Comparison of clinical and radiological characteristics of COVID-19 patients with and without pneumothorax and/or pneumediastinum
Pnömotoraks ve/veya pnömediasteni olan ve olmayan COVID-19 hastalarının klinik ve radyolojik özelliklerinin karşılaştırılması

Emine Argüder, Meltem Fidan, Halil Tekdemir, Bökebatur Ahmet Raşit Mendi, Abdullah Fidan, Hayriye Cankar Dal, Ümran Özden Sertçelik, İrem Şerifoğlu, Sibel Günay, Dilek Kazancı, Sema Turan, Hatice Kılıç (+2 others)
Pneumothorax (PTX) and pneumomediastinum (PM) are frequently encountered in patients with Coronavirus disease 2019 (COVID-19) and complicate the management of these patients. In this study, we aimed to evaluate the risk factors that cause PTX/PM complications in patients hospitalized due to COVID-19 pneumonia and the effects of these complications on the course of the disease. A total of 503 patients with COVID-19 hospitalized in the COVID-19 ward or intensive care unit (ICU) between September
more » ... 020 and December 2020 were included in the study. The median age of patients was 65 (min-max, 21-99) years. Of the patients 299 (59.4%) were male and 204 (40.6%) were female. Of the cases, 26 (5.2%) developed PTX or PM. The patients who developed PTX/PM were older than patients who did not [58.5 (min-max, 21-96) vs 65 years (min-max, 22-99), p= 0.029]. The percentage of PTX/PM development was significantly higher in male patients [F/M= 4/22 (2/7.4%) vs 200/277 (98/92.6%), p= 0.007]. Hypertension as a comorbidity was more commonly seen in the group without PTX/PM (p= 0.007). Ground-glass opacity was the most common tomographic finding in both groups, it was significantly higher in those who did not develop PTX/PM (p<0.001). The length of hospital stay was shorter in patients with PTX/PM (p<0.001), but mortality was higher (p= 0.04). PTX/PM were relatively more common in COVID-19 patients. These complications may negatively affect the prognosis of the disease.
doi:10.5578/tt.20229707 pmid:36164952 fatcat:xyictzkdcfemnlgrmmtnvy6ube