患有2019年冠状病毒病和自发性肺胸病的患者:一种倾向匹配的多中心病例控制研究
Arianna Farronato1, Chiara Travaglia2, Alice Ravasin1
1Thoracic Surgery Unit, Department of Experimental and Clinical Medicine, University Hospital of Florence Careggi, Florence, Italy.
Interdisciplinary cardiovascular and thoracic surgery
|March 26, 2025
概括
在COVID-19患者中,自发性肺胸炎 (SPN) 与住院死亡的风险更高有关. 这种情况也导致冠状病毒疾病-19患者的住院时间更长.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 肺胸和肺中是冠状病毒疾病-19 (COVID-19) 的已知的并发症.
- 这些情况可能会使患者管理复杂化,并影响COVID-19患者的生存率.
研究的目的:
- 评估COVID-19患者的临床结果,这些患者发生了自发性肺胸部 (SPN) 或自发性肺中枢 (SPM).
主要方法:
- 从2020年3月到2021年5月,一项涉及未接种疫苗的COVID-19患者的回顾性队列研究.
- 倾向性得分匹配被用来最大限度地减少群体之间的偏见.
- 多变量通用线性模型评估了住院死亡和其他结果的风险.
主要成果:
- 在474名患者中,有72人患有SPN或SPM.
- 在不匹配和匹配的队列中,SPN与增加的住院死亡率 (OR 2.44) 相关.
- SPM和SPN都与增加住院时间有关 (SPM OR 1.21,SPN OR 1.34).
- 住院死亡风险也与年龄,并发性疾病和吸烟相关.
结论:
- 住院COVID-19患者的自发性肺胸炎可能会增加住院死亡的风险.
- 在COVID-19患者中,SPN也与长时间住院期间有关.
更多相关视频
相关概念视频
Pneumothorax-I
165
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
165
Pneumothorax-II
111
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
111
Pneumonia I: Introduction
201
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
201
Endoscopic Studies II: Thoracocentesis
183
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
183
Pneumonia III: Complications and Assessment
135
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
135


