Have a personal or library account? Click to login
Pneumothorax in Critically Ill COVID-19 Patients in the Indian Subcontinent Cover

Pneumothorax in Critically Ill COVID-19 Patients in the Indian Subcontinent

By: Anshul Singh  
Open Access
|Jan 2023

Figures & Tables

Demographic profile

VariablesPneumothorax (N=18)No Pneumothorax (N=34)P-value
Gender (M/F)15/321/130.109*
Age (Mean ± SD)46.4 ± 13.553 ± 16.30.148¥
Diabetes6 (33.3%)10 (29.4%)0.771*
Hypertension6 (33.3%)17 (50.0%)0.250*
COPD0 (0.0%)1 (2.9%)1.000
Asthma0 (0.0%)2 (5.9%)0.539
Time of onset in days (Mean ± SD)10.6 ± 11.05.2 ± 3.40.010#
CT severity score (Mean ± SD)19.9 ± 3.519.0 ± 4.30.536¥
Invasive ventilation4/182/340.166
PS20.9 ± 2.818.3 ± 3.20.022¥
PEEP9.7 ± 2.410.0 ± 2.10.623¥
FiO21.0 ± 0.11.0 ± 0.10.633¥
Duration of Ps support in days16.4 ± 10.718.1 ± 10.50.648¥
Management: Chest pain/Conservative9/91/33<0.001

Various laboratory variables in both the groups at designated time intervals_

VariablesTime of CollectionPneumothoraxNo PneumothoraxUnpaired t-test p-valuePaired t-test p-value



MeanSDMeanSDChange from day of admission p-value Pneumothorax group SDUnpaired t-test p-value Change from day of admission p-value Non-Pneumothorax group
HBDay of Admission12.92.512.61.60.607--
7 – 10 days13.01.612.51.90.3850.042<0.001
15 – 20 days12.52.812.51.80.9460.152<0.001
Day of Discharge12.02.511.81.90.8370.044<0.001
TLCDay of Admission10537.74412.410168.74402.50.801--
7 – 10 days11724.75021.211889.74310.00.9100.0020.040
15 – 20 days13358.38943.113704.85429.10.8900.9430.578
Day of Discharge13642.96048.910803.64685.80.1850.9470.427
PLATELET COUNTDay of Admission2.270.842.550.920.342--
7 – 10 days2.550.783.031.110.1440.3880.013
15 – 20 days2.491.332.641.100.7210.9280.508
Day of Discharge2.520.912.560.950.9160.7770.730
ALBUMINDay of Admission3.40.33.40.40.789--
7 – 10 days3.40.33.30.40.5610.3670.327
15 – 20 days2.90.73.30.40.1300.0640.267
Day of Discharge3.11.03.30.60.6010.3430.302
PHDay of Admission7.390.067.370.070.314--
7 – 10 days7.400.127.400.050.9130.8640.050
15 – 20 days7.400.097.410.050.9130.9310.057
Day of Discharge7.400.117.390.060.6550.8200.013
PCO2Day of Admission32.57.533.99.90.651--
7 – 10 days39.114.534.57.90.1840.2170.736
15 – 20 days43.114.836.411.70.1570.0810.950
Day of Discharge45.516.936.67.90.0410.0200.874
PO2Day of Admission79.737.374.327.50.610--
7 – 10 days72.541.381.725.90.3740.2850.262
15 – 20 days90.830.592.339.70.9110.8510.201
Day of Discharge64.224.093.134.90.0350.1100.059
HCO3Day of Admission20.84.821.93.60.434--
7 – 10 days22.63.923.32.90.5140.1070.130
15 – 20 days25.02.324.84.10.8650.0500.010
Day of Discharge28.37.624.34.40.0730.0090.052

Kaplan Meier survival analysis reflecting the median survival time among pneumothorax/pneumomediastinum patients_

Median survival time among Pneumothorax patients

EstimateStandard Error95% Confidence Interval

Lower BoundUpper Bound
7.0 days0.7075.6148.386

Number of patients being administered oxygen therapy through various routes in both the groups_

Route of oxygenationPneumothoraxNo PneumothoraxChi-square test P-value


CountColumn N %CountColumn N %
BiPAP00.0%926.5%0.005
CPAP1372.2%1544.1%
HFM00.0%720.6%
MV422.2%12.9%
NONE15.6%25.9%
Total18100.0%34100.0%

Laboratory values of inflammatory markers in both the groups at designated time intervals_

VariablesTime of CollectionPneumothoraxNo PneumothoraxMann–Whitney U test p-valueWilcoxon signed rank test p-value



MedianQ1Q3MedianQ1Q3Change from day of admission p-value Pneumothorax groupChange from day of admission p-value Non-Pneumothorax group
IL 6Day of Admission41.127.863.312.63.759.60.147--
7 – 10 days64.3028.40230.2014.903.2733.900.0780.5930.959
15 – 20 days15.82.580.010.66.512.80.4750.5930.484
Day of Discharge15.013.830.49.73.685.70.8980.6550.889
FERRITINDay of Admission1425.0805.91650.0916.5462.01480.00.263--
7 – 10 days1101.81101.81101.8482.0243.01141.00.8000.3170.109
15 – 20 days1650.0815.01650.01002.9430.01321.00.2020.3170.285
Day of Discharge579.0181.91226.5416.5144.61121.00.8860.1800.317
D DIMERDay of Admission897.0131.01012.0310.0143.0488.00.319--
7 – 10 days543.0368.05000.0321.5152.9359.00.1140.6550.144
15 – 20 days374.5299.0808.0354.5217.01285.01.0000.1800.866
Day of Discharge87.948.9282.0565.0414.2904.50.1140.1090.593
CRPDay of Admission79.018.0101.040.011.061.80.062--
7 – 10 days55.531.666.860.432.6126.10.5960.2730.064
15 – 20 days13.08.214.019.05.024.40.6610.6550.508
Day of Discharge35.712.360.720.21.568.10.9511.0000.445
PCTDay of Admission0.10.00.50.00.00.10.237--
7 – 10 days0.10.00.30.10.00.10.7270.1800.893
15 – 20 days7.20.013.00.00.00.30.3810.3170.786
Day of Discharge0.00.00.00.10.00.20.1541.0001.000

Comparison of mortality between the groups_

MortalityPneumothoraxNo PneumothoraxChi-square test P-value


CountColumn N %CountColumn N %
Dead1372.2%926.5%0.001 RELATIVE
Alive527.8%2573.5%RISK = 2.73 (95% C.I. 1.45–5.12)
Total18100.0%34100.0%
DOI: https://doi.org/10.2478/rjaic-2022-0002 | Journal eISSN: 2502-0307 | Journal ISSN: 2392-7518
Language: English
Page range: 8 - 15
Published on: Jan 14, 2023
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2023 Anshul Singh, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.