@article { author = {Majidi, Fatemeh and Faraji, Majid and Zamanifard, Somaye and Nikdoust, Farahnaz}, title = {Assessment of Clinical Characteristics and Outcomes of COVID-19 Patients with Pericardial Effusion}, journal = {Trauma Monthly}, volume = {27}, number = {Especial Issue (COVID-19 and Emergency Medicine)}, pages = {34-40}, year = {2022}, publisher = {Official Publication of the National Center for Trauma Research}, issn = {2251-7464}, eissn = {2251-7472}, doi = {10.30491/tm.2021.310322.1385}, abstract = {Introduction: Evidence shows increased identification of cardiac involvement in patients with COVID-19 with a more critical prognosis. The study aimed to assess the outcomes of COVID-19 patients with pericardial effusion (PE) disease in comparison with a control group.Methods: Sixty-One COVID-19 patients who were referred to Shariati hospital in Tehran, Iran, from June 2020 to June 2020 were included. The diagnosis of COVID-19 was according to WHO interim guidance. Eleven cases were with pericardial effusion, and two patients were with a diagnosis of tamponade and pericardial synthesis. Other forty-six Covid-19 cases were as the control group.Results: The majority of patients (54.0%) were in the age group of 50–70 years. Also, 62.2% of cases were male. In PE group compared to non-PE group patients had ESR>50 mm/hour [13(86%) vs. 3(66%), P=0.045), hypernatremia [4(26%) vs. 1(2.1%) P=0.007].  In non-PE group compared to PE group patients had PCT>ULN (ug/L) [21(42) vs. 4(26.7), P=0.035].  There was no significant difference between results of lung CT scan (ground glass (GG), pericardial effusion, and pleural effusion) and tachypnea, positive RT-PCR, and lab in the mild PE group compared to the tamponade group. The incidence of shock (or SBP<100) was more in the mild PE group compared to the tamponade group (P=0.048). There was no significant difference in outcomes (all-cause mortality, discharge, ICU admission and duration, shock, MI intubation, and time of admission) between PE and non-PE groups and subgroups of PE (P>0.05).Conclusion: The results showed pericardial effusion involvement could happen with COVID-19 patients even without differences in all-cause mortality, discharge, ICU admission and duration, MI, time of admission, and intubation. Although, there was a significant difference in hypernatremia and increased ESR level in the PE group. Also, our data provide some reassurance that PE is not a poor prognostic factor in COVID-19 infection.}, keywords = {COVID-19,Pericardial effusion,Cardiac tamponade}, url = {https://www.traumamon.com/article_141499.html}, eprint = {https://www.traumamon.com/article_141499_b1d0fe514c964959951c7cf90c8485b1.pdf} }