Health
Punctured lungs affect 1 in 100 hospitalized COVID-19 patients
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According to a study led by researchers in Cambridge, one in 100 patients admitted with COVID-19 develops a “punctured lung” pneumothorax.
Like the inner tube of a bicycle or car tire, damage to the lungs can lead to punctures. As the air leaks, it collects in the cavity between the lungs and the chest wall, causing the lungs to collapse. This condition, known as pneumothorax, usually affects very tall young men or older patients with severe underlying disease.
During the pandemic, the team at the University of Cambridge and the University of Cambridge NHS Foundation Trust’s Adenbrook Hospital identified a number of patients with COVID-19 who developed punctured lung, even though they did not fall into either of these two categories. I observed people.
“We’re seeing more patients affected by the punctured lung, even among those who aren’t wearing ventilators,” says Stephan Marcinac, a professor at the Cambridge Institute of Medicine. “To see if this is a real link, I called a breathing colleague all over the UK via Twitter. The reaction was dramatic. It was what was being seen.”
Professor Marciniak then exchanged anonymous clinic information about 71 patients throughout the UK with proper ethical approval. This led to the research announced today European Respiratory Journal..
The team is unable to accurately estimate the incidence of COVID-19 puncture lungs, but the admission data for 16 hospitals participating in the study found an incidence of 0.91%.
“Doctors should be aware of the potential puncture in the lungs of COVID-19 patients, Cambridge,” said Marciniak, a fellow at St. Catherine’s College. “Many of the cases we reported were discovered by accident. That is, their doctor did not suspect a punctured lung and the diagnosis was accidental.”
Less than two-thirds (63%) of patients with punctured lung survived. People under 70 tend to survive, Old age Less than 70% of patients had a 71% survival rate, but poor results. Elderly patient..
Patients with punctured lungs were three times more likely to be males than females because a large study of COVID-19 patients found that males were more commonly affected by severe forms of the disease. May be explained by the fact that it suggests that However, survival rates did not differ between men and women.
Patients with abnormally acidic blood, a condition known as acidosis that may result from decreased lung function, also had poor COVID-19 pneumothorax outcomes.
Dr Anthony Martinelli, a pulmonologist at Addenbrooke’s Hospital, said: “Punk lungs are a very serious condition, but COVID-19 patients under the age of 70 tend to respond very well to treatment. patient Alternatively, people with abnormally acidic blood may be at increased risk of death and may require more specialized care. “
The team says there may be several ways COVID-19 could cause a punk lung.. This includes the formation of lung cysts, previously observed on x-rays and CT scans.
Martinelli, A, et al. COVID-19 and Pneumothorax: A Multicenter Retrospective Case Series. European Respiratory Journal (2020). DOI: 10.1183 / 13993003.02697-2020
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Cambridge University
Quote: Punctured lungs were taken from https://medicalxpress.com/news/2020-09-lung-affects-hospitalized-covid-patients.html on September 9, 2020 for 100 hospitalized COVID-19 Affects patients (September 9, 2020)
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