Evidence map›Paper›PMID 33138976›Full record

ArticleHeart & lung : the journal of critical care

High incidence and mortality of pneumothorax in critically Ill patients with COVID-19.

Xiao-Hui Wang, Jun Duan, Xiaoli Han, Xinzhu Liu, Junhao Zhou, Xue Wang, Linxiao Zhu, Huaming Mou, Shuliang Guo

Open access · bronzeAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 99 citations in OpenAlex.

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  11. COVID-19 and spontaneous pneumothorax: a survival analysis.Journal of cardiothoracic surgery · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Xiao-Hui WangDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, No.1, Youyi Road, Yuzhong District, Chongqing 400016, China.
Jun DuanDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, No.1, Youyi Road, Yuzhong District, Chongqing 400016, China.
Xiaoli HanDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, No.1, Youyi Road, Yuzhong District, Chongqing 400016, China.
Xinzhu LiuDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, No.1, Youyi Road, Yuzhong District, Chongqing 400016, China.
Junhao ZhouDepartment of Respiratory and Critical Care Medicine, Chongqing Three Gorges Central Hospital, Chongqing, China.
Xue WangDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, No.1, Youyi Road, Yuzhong District, Chongqing 400016, China.
Linxiao ZhuDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, No.1, Youyi Road, Yuzhong District, Chongqing 400016, China.
Huaming MouDepartment of Cardiology, Chongqing Three Gorges Central Hospital, No.165 Xincheng Road, Wanzhou District, Chongqing 404000, China. Electronic address: mouhm2002@aliyun.com.
Shuliang GuoDepartment of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, No.1, Youyi Road, Yuzhong District, Chongqing 400016, China. Electronic address: guosl999@sina.com.
First Affiliated Hospital of Chongqing Medical University · CNChongqing Medical University · CNChongqing Three Gorges Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical characteristics of the patients with COVID-19 complicated by pneumothorax have not been clarified.

objectivesTo determine the epidemiology and risks of pneumothorax in the critically ill patients with COVID-19.

methodsRetrospectively collecting and analysing medical records, laboratory findings, chest X-ray and CT images of 5 patients complicated by pneumothorax.

resultsThe incidence of pneumothorax was 10% (5/49) in patients with ARDS, 24% (5/21) in patients receiving mechanical ventilation, and 56% (5/9) in patients requiring invasive mechanical ventilation, with 80% (4/5) patients died. All the 5 patients were male and aged ranging from 54 to 79 years old. Pneumothorax was most likely to occur 2 weeks after the beginning of dyspnea and associated with reduction of neuromuscular blockers, recruitment maneuver, severe cough, changes of lung structure and function.

conclusionsPneumothorax is a frequent and fatal complication of critically ill patients with COVID-19.

Indexed as

COVID-19PneumothoraxAgedCritical IllnessHumansIncidenceMaleMiddle AgedRetrospective StudiesSARS-CoV-2Coronavirus disease 2019(COVID-19)COVID-19EpidemiologyMechanismMortalityPneumothoraxPrevention

Identifiers

PMID33138976
PMCPMC7556825
OpenAlexW3093271193

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.