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, H Canan Hasanoğlu, Ayşegül Karalezli
{"title":"合并和不合并气胸和/或纵隔肺炎的COVID-19患者的临床和影像学特征比较","authors":"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, H Canan Hasanoğlu, Ayşegül Karalezli","doi":"10.5578/tt.20229707","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>A total of 503 patients with COVID-19 hospitalized in the COVID-19 ward or intensive care unit (ICU) between September 2020 and December 2020 were included in the study.</p><p><strong>Result: </strong>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).</p><p><strong>Conclusions: </strong>PTX/PM were relatively more common in COVID-19 patients. These complications may negatively affect the prognosis of the disease.</p>","PeriodicalId":45521,"journal":{"name":"Tuberkuloz ve Toraks-Tuberculosis and Thorax","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of clinical and radiological characteristics of COVID-19 patients with and without pneumothorax and/or pneumediastinum.\",\"authors\":\"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, H Canan Hasanoğlu, Ayşegül Karalezli\",\"doi\":\"10.5578/tt.20229707\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>A total of 503 patients with COVID-19 hospitalized in the COVID-19 ward or intensive care unit (ICU) between September 2020 and December 2020 were included in the study.</p><p><strong>Result: </strong>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).</p><p><strong>Conclusions: </strong>PTX/PM were relatively more common in COVID-19 patients. These complications may negatively affect the prognosis of the disease.</p>\",\"PeriodicalId\":45521,\"journal\":{\"name\":\"Tuberkuloz ve Toraks-Tuberculosis and Thorax\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2022-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tuberkuloz ve Toraks-Tuberculosis and Thorax\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5578/tt.20229707\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tuberkuloz ve Toraks-Tuberculosis and Thorax","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5578/tt.20229707","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0
摘要
简介:2019冠状病毒病(COVID-19)患者经常出现气胸(PTX)和纵隔气肿(PM)，使这些患者的治疗复杂化。在本研究中，我们旨在评估导致COVID-19肺炎住院患者PTX/PM并发症的危险因素及其对病程的影响。材料与方法:选取2020年9月至2020年12月在新冠肺炎病房或重症监护病房(ICU)住院的503例新冠肺炎患者作为研究对象。结果:患者中位年龄65岁(最小-最大21-99岁)。其中男性299例(59.4%)，女性204例(40.6%)。26例(5.2%)发生PTX或PM。发生PTX/PM的患者比未发生PTX/PM的患者年龄大[58.5 (min-max, 21-96) vs 65 (min-max, 22-99)， p= 0.029]。PTX/PM在男性患者中的发展比例明显更高[F/M= 4/22 (2/7.4%) vs 200/277 (98/92.6%)， p= 0.007]。高血压作为合并症在没有PTX/PM的组中更为常见(p= 0.007)。毛玻璃影是两组中最常见的断层扫描发现，在未发生PTX/PM的患者中明显更高(结论:PTX/PM在COVID-19患者中相对更常见)。这些并发症可能对疾病的预后产生负面影响。
Comparison of clinical and radiological characteristics of COVID-19 patients with and without pneumothorax and/or pneumediastinum.
Introduction: 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.
Materials and methods: A total of 503 patients with COVID-19 hospitalized in the COVID-19 ward or intensive care unit (ICU) between September 2020 and December 2020 were included in the study.
Result: 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).
Conclusions: PTX/PM were relatively more common in COVID-19 patients. These complications may negatively affect the prognosis of the disease.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
