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

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

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.

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  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Giudice M, Gallo S, Maffioli MP, et al. Acquired tracheal dilatation after prolonged ventilation: An unusual treatment option. Laryngoscope 2014; 124: 2309–12.
  • 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 2022;18: 857-61.
  • Tarle M, Raguž M, Đerke F, Orešković D, Peršec J, Lukšić I. Tracheomegaly as a potential predictor of severe tracheal damage in COVID-19 patients on long-term mechanical ventilation. COVID 2022; 2: 719-30.
  • Harper S, Robinson M, Manning G, Jones A, Hobson J, Shelton CL. Management of tracheostomy-related tracheomegaly in a patient with COVID-19 pneumonitis. Anaesth Rep 2020; 8: 12076.
  • Republic of Turkey. Ministry of Health. Guide of coronavirus disease 19. [cited on Jan 1, 2022]. Availablefrom: https://covid19bilgi.saglik.gov.tr/depo/rehberler/coronavirusdisease19-rehberi/COVID 19 REHBERI GENEL BILGILER EPIDEMIYOLOJI VE_TANI.pdf
  • Breysem L, DebeerA, Claus F,et al. Cross-sectional study of tracheomegaly in children after fetal tracheal occlusion for severe congenital diaphragmatic hernia. Radiology 2010; 257: 226-32.
  • R Core Team (2022). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/
  • Oliver CM, Campbell M, Dulan O, Hamilton N, Birchall M. Appearance and management of COVID-19 laryngotracheitis: Two case reports. F1000 Research 2020; 9: 310.
  • Mangalmurti N, Hunter CA. Cytokine Storms: Understanding COVID-19. Immunity 2020; 53: 19- 25.
  • Shields TW, LoCicero J, Ponn R, Rusch V. General thoracic surgery. Lippincott Williams & Wilkins 2009.
  • Chenbhanich J, Villa-Camacho J, Konter J. A case of tracheobronchomegaly. Eur J Intern Med 2017; 42: 7-8.
  • Saran JS, Loflin RD. Inadvertent tracheostomy cuff hyperinflation causing tracheal dilation. J Emerg Med 2019; 57: 189-90.
  • Ng JB, Bittner EA. Tracheobronchomegaly: a rare cause of endotracheal tube cuff leak. Anesthesiology 2011; 114: 1211.
  • Krustins E, Kravale Z, Buls A. Mouniere Kuhn syndrome or congenital tracheobronchomegaly: a literature review. Respir Med 2013; 107: 1822-8.
  • Jaiswal AK, Munjal S, Singla R, Jain V, Behera D. A 46-year-old man with tracheomegaly, tracheal diverticulosis, and bronchiectasis: Mouniere Kuhn syndrome. Lung India 2012; 29: 176-8.
  • Kuwal A, Dutt N, Chauhan N, Kumar S, Purohit S, Saini LK. An atypical case of Mouniere Kuhn syndrome: time to change the diagnostic approach? J Bronchology Interv Pulmonol 2017; 24: 84-7.
  • Kim MY, Kim EJ, Min BW, Ban JS, Lee SK, Lee JH. Anesthetic experience of a patient with tracheomegalyda case report. Korean J Anesthesiol 2010; 58: 197-201.
  • Krustins E. Mouniere Kuhn syndrome: a systematic analysis of 128 cases published within last 25 years. Clin Respir J 2016; 10: 3-10.
Anatolian Current Medical Journal-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2019
  • Yayıncı: MediHealth Academy Yayıncılık
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