Journals / Anatolian Current Medical Journal / 2023 / Cilt: 5 - Sayı: 1

Prognosis prediction of the mean tracheal air column area in COVID-19 patients

Pages
24–28
Publication Date
2023-01-20
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Furthermore, we showed that advanced age and an increase in the length of stay in the intensive care unit were factors that increased mortality.Conclusion: Tracheomegaly is a poor prognostic factor in COVID-19 disease and is easily diagnosed with CT.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: SARS-CoV-2 infection frequently affects the lungs, it can also cause severe inflammation in the lower respiratory tract, leading to tracheal damage.
📊
Key Findings & Data:We aimed to investigate the relationship between the mean tracheal air column and COVID-19.Material and Method: Chest computed tomography scans of COVID-19 patients treated in an intensive care unit between June 1st, 2020 and October 1st 2022 were retrospectively evaluated.
💡
Conclusion & Impact:Furthermore, we showed that advanced age and an increase in the length of stay in the intensive care unit were factors that increased mortality.Conclusion: Tracheomegaly is a poor prognostic factor in COVID-19 disease and is easily diagnosed with CT.
🔬Design:Research Article
📍Scope:2020 Verileri
⚙️Variables:COVID-19 · computed tomography · trachea

Abstract

Aim: SARS-CoV-2 infection frequently affects the lungs, it can also cause severe inflammation in the lower respiratory tract, leading to tracheal damage. We aimed to investigate the relationship between the mean tracheal air column and COVID-19.Material and Method: Chest computed tomography scans of COVID-19 patients treated in an intensive care unit between June 1st, 2020 and October 1st 2022 were retrospectively evaluated. The air column area of the trachea was measured and the effect of the values obtained on mortality and length of stay in the intensive care unit for patients COVID-19 was examined.Results: We found that an increase in the mean tracheal air column increased mortality by 1.218 times. We also determined that an increase in the mean area of the tracheal air column increased the length of stay in the intensive care unit. Furthermore, we showed that advanced age and an increase in the length of stay in the intensive care unit were factors that increased mortality.Conclusion: Tracheomegaly is a poor prognostic factor in COVID-19 disease and is easily diagnosed with CT.

🔖

Cite This Article

ÇORAPLI, M., ÇORAPLI, G. (2023). Prognosis prediction of the mean tracheal air column area in COVID-19 patients. Anatolian Current Medical Journal, Cilt: 5 - Sayı: 1, 24–28. https://ajindex.com/articles/878287

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Tay MZ, Poh CM, Rénia L, MacAry PA, Ng LF. The trinity of COVID-19: immunity, inflammation and intervention. Nat Rev Immunol 2020; 20: 363-74.
  2. Al-Samkari H, Karp Leaf RS, Dzi WH, et al. COVID-19 and coagulation: Bleeding and thrombotic manifestations of SARS-CoV-2 infection. Blood 2020; 136: 489–500.
  3. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet 2020; 395: 507–13.
  4. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA 2020; 323: 1239-42.
  5. To KF, Lo AW. Exploring the pathogenesis of severe acute respiratory syndrome (SARS): the tissue distribution of the coronavirus (SARS‐CoV) and its putative receptor, angiotensin‐converting enzyme 2 (ACE2). J Pathol 2004; 203: 740-3.
  6. Fiacchini G, Tricò D, Ribechini A, et al. Evaluation of the incidence and potential mechanisms of tracheal complications in patients with COVID-19. JAMA Otolaryngol Head Neck Surg 2021; 147: 70-6.
  7. Khan F, Reddy NC. Enlarging intratracheal tube cuff diameter: A quantitative roentgenographic study of its value in the early prediction of serious tracheal damage. Ann Thorac Surg 1977; 24: 49–53.
  8. Kucuk C, Arda K, Ata N, Turkkani MH, Yildiz OO. Tracheomegaly and tracheosephagial fistula following mechanical ventilation: A case report and review of the literature. Respir Med Case Rep 2016; 17: 86–9.
  9. Woodring JH, Barrett PA, Rehm SR, Nurenberg P. Acquired tracheomegaly in adults as a complication of diffuse pulmonary fibrosis. Am J Roentgenol 1989; 152: 743-7.
  10. Acar T, Bayraktaroglu S, Ceylan N, Savas R. Computed tomography findings of tracheobronchial system diseases: a pictorial essay. Jpn J Radiol 2015; 33: 51-8.
  11. Giudice M, Gallo S, Maffioli MP, et al. Acquired tracheal dilatation after prolonged ventilation: An unusual treatment option. Laryngoscope 2014; 124: 2309–12.
  12. Lee DH, Yoon TM, Lee JK, Lim SC. Tracheomegalysecondary to tracheotomy tube cuff in amyotrophic lateral sclerosis: a case report. Medicine 2015; 94:1763. Ünlü S, Ilgar M, Akçiçek M. The evaluation of the trachea as a new parameter in determining the prognosis of COVID-19: First pilot study. Eur Rer Med Pharmacol Sci 2021; 25: 4835-40. Collins NE. Acquired tracheomegaly in critically ill patients with COVID-19: a literature review. J Nur Pract 202