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.
Indian Journal of Critical Care Medicine,
Journal Year:
2021,
Volume and Issue:
25(12), P. 1434 - 1445
Published: Dec. 1, 2021
Air
leak
consisting
of
pneumothorax,
pneumomediastinum,
and
subcutaneous
emphysema
has
been
described
as
one
the
complications
coronavirus
disease-2019
(COVID-19)
infection
affecting
disease
course
outcome.
We
aimed
to
conduct
a
systematic
review
published
literature
highlight
risk
factors,
types,
outcomes
in
COVID-19.A
search
PubMed,
Embase,
Scopus,
Google
Scholar
was
performed
from
November
1,
2019,
February
28,
2021.
Seventy-one
studies
fulfilled
inclusion
criteria
136
adult
patients
were
included
final
analysis.Majority
male
(75.2%)
with
mean
age
58
years.
Hypertension
most
common
comorbidity
followed
by
diabetes
mellitus.
Moreover,
12.5%
had
history
smoking
while
11.7%
preexisting
lung
disease.
Isolated
pneumothorax
(48.5%)
17.65%
developed
spontaneous
pneumothorax.
Mean
onset
time
11.6
days
67%
required
an
intercostal
drainage
tube
for
management.
Mortality
40%,
elderly,
female
gender,
obese
hypertensive
at
higher
risk.COVID-19-related
air
leaks
are
associated
mortality
longer
hospital
stay
can
occur
even
without
positive
pressure
ventilation.
History
not
shown
increase
incidence
leak.
A
well-designed
study
is
better
understanding
COVID-19-related
leak.Singh
A,
Singh
Y,
Pangasa
N,
Khanna
P,
Trikha
A.
Risk
Factors,
Clinical
Characteristics,
Outcome
Leak
Syndrome
COVID-19:
Systematic
Review.
Indian
J
Crit
Care
Med
2021;25(12):1434-1445.
Journal of Cardiothoracic Surgery,
Journal Year:
2022,
Volume and Issue:
17(1)
Published: Aug. 24, 2022
Abstract
Background
Tension
pneumomediastinum
is
one
of
the
most
serious
complications
in
COVID-19
patients
with
respiratory
distress
requiring
invasive
mechanical
ventilation.
This
complication
can
lead
to
rapid
hemodynamic
instability
and
death
if
it
not
recognized
a
timely
manner
intervenes
promptly.
Case
presentation
We
reported
7
tension
at
field
hospital.
All
were
critically
ill
ARDS.
These
patients,
including
3
females
4
males
this
series,
aged
between
39
70
years.
occurred
on
first
day
ventilation
later
course
hospital
stay,
even
10
days
after
being
intubated
ventilated.
The
caused
worsened
mechanics
imminent
cardiopulmonary
collapse.
In
we
used
two
surgical
techniques:
(i)
mediastinal
decompression
by
suprasternal
drainage
or
without
simultaneous
pleural
cases
(ii)
via
subxiphoid
incisions
5
patients.
procedures
feasible
reversed
pending
Four
had
favorable
postprocedural
period
discharged
from
intensive
care
center.
Both
undergoing
died
failed/recurrent
nosocomial
infection.
Only
five
who
underwent
septic
shock
secondary
ventilator-associated
pneumonia.
Conclusion
was
life-threatening
Surgical
salvage
procedure.
technique
proved
an
advantage
relief,
improvement
mortality
reduction.
Journal of Personalized Medicine,
Journal Year:
2023,
Volume and Issue:
13(10), P. 1497 - 1497
Published: Oct. 15, 2023
Spontaneous
pneumothorax
and
pneumomediastinum
(SP–SPM)
are
relatively
rare
medical
conditions
that
can
occur
with
or
independently
of
COVID-19.
We
conducted
a
retrospective
analysis
SP–SPM
cases
presented
to
the
emergency
departments
(EDs)
two
University-affiliated
tertiary
hospitals
from
1
March
2020
31
October
2022.
A
total
190
patients
were
identified:
52
COVID-19
cases,
138
non-COVID-19
cases.
The
primary
outcome
we
looking
for
was
in-hospital
mortality.
secondary
outcomes
concerned
disease
severity
assessed
by
(a)
days
hospitalization;
(b)
required
mechanical
ventilation
(MV);
(c)
intensive
care
(IC).
All
investigated
in
context
five
pandemic
waves
patients’
age
comorbidities.
had
no
significant
effect
on
these
patients.
Logistic
regression
found
(OR
=
1.043;
95%CI
1.002–1.085),
6.032;
1.757–20.712),
number
comorbidities
1.772;
1.046–3.001),
ground-glass
opacities
over
50%
5.694;
1.169–27.746)
as
risk
predictors
death
while
controlling
gender,
smoking,
wave,
extension
SP–SPM.
model
proved
good
prediction
performance
(Nagelkerke
R-square
0.524)
would
hold
same
MV
IC.
Journal of Thoracic Disease,
Journal Year:
2024,
Volume and Issue:
16(6), P. 3593 - 3605
Published: June 1, 2024
Pneumothorax
is
a
rare
but
deadly
complication
in
patients
who
require
mechanical
ventilation.
As
with
any
condition
associated
acute
respiratory
distress
syndrome
(ARDS),
coronavirus
disease
2019
(COVID-19)
known
to
be
pneumothorax.
However,
the
literature,
comparative
data
on
risk
factors
for
pneumothorax
COVID-19
and
other
diseases
like
influenza
are
limited.
The
aim
of
this
study
determine
prevalence
hospitalized
compare
them
pneumonia
patients.
BMC Pulmonary Medicine,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: July 31, 2024
Abstract
Background
Spontaneous
pneumothorax
(PTX)
is
more
prevalent
among
COVID-19
patients
than
other
critically
ill
patients,
but
studies
on
this
are
limited.
This
study
compared
clinical
characteristics
and
in-hospital
outcomes
with
concomitant
PTX
to
provide
insight
into
how
affects
health
care
utilization
complications,
which
informs
decisions
healthcare
resource
allocation.
Methods
The
2020
Nationwide
Inpatient
Sample
was
used
analyze
patient
demographics
outcomes,
including
age,
race,
sex,
insurance
status,
median
income,
length
of
hospital
stay,
mortality
rate,
hospitalization
costs,
comorbidities,
mechanical
ventilation,
vasopressor
support.
Propensity
score
matching
employed
for
additional
analysis.
Results
Among
1,572,815
1.41%
had
PTX.
These
incurred
significantly
higher
costs
($435,508
vs.
$96,668,
p
<
0.001)
longer
stays
(23.6
days
8.6
days,
0.001).
In-hospital
substantially
elevated
(65.8%
14.4%,
0.001),
an
adjusted
odds
ratio
14.3
(95%
CI
12.7–16.2).
Additionally,
these
were
likely
require
vasopressors
(16.6%
3.3%),
circulatory
support
(3.5%
0.3%),
hemodialysis
5.6%),
invasive
ventilation
(76.9%
15.1%),
non-invasive
(19.1%
5.8%),
tracheostomy
(13.3%
1.1%),
chest
tube
placement
(59.8%
0.8%).
Conclusions
Our
findings
highlight
the
severe
impact
characterized
by
mortality,
increased
utilization.
Also,
being
Hispanic,
male,
or
obese
risk
developing
COVID-19.
BMJ Case Reports,
Journal Year:
2021,
Volume and Issue:
14(11), P. e246671 - e246671
Published: Nov. 1, 2021
Patients
with
SARS-CoV-2
pneumonia
can
suffer
from
pneumothorax
and
persistent
air
leak
(PAL).
The
occurs
or
without
pre-existing
lung
disease.
PAL
refers
to
lasting
more
than
5–7
days
arises
due
bronchopleural
alveolopleural
fistula.
management
of
be
challenging
as
a
standard
guideline
is
lacking.
Here
we
present
the
case
42-year-old
smoker
COVID-19
who
presented
hospital
fever,
cough,
acute
left-sided
chest
pain
shortness
breath.
He
suffered
large
requiring
immediate
tube
drainage.
Unfortunately,
persisted
for
13
before
one-way
endobronchial
valve
(EBV)
was
used
complete
resolution
leak.
We
also
review
literature
regarding
other
cases
EBV
utilisation
in
patients
COVID-19.
World Journal of Virology,
Journal Year:
2022,
Volume and Issue:
11(4), P. 176 - 185
Published: July 22, 2022
Coronavirus
disease
2019
(COVID-19)
continues
to
create
havoc
and
may
present
with
myriad
complications
involving
many
organ
systems.
However,
the
respiratory
system
bears
maximum
brunt
of
be
most
commonly
affected.
There
is
a
high
incidence
air
leaks
in
patients
COVID-19,
leading
acute
worsening
clinical
condition.
The
develop
independently
severity
or
positive
pressure
ventilation
even
absence
any
traditional
risk
factors
like
smoking
un-derlying
lung
disease.
exact
pathophysiology
COVID-19
remains
unclear,
but
multiple
play
role
their
development.
A
significant
proportion
asymptomatic;
hence,
index
suspicion
should
exercised
for
enabling
early
diagnosis
prevent
further
deterioration
as
it
associated
morbidity
mortality.
These
weeks
months
after
onset,
post-COVID
period.
Conservative
management
close
monitoring
suffice
pneumothorax
require
intercostal
drainage
only
few
requiring
surgical
interventions
persistent
leaks.