Prognostic factors and their effects on mortality in patients with COVID-19 with pneumothorax

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dc.authorid0000-0001-6386-738Xen_US
dc.authorid0000000246001290en_US
dc.contributor.authorYakşi, Osman
dc.contributor.authorKılıçgün, Ali
dc.date.accessioned2024-03-21T10:56:47Z
dc.date.available2024-03-21T10:56:47Z
dc.date.issued2022en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: The aim of this study was to investigate the factors affecting pneumothorax development, lung expansion difficulty, and the impact on mortality in novel coronavirus 2019 (COVID-19) patients. Methods: Between March 2020 and January 2021, a total of 6,108 COVID-19 patients (3,050 males, 3,058 females; mean age: 49 +/- 17.6 years, range, 12 to 89 years) who presented to our hospital were retrospectively analyzed. The patients were divided into two groups. Group 1 (the COVID-19-pneumothorax group) consisted of patients developing pneumothorax while under treatment for COVID-19. Group 2 (COVID-19-without pneumothorax group) consisted of consecutive patients with pulmonary involvement during the same period, requiring intensive care, but not developing pneumothorax. Biochemical test results were examined for the day of hospitalization, day of transfer to intensive care unit, and Day 5 of intensive care unit stay. Lung parenchyma involvement rates on thoracic computed tomography, duration of drainage, duration of intensive care unit stay, and morbidity/mortality data were investigated. Results: Of all patients with COVID-19, 2,342 were admitted to our clinic and 460 needed intensive care. Pneumothorax developed in 21 patients (0.34% of all patients and 0.9% of hospitalized patients). Significant involvement diffusion on computed tomography, ferritin and D-dimer elevation, and low lymphocyte (%) values were observed in the COVID-19 patients with pneumothorax. Pneumothorax development, and ferritin and D-dimer elevation were most correlated with mortality at regression analysis. There was a significant difference in difficulty in lung expansion between COVID-19 patients who developed pneumothorax and who did not. Conclusion: Pneumothorax may develop in COVID-19 patients whose biochemical parameters worsen, and expansion difficulty may be experienced, which is likely to be associated with mortality.en_US
dc.identifier.citationYakşi, O., & Kılıçgün, A. (2022). Prognostic factors and their effects on mortality in patients with COVID-19 with pneumothorax. Turkish Journal of Thoracic and Cardiovascular Surgery, 30(1), 109.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2022.22738
dc.identifier.endpage116en_US
dc.identifier.issn1301-5680
dc.identifier.issue1en_US
dc.identifier.pmid35444838en_US
dc.identifier.scopus2-s2.0-85124253515en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage109en_US
dc.identifier.trdizinid1170820en_US
dc.identifier.urihttp://dx.doi.org/10.5606/tgkdc.dergisi.2022.22738
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12104
dc.identifier.volume30en_US
dc.identifier.wosWOS:000748633100004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKılıçgün, Ali
dc.institutionauthorYakşi, Osman
dc.language.isoenen_US
dc.publisherBaycınar Medical Publ-Baycnar Tıbbi Yayıncılıken_US
dc.relation.ispartofTürk Göğüs Kalp Damar Cerrahisi Dergisi-Turkısh Journal of Thoracıc and Cardıovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectPneumothoraxen_US
dc.subjectSARS-CoV-2en_US
dc.subjectCoronavirus Disease 2019en_US
dc.subjectClinical Characteristicsen_US
dc.subjectPneumoniaen_US
dc.subjectOutcomesen_US
dc.titlePrognostic factors and their effects on mortality in patients with COVID-19 with pneumothoraxen_US
dc.typeArticleen_US

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