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- W3160144678 abstract "PurposePneumocystis jirovecii pneumonia (PCP) with acute respiratory failure can increase the development of pneumothorax during treatment. This study aims to identify the incidence and related factors of pneumothorax in PCP patients with acute respiratory failure and to analyze their prognosis.MethodWe retrospectively reviewed the occurrence of pneumothorax including clinical characteristics and Results of other examinations in 119 patients with PCP pneumonia and respiratory failure requiring the mechanical ventilator treatment in medical intensive care unit (ICU) at a tertiary-care center between July 2016 and April 2019.ResultThe 28-day survival rate was 62.2% (N=74). Twenty-two patients (18.5%) developed the pneumothorax during ventilator treatment, and 45 patients (37.8%) were required the tracheostomy due to weaning failure. The cytomegalovirus co-infection (odds ratio 13.9; p = 0.013) were related with the occurrence of pneumothorax. Of 74 patients with 28-day survival, 15 patients (20.3%) were underwent the pneumothorax. In those patients, 5 patients survived (p = 0.048), and only 2 patients finally succeeded to wean from the ventilator (p = 0.037).ConclusionPCP patients with acute respiratory failure who developed pneumothorax were not associated with 28-day mortality, but might have related to difficult and prolonged weaning from the mechanical ventilator." @default.
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- W3160144678 date "2020-01-01" @default.
- W3160144678 modified "2023-09-24" @default.
- W3160144678 title "Critical Care P-006 : Meaningful of Pneumothorax in Pneumocystis Pneumonia Patients with Respiratory Failure" @default.
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