Medicine,
Journal Year:
2022,
Volume and Issue:
101(11)
Published: March 18, 2022
Abstract
Background:
During
coronavirus
pandemic,
despite
the
increase
in
number
of
studies
on
spontaneous
pneumothorax
(SP),
there
is
not
enough
bibliometric
study
literature.
In
this
study,
it
was
aimed
to
analyze
scientific
articles
published
SP.
Methods:
Studies
SP
between
1980
and
2021
were
obtained
from
Web
Science
database
analyzed
using
statistical
methods.
Spearman
correlation
coefficient
used
for
studies.
The
exponential
smoothing
estimator
forecast
publication
trend
coming
years.
Network
visualization
maps
citations
identify
trending
topics.
Results:
A
total
2422
publications
found.
1403
(57.9%)
these
articles.
have
increased
with
a
non-linear
recent
top
5
contributors
literature
USA
(231,
16.4%),
Japan
(161,
11.4%),
United
Kingdom
(98,
6.9%),
France
(81,
5.7%),
Taiwan
(78,
5.5%).
3
most
active
institutions
National
University
Hospital
(22,
1.5%),
Catholic
Korea
(19,
1.3%),
1.3%).
journals
that
Chest
(51),
Annals
Thoracic
Surgery
(46),
Journal
Disease
(45).
studied
subjects
primary
SP,
recurrence,
thoracoscopy,
pleurodesis,
video-assisted
thoracoscopic
surgery,
COVID-19,
thoracic
chest
tube(s),
secondary
pneumothorax.
According
topics
analysis,
keywords
years
are
tubes,
pneumonia,
subcutaneous
emphysema,
risk
factors,
dyspnea,
FLCN
gene,
tension
pneumothorax,
uniportal,
postoperative
chronic
obstructive
pulmonary
disease,
uniportal.
Conclusion:
comprehensive
we
summarized
about
which
has
an
increasing
during
COVID-19
pandemic
process.
This
article
can
be
useful
resource
clinicians
scientists
through
presenting
summary
worldwide
related
including
ones
pandemic.
Journal of Clinical Medicine,
Journal Year:
2021,
Volume and Issue:
10(21), P. 4835 - 4835
Published: Oct. 21, 2021
Pneumothorax
(PNX)
and
pneumomediastinum
(PNM)
are
potential
complications
of
COVID-19,
but
their
influence
on
patients'
outcomes
remains
unclear.
The
aim
the
study
was
to
assess
incidence,
risk
factors,
severe
COVID-19
complicated
with
PNX/PNM.A
retrospective
multicenter
case-control
analysis
conducted
in
patients
admitted
for
respiratory
failure
intermediate
care
units
Treviso
area,
Italy,
from
March
2020
April
2021.
Clinical
characteristics
without
PNX/PNM
were
compared.Among
1213
patients,
PNX
and/or
PNM
incidence
4.5%.
Among
these,
42%
had
PNM,
33.5%
only
PNX,
24.5%
PNM.
showed
higher
in-hospital
(p
=
0.02)
90-days
mortality
0.048),
longer
hospitalization
length
0.002)
than
PNX/PNM.
At
occurrence,
one-third
subjects
not
mechanically
ventilated,
support
similar
control
group.
occurrence
associated
symptom
before
hospital
admission
0.005)
lower
levels
blood
lymphocytes
0.017).PNX/PNM
a
worse
prognosis
terms
hospitalization.
Although
they
more
frequent
ventilated
can
occur
non-ventilated,
suggesting
that
mechanisms
other
barotrauma
might
contribute
presentation.
Pakistan Journal of Medical Sciences,
Journal Year:
2022,
Volume and Issue:
38(3)
Published: Jan. 15, 2022
Objectives:
COVID-19
patients
develop
Life-threatening
complications
like
pneumomediastinum/pneumothorax
and
emphysema
which
might
experience
prolonged
hospital
stays
additional
costs
be
imposed
on
the
patient
health
system.
The
clinical
features
outcomes
of
mechanically
ventilated
with
infection
who
a
pneumothorax,
pneumomediastinum
subcutaneous
has
not
been
rigorously
described
or
compared
to
those
do
these
complications.
So
systematic
review
studies
conducted
this
subject
was
carried
out
better
manage
by
investigating
underlying
factors
in
patients.
Methods:
search
between
early
January
late
December
2020
databases
including
PubMed,
Scopus,
ProQuest,
Embase,
Cochrane
Library,
Web
Science,
using
following
keywords
their
combinations:
Complication,
Pneumothorax,
Pneumomediastinum,
Pneumopericardium,
Subcutaneous
Emphysema.
extracted
were
screened
separately
two
researchers
based
PRISMA
statement.
After
eliminating
duplicate
studies,
title,
abstract,
full
text
remaining
reviewed.
Disagreements
screening
selection
resolved
consensus
through
third-party
opinion.
Results:
A
total
793
articles
retrieved
literature
search,
99
139
finally
included
mortality
found
have
significant
relationship
positive
pressure
ventilation
(P=0.0001).
There
no
patients’
death
chest
tube
insertion
(P=0.2)
interval
time
from
onset
symptoms
diagnosis
pneumothorax
(P=0.7).
mean
age
higher
deceased
cases,
difference
observed
statistically
(P=0.001).
Conclusion:
With
expansion
our
understanding
COVID-19,
recognition
uncommon
especially
is
crucial.
Although
we
couldn’t
find
causal
association
death,
as
it
limited
many
variables
such
studies’
design,
incomplete
outcome
data
more
information
about
associated
risk
factors,
recommend
performing
well-designed
describe
pneumothoraxes›
incidence,
doi:
https://doi.org/10.12669/pjms.38.3.5529
How
cite
this:Shahsavarinia
K,
Rahvar
G,
Soleimanpour
H,
Saadati
M,
Vahedi
L,
Mahmoodpoor
A.
Spontaneous
pneumomediastinum,
critically
ill
patients:
review.
Pak
J
Med
Sci.
2022;38(3):---------.
This
an
Open
Access
article
distributed
under
terms
Creative
Commons
Attribution
License
(http://creativecommons.org/licenses/by/3.0),
permits
unrestricted
use,
distribution,
reproduction
any
medium,
provided
original
work
properly
cited.
Medicina,
Journal Year:
2021,
Volume and Issue:
57(9), P. 878 - 878
Published: Aug. 26, 2021
Backgroundand
Objectives:
COVID-19
is
a
novel
infectious
disease
caused
by
single-stranded
RNA
coronavirus
called
severe
acute
respiratory
syndrome
2
(SARS-CoV-2).
We
aimed
to
conduct
nationwide
multicenter
study
determine
the
characteristics
and
clinical
prognostic
outcome
of
critically
ill
patients
admitted
intensive
care
units
(ICUs).
Materials
Methods:
This
cohort
retrospective
conducted
in
twenty
Saudi
hospitals.
Results:
An
analysis
1470
demonstrated
that
majority
were
male
with
mean
age
55.9
±
15.1
years.
Most
our
presented
shortness
breath
(SOB)
(81.3%),
followed
fever
(73.7%)
cough
(65.1%).
Diabetes
hypertension
most
common
comorbidities
(52.4%
46.0%,
respectively).
Multiple
complications
observed
substantially
more
among
non-survivors.
The
length
frequency
mechanical
ventilation
use
significantly
greater
(83%)
non-survivors
compared
survivors
(31%).
Sequential
Organ
Failure
Assessment
(SOFA)
score
was
6
5.
overall
mortality
rate
associated
had
diabetes,
ischemic
heart
41.8%.
Conclusion:
Age;
pre-existing
medical
history
hypertension,
diabetes
disease;
smoking
cigarettes;
BMI
≥
29;
long
ICU
stay;
need
ventilatory
support;
high
SOFA
score;
fungal
co-infections
extracorporeal
membrane
oxygenation
(ECMO)
key
predicted
population.
International Journal of General Medicine,
Journal Year:
2022,
Volume and Issue:
Volume 15, P. 489 - 500
Published: Jan. 1, 2022
Spontaneous
pneumothorax
(SP)
and
spontaneous
pneumomediastinum
(SPM)
have
frequently
been
cited
as
complications
associated
with
coronavirus
disease
2019
(COVID-19)
pneumonia,
especially
poor
prognosis
in
mechanically
ventilated
patients.
The
current
literature
is
controversial
regarding
the
potential
risk
factors
for
developing
SP
or
SPM
(SP-SPM)
non-ventilated
COVID-19
Our
research
addressed
a
twofold
objective:
(a)
to
investigate
characteristics
of
patients
SP-SPM
(both
without
COVID-19)
compare
them
sole
COVID-19;
(b)
quantify
in-hospital
mortality
COVID-19.A
retrospective
case-control
study
was
conducted
emergency
departments
(ED)
two
tertiary
hospitals
Timisoara,
Romania,
over
one
year
(1st
April
2020‒31st
March
2021;
64,845
records
total)
70
cases
were
identified
SARS-CoV-2
positives
negatives).
control
group
comprised
no
SP-SPM,
included
at
2:1
ratio.
Logistic
regression
employed
age,
COVID-19.SP-SPM
connected
prolonged
hospitalization,
higher
percentage
intensive
care
admission,
mortality.
increased
odds
death
by
almost
four
times
same
gender,
smoking
status,
infection:
OR
=
3.758,
95%
CI
(1.443-9.792).
Each
additional
age
added
9.4%
risk:
1.094,
(1.054-1.135).ED
physicians
should
acknowledge
these
risks
when
attending
SP-SPM.
BMC Infectious Diseases,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: March 7, 2023
Abstract
Background
During
the
novel
coronavirus
disease-2019
pandemic,
a
considerable
number
of
pneumothorax
(PNX)/pneumomediastinum
(PNM)
associated
with
COVID-19
have
been
reported,
and
incidence
is
higher
in
critically
ill
patients.
Despite
using
protective
ventilation
strategy,
PNX/PNM
still
occurs
patients
on
invasive
mechanical
(IMV).
This
matched
case–control
study
aims
to
identify
risk
factors
clinical
characteristics
COVID-19.
Methods
retrospective
enrolled
adult
COVID-19,
admitted
critical
care
unit
from
March
1,
2020,
January
31,
2022.
were
compared,
1–2
ratio,
without
PNX/PNM,
for
age,
gender,
worst
National
Institute
Allergy
Infectious
Diseases
ordinal
scale.
Conditional
logistic
regression
analysis
was
performed
assess
Results
427
during
period,
24
diagnosed
PNX/PNM.
Body
mass
index
(BMI)
significantly
lower
case
group
(22.8
kg/m
2
24.7
;
P
=
0.048).
BMI
statistically
significant
factor
univariate
conditional
[odds
ratio
(OR),
0.85;
confidence
interval
(CI),
0.72–0.996;
0.044].
For
IMV
support,
showed
statistical
significance
duration
symptom
onset
intubation
(OR,
1.14;
CI,
1.006–1.293;
0.041).
Conclusions
Higher
tended
show
effect
against
due
delayed
application
might
be
contributive
this
complication.
Journal of Personalized Medicine,
Journal Year:
2023,
Volume and Issue:
13(11), P. 1552 - 1552
Published: Oct. 29, 2023
COVID-19
continues
to
impact
global
health
systems
even
after
being
declared
over,
with
some
patients
exhibiting
severe
complications
linked
pre-existing
conditions.
This
study
aimed
investigate
the
association
between
comorbidities,
complications,
and
survival
outcomes
among
survivors
in
Western
Romania.
Our
hypothesis
posited
that
comorbidities
significantly
influence
rates.
We
conducted
a
retrospective
analysis
of
1948
admitted
from
January
December
2021,
192
selected
for
detailed
based
on
inclusion
exclusion
criteria.
The
severity
was
classified
according
WHO
guidelines,
conditions
like
hypertension
obesity
were
defined
using
criteria
European
Society
Hypertension
(ESH),
Cardiology
(ESC),
WHO,
respectively.
Among
patients,
33
had
mild,
62
moderate,
97
COVID-19.
median
age
across
groups
63.2
years.
Patients
undergoing
tracheostomy
mortality
rate
83.3%
versus
22.2%
non-tracheostomy
(p
<
0.001)
presented
higher
lung
injury,
hospitalization
duration,
complications.
Remarkably,
tracheostomized
17.50
times
more
likely
succumb
disease
(95%
CI
4.39–116.91,
p
0.001).
Furthermore,
pneumothorax
increased
risk
(OR
22.11,
95%
5.72–146.03,
Intriguingly,
certain
grade
I
II
showed
protective
effect
against
mortality,
whereas
type
2
diabetes
mellitus
(univariate
OR
2.89,
=
presence
impacts
rates
Notably,
tracheostomy,
pneumothorax,
T2DM
associated
mortality.
underscores
importance
personalized
patient
care
provides
insights
healthcare
policymakers
Romania
improve
clinical
management
strategies.