Factors Associated With Presence Of Pneumomediastinum And Pneumothorax In Patients With Covid 19 In Public Hospital In Puebla

Introduction: acute respiratory distress syndrome secondary to covid 19 can lead to the presence of pneumothorax and pneumomediastinum; rare but potentially fatal and is related to mechanical ventilation or the severity of the disease. Recently, cases of pneumomediastinum have been documented despite the use of different protective ventilation measures, without being clear about its origin or prognosis. Material and methods: descriptive, retrospective and single-center study in patients with covid 19 admitted to a second level hospital in the city of puebla during march 1, 2020 to march 1, 2021. Results: during the period from january 2020 to january 2021, 966 patients were admitted to hospital with a diagnosis of covid 19. 29 (3%) patients presented some pleural complication. 23 (84%) had pneumomediastinum and 5 (18%) had pneumothorax. The most prevalent comorbidities were diabetes, arterial hypertension and obesity. 80% of the patients had dyspnea and chest pain as the initial symptom. In laboratory tests, 80% of the patients had high ldh and c-reactive protein associated with leukocytosis. Conclusion: the prevalence of pneumothorax and pneumomediastinum in patients with covid 19 was 3% with a mortality rate of 25%