Evidence map›Paper›PMID 38107088›Full record

ArticleJournal of multidisciplinary healthcare2023

Determinants of Pneumothorax Among Mechanically Ventilated COVID-19 Intensive Care Unit Patients, a Single Centre Study.

Tsegaye Gebreyes Hundie, Zewdie Aderaw Alemu, Lidiya Zenebe Getachew, Lidya Abebe Abera, Abebaw Bekele Seyoum, Lia Solomon Mogus, Nardos Mulu Admasu, Gadise Bekele Regassa, Yohannes Bayou Tilahun, Pineal Iyassu Bareamichael and 2 more

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Tsegaye Gebreyes Hundie *Department of Research and Training, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
Zewdie Aderaw AlemuDepartment of Public Health, Gamby Medical and Business College, Addis Ababa, Ethiopia.
Lidiya Zenebe GetachewDepartment of Internal Medicine, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
Lidya Abebe AberaDepartment of Internal Medicine, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
Abebaw Bekele SeyoumDepartment of Research and Training, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.ORCID 0000-0002-9926-0384
Lia Solomon MogusDepartment of Public Health, Gamby Medical and Business College, Addis Ababa, Ethiopia.
Nardos Mulu AdmasuDepartment of Pediatric Surgery, Addis Ababa University, Addis Ababa, Ethiopia.
Gadise Bekele RegassaDepartment of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.ORCID 0000-0002-1043-6727
Yohannes Bayou TilahunGeneral Practitioner at HealthHub Specialty Clinics by Al-Futtaim, Dubai, United Arab Emirates.
Pineal Iyassu BareamichaelDepartment of Internal Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Abel Girma TessemaDepartment of Immunology, University of Manchester, Manchester, UK.
Tadios Niguss Derese *Department of Research and Training, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.ORCID 0000-0003-2476-5959

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Millions of deaths and co-morbidities have been brought on by the COVID-19 epidemic worldwide. Acute respiratory distress syndrome (ARDS), multiple organ failure, and death can result from the condition in some people. The disease's course can range from a moderate upper respiratory tract infection to severe pneumonia. Numerous reports have been made on the occurrence of pneumothorax in COVID-19 ICU patients, particularly in those who are receiving invasive ventilation. This study assesses factors associated with pneumothorax among mechanically ventilated COVID-19 ICU patients in Addis Ababa, Ethiopia. Methods: A case-control study design was employed from August 1, 2022, to August 31, 2022, GC, with a sample size of 281, where cases are 94 and controls are 187. A pre-tested structured quantitative tool was used to collect data on ODK and export it to SPSS version 26 for analysis. Descriptive statistics were presented using text and tables. The association between variables was analyzed with binary logistic regression. A statistical significance was declared at a p-value of 0.05 with a 95% confidence interval. Assumptions like model fitness and multicollinearity were checked to be satisfied. Results: A total of 281 (94 cases and 187 controls) patient charts were carefully reviewed. After adjustment for possible confounders in multivariate analysis, ARDS (AOR = 0.214, 95% CI (0.088, 0.519), P value =0.001) and invasive ventilation (AOR = 0.311, 95% CI (0.121, 0.796), P value =0.015) had a significant association with pneumothorax. Conclusion: Despite the introduction of preventive breathing methods, pneumothorax is still a frequent and deadly consequence in COVID-19 patients with ARDS. ARDS and invasive mechanical ventilation were found to be significantly associated with the development of pneumothorax. Health facilities should be well equipped with recent medical equipment in intensive care units and with well-trained and organized manpower.

Indexed as

COVID-19Eka Kotebe General Hospitalintensive care unitmechanical ventilationpneumothorax

Identifiers

PMID38107088
PMCPMC10723072

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Registered trials

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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.