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Spontaneous pneumothorax in COVID-19: a single center experience
1Department of Anesthesiology and Reanimation, Health Sciences University Erzurum Regional Training and Research Hospital Erzurum, Turkey. ibrahimhakkitor@gmail.com.
COVID-19 patients in intensive care who developed pneumothorax had higher intubation and mortality rates. Early recognition and prevention of pneumothorax are crucial for critically ill COVID-19 patients.
Area of Science:
- Pulmonology
- Critical Care Medicine
- Infectious Diseases
Background:
- Pulmonary complications of COVID-19, including pneumothorax, remain incompletely understood.
- Spontaneous pneumothorax is a potential, yet understudied, complication in COVID-19 patients.
Purpose of the Study:
- To investigate the association between COVID-19 infection and the occurrence of spontaneous pneumothorax.
- To identify risk factors and outcomes related to pneumothorax in COVID-19 patients.
Main Methods:
- A single-center retrospective study comparing 120 COVID-19 patients who developed pneumothorax in the ICU (study group) with 120 controls.
- Data collected included demographics, laboratory and radiological findings, clinical management, follow-up, and survival status.
Main Results:
- Significant differences were observed between groups in gender, outcome, hospitalization, general condition, follow-up, intubation, tomography, CO-RADS, and involvement (p<0.05).
- Patients who developed pneumothorax exhibited significantly higher intubation and mortality rates compared to the control group (LogRank=3.944, p<0.05).
Conclusions:
- COVID-19 patients developing pneumothorax during ICU care experienced longer hospital stays and increased intubation rates.
- Higher pneumothorax rates were noted with noninvasive/high-frequency oscillatory ventilation (HFOV) with positive end-expiratory pressure (PEEP).
- Findings may aid in early prevention and recognition of pneumothorax in critically ill COVID-19 patients to reduce mortality.
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