The analysis of pleural complications of COVID-19 pneumonia

Türk, Merve Şatır; Akarsu, Irmak; Tombul, Ismail; Kankoç, Aykut; Özkan, Nur Dilvin; Valiyev, Elgun; Sayan, Muhammet; Çelik, Ali; Kurul, İsmail Cüneyt; Aribas, Olgun Kadir; Taştepe, Abdullah İrfan

doi:10.3906/sag-2012-268

Cited by 8 publications

(10 citation statements)

References 15 publications

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“…The relatively higher proportion of the elderly and late middle-aged groups may be a result of declining immunity and associated co-morbidities common in such age group (31,32). (38,39) and this was what we found in this study. Martinelli et al however do not agree that pneumothorax on its own would cause a poor management outcome (40).…”

Section: Discussionsupporting

confidence: 89%

COVID-19 Infection in A Dedicated Regional ICU In Saudi Arabia: Patients` Characteristics and Outcome of Management

AlMutairi¹,

Etonyeaku²,

Alriyaee³

et al. 2022

JOHS

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Background: Coronavirus infection disease 2019 (COVID-19) is a novel viral respiratory tract infection that caused a global pandemic. It can be associated with many complications including acute respiratory failure which can lead to intensive care unit (ICU) admission. This study evaluates the characteristic of patients with COVID-19 admitted for ICU care, and determine factors associated with poor outcome of care. Methodology: This is a retrospective review of patients admitted into the ICU of Buraidah Central Hospital on account of COVID-19 complications between March 2020 and October 2021. Records on patients` age, gender, body mass index (BMI), smoking habit, co-morbidities, ventilatory support type, the occurrence of pneumothorax, duration of ICU stay, and outcome of treatment of disease were extracted and analyzed for descriptive statistics, and the Chi-square test using SPSS version 28. Results: A total of 1035 patients were admitted into the ICU due to COVID-19 infection. The mean age of the patients was 59.95±21.10 years (range = 5-104 years). There were more males (N=695, 67.1%) than females (340, 32.9%). The majority of the patients (545; 52.7%) were elderly, followed by middle-aged adults (360; 34.8%); and were either overweight or obese (N= 849, 82%). More patients (568, 54.9%) were admitted in the year 2020, compared to the year 2021(467; 45.1%). Similarly, mortality rates were higher in the year 2020 (252, 44.4%) than in 2021 (219; 46.9%). There was a significant association between hospital course and patients who had higher BMI, endotracheal intubation, pneumothorax, emphysema, and co-morbidities such as hypertension and diabetes mellitus (p < .001). Also, there is a significant association between hospital course and the patient’s age, gender, and month of admission (p < .001). Also, there is a significant association between hospital course and the patient’s age, gender, and month of admission (p<.001). Conclusion: COVID-19 was an indication for ICU admission. Most patients were middle-aged or elderly and were predominantly male. Most admissions occurred during summer, and there has been a steady decline in admission rates and mortality. The male gender, obesity, and other co-morbidities are associated with worse outcomes.

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Section: Discussionsupporting

confidence: 89%

COVID-19 Infection in A Dedicated Regional ICU In Saudi Arabia: Patients` Characteristics and Outcome of Management

AlMutairi¹,

Etonyeaku²,

Alriyaee³

et al. 2022

JOHS

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“…In severe COVID-19 infection, the radiological examination commonly shows bilateral multifocal alveolar opacities that tend to confluence with the total opacification of the lung [1][2][3]. Though rare, various pleural complications such as pleural effusion, spontaneous pneumothorax, bronchopleural fistula, parapneumonic effusion, and empyema thoracic are reported [2][3][4][5][6][7][8]. One such rare complication is pyopneumothorax, defined as the accumulation of air and pus in the pleural cavity.…”

Section: Introductionmentioning

confidence: 99%

Fatal Pyopneumothorax in a COVID-19 Patient

Gurung¹,

Poudel²,

Gurung³

et al. 2022

Cureus

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The COVID-19 pandemic has impacted every aspect of our lives since its start in December 2019. Among various COVID-19 complications, pleural complications are also increasingly reported but rarely from Nepal.Here, we presented a case of pyopneumothorax in a 52-year-old male patient referred from another center and admitted to the ICU of Nepal Armed Police Force Hospital with a diagnosis of severe COVID-19 pneumonia in the background of alcohol withdrawal syndrome with delirium tremens and generalized tonicclonic seizures. He developed a rapid decline in respiratory status with a right-sided pneumothorax and underwent an immediate needle thoracostomy, followed by chest tube insertion. On the sixth day of admission, he had thick yellowish pus in the chest drain (pyopneumothorax), and despite the rigorous efforts in treatment, he died on the 15th day of admission. Though relatively uncommon, clinicians should consider pleural complications like pneumothorax, pleural effusion, pneumomediastinum, and empyema in patients with impaired immune status. In such patients, we should ensure prompt diagnosis with the earliest intervention and rationale use of antibiotics.

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“…Pneumothorax was diagnosed in the greatest number of patients (i.e., 20, 65%), and only one case of empyema. The Staphylococcus aureus was isolated from the culture 3 …”

Section: Introductionmentioning

confidence: 99%

“…The Staphylococcus aureus was isolated from the culture. 3 Tracheo-esophageal fistula is pathological communication between the posterior wall of the trachea or bronchus with the adjacent esophagus. It can be congenital or acquired.…”

mentioning

confidence: 99%