The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study
Abstract
:1. Background
2. Patients and Methods
2.1. Patients Selection
2.2. Study Definitions and Outcome Assessment
2.3. Treatment Protocols
2.4. Statistical Analysis
2.5. Patient and Public Statement
3. Results
3.1. Patient Characteristics
3.2. Risk Factor Analysis for Massive Pneumothorax
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
References
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Variable | Pre-Pandemic n = 122 (%) | Pandemic n = 88 (%) | p-Value |
---|---|---|---|
Gender, No. (%) | 0.578 | ||
Male | 100 (82.0) | 75 (85.2) | |
Female | 22 (18.0) | 13 (14.8) | |
Age, yr, median(IQR) | 22 (18–36.75) | 20 (18–37.5) | 0.704 |
Charlson Comorbidity index, median (IQR) | 0 (0–0) | 0 (0–0) | 0.818 |
Height, cm, median(IQR) | 174 (169–178) | 174 (169–180) | 0.585 |
Weight, kg, mean (SD) | 59.05 (8.74) | 59.73 (9.67) | 0.602 |
BMI, kg/m2, median(IQR) | 20 (18–22) | 20 (18–22) | 0.692 |
Smoking history, No. (%) | 1.00 | ||
Yes | 33 (27.0) | 23 (26.7) | |
No | 89 (73.0) | 65 (73.3) | |
Location of PNx, No. (%) | 0.701 | ||
Right | 64 (52.5) | 42 (47.7) | |
Left | 57 (46.7) | 46 (52.3) | |
Both | 1 (0.8) | 0 (0.0) | |
Diagnosis, No. (%) | 0.652 | ||
Primary Spontanenous PNx | 73 (59.8) | 48 (54.5) | |
Recurrent PNx | 40 (32.8) | 31 (35.2) | |
Secondary PNx | 9 (7.4) | 9 (10.2) | |
Onset to hospital time, day, median(IQR) | 1 (0–2) | 2 (1–4) | 0.00034 ** |
PNx Amount, %, median(IQR) | 34.75 (18.30–62.95) | 53.55 (33.58–88.80) | <0.0001 ** |
Massive PNx, No. (%) | 37 (30.3) | 46 (52.3) | 0.0016 * |
Variable | Pre-Pandemic n = 122 | Pandemic n = 88 | p-Value |
---|---|---|---|
Treatment, No, (%) | |||
Oxygen | 0 (0.0) | 3 (3.4) | 0.0962 |
Chest Tube | 38 (31.1) | 30 (34.1) | |
Operation | 84 (68.9) | 55 (62.5) | |
Operation time, minutes, median(IQR) | 34 (25–41.0) | 33 (27–43.5) | 0.552 |
Presence of Adhesion, No, (%) | 0.182 | ||
Yes | 20 (23.8) | 19 (34.5) | |
No | 64 (76.2) | 36 (65.5) | |
Coverage of stapling site | 0.186 | ||
None | 2 (2.4) | 1 (1.8) | |
Single | 23 (27.4) | 23 (41.8) | |
Double | 59 (70.2) | 31 (56.4) | |
Surgical glue application | 0.648 | ||
Yes | 82 (97.6) | 53 (96.4) | |
No | 2 (2.4) | 2 (3.6) | |
Intraoperative Pleurodesis | 1 (1.2) | 2 (3.6) | 0.562 |
Hospital stay, days, median(IQR) | 2 (2–3) | 2 (2–2) | 0.277 |
Re-expansion pulmonary edema, No. (%) | 14 (11.5) | 20 (22.7) | 0.0366 * |
Additional pleurodesis, No. (%) | 6 (4.9) | 14 (15.9) | 0.0153 * |
Variables | Univariate Analysis | Multivariable Analysis | ||
---|---|---|---|---|
OR (95% CI) | p-Value | OR (95% CI) | p-Value | |
Pandemic era | 2.52 (1.42–4.45) | 0.0015 * | 2.70 (1.49–4.90) | 0.0011 * |
Age | 1.00 (0.99–1.02) | 0.577 | ||
BMI | 1.07 (0.96–1.19) | 0.222 | ||
Recurrent PNx | 0.54 (0.29–1.00) | 0.0496 * | 0.52 (0.27–1.01) | 0.0524 |
Secondary PNx | 0.60 (0.21–1.70) | 0.337 | ||
Height | 0.99 (0.96–1.03) | 0.594 | ||
Female | 0.89 (0.42–1.88) | 0.752 | ||
Leftside PNx | 0.73 (0.42–1.28) | 0.270 | ||
Smoking History | 3.02 (1.60–5.67) | 0.0006 ** | 3.23 (1.68–6.22) | 0.0004 ** |
Weight | 1.01 (0.98–1.04) | 0.545 |
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Woo, W.; Kim, B.J.; Kim, J.H.; Lee, S.; Moon, D.H. The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study. J. Clin. Med. 2022, 11, 795. https://doi.org/10.3390/jcm11030795
Woo W, Kim BJ, Kim JH, Lee S, Moon DH. The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study. Journal of Clinical Medicine. 2022; 11(3):795. https://doi.org/10.3390/jcm11030795
Chicago/Turabian StyleWoo, Wongi, Bong Jun Kim, Ji Hoon Kim, Sungsoo Lee, and Duk Hwan Moon. 2022. "The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study" Journal of Clinical Medicine 11, no. 3: 795. https://doi.org/10.3390/jcm11030795