVID-19 viral pneumonia and may occur in the absence of mechanical ventilation. Clinicians should be vigilant about the diagnosis and treatment of this complication. |
| first_indexed | 2024-04-13T23:41:47Z |
| format | Article |
| id | doaj.art-95321898d4c24b2c919118b50a22bca1 |
| institution | Directory Open Access Journal |
| issn | 1465-993X |
| language | English |
| last_indexed | 2024-04-13T23:41:47Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Respiratory Research |
| spelling | doaj.art-95321898d4c24b2c919118b50a22bca12022-12-22T02:24:29ZengBMCRespiratory Research1465-993X2020-09-012111910.1186/s12931-020-01504-yPneumothorax in COVID-19 disease- incidence and clinical characteristicsMassa Zantah0Eduardo Dominguez Castillo1Ryan Townsend2Fusun Dikengil3Gerard J. Criner4Department of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple UniversityDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple UniversityDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple UniversityDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple UniversityDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple UniversityAbstract Background Spontaneous pneumothorax is an uncommon complication of COVID-19 viral pneumonia. The exact incidence and risk factors are still unknown. Herein we review the incidence and outcomes of pneumothorax in over 3000 patients admitted to our institution for suspected COVID-19 pneumonia. Methods We performed a retrospective review of COVID-19 cases admitted to our hospital. Patients who were diagnosed with a spontaneous pneumothorax were identified to calculate the incidence of this event. Their clinical characteristics were thoroughly documented. Data regarding their clinical outcomes were gathered. Each case was presented as a brief synopsis. Results Three thousand three hundred sixty-eight patients were admitted to our institution between March 1st, 2020 and June 8th, 2020 for suspected COVID 19 pneumonia, 902 patients were nasopharyngeal swab positive. Six cases of COVID-19 patients who developed spontaneous pneumothorax were identified (0.66%). Their baseline imaging showed diffuse bilateral ground-glass opacities and consolidations, mostly in the posterior and peripheral lung regions. 4/6 cases were associated with mechanical ventilation. All patients required placement of a chest tube. In all cases, mortality (66.6%) was not directly related to the pneumothorax. Conclusion Spontaneous pneumothorax is a rare complication of COVID-19 viral pneumonia and may occur in the absence of mechanical ventilation. Clinicians should be vigilant about the diagnosis and treatment of this complication.http://link.springer.com/article/10.1186/s12931-020-01504-yPneumothoraxCOVID-19Spontaneous pneumothorax |
| spellingShingle | Massa Zantah Eduardo Dominguez Castillo Ryan Townsend Fusun Dikengil Gerard J. Criner Pneumothorax in COVID-19 disease- incidence and clinical characteristics Respiratory Research Pneumothorax COVID-19 Spontaneous pneumothorax |
| title | Pneumothorax in COVID-19 disease- incidence and clinical characteristics |
| title_full | Pneumothorax in COVID-19 disease- incidence and clinical characteristics |
| title_fullStr | Pneumothorax in COVID-19 disease- incidence and clinical characteristics |
| title_full_unstemmed | Pneumothorax in COVID-19 disease- incidence and clinical characteristics |
| title_short | Pneumothorax in COVID-19 disease- incidence and clinical characteristics |
| title_sort | pneumothorax in covid 19 disease incidence and clinical characteristics |
| topic | Pneumothorax COVID-19 Spontaneous pneumothorax |
| url | http://link.springer.com/article/10.1186/s12931-020-01504-y |
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