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Pain Complaints and Intubation Risk in COVID-19: A Retrospective Cohort Study

Background Since coronavirus disease 2019 (COVID-19) emerged, increasing cases have been identified worldwide. COVID-19 continues to lead to significant morbidity and mortality, despite developing a vaccination for the disease. While much has been studied regarding the initial presentation and treat...

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Detalles Bibliográficos
Autores principales: Martin, Connor, Obadeyi, Oluseyi, Yeo, Elizabeth, Tran, Duc, Pak, Eugene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9932571/
https://www.ncbi.nlm.nih.gov/pubmed/36819338
http://dx.doi.org/10.7759/cureus.33851
Descripción
Sumario:Background Since coronavirus disease 2019 (COVID-19) emerged, increasing cases have been identified worldwide. COVID-19 continues to lead to significant morbidity and mortality, despite developing a vaccination for the disease. While much has been studied regarding the initial presentation and treatment of patients with COVID-19, to our knowledge, no study has uncovered that COVID-19-positive patients with abdominal pain are at a higher risk of requiring intubation. Methodology In this retrospective cohort study, we identified 104 patients who presented to the emergency room of a single tertiary care center with laboratory-confirmed COVID-19 between February 1, 2020, and April 27, 2020, and collected data on reported pain complaints. Results In this retrospective cohort study, the most common pain complaints were chest pain (25.5%), myalgia (23.4%), and abdominal pain (17.0%). Less common pain complaints included headaches (14.9%) and neck/back pain (6.3%). Of these pain complaints, only patients who reported having abdominal pain were more likely to be intubated (37.5% of patients with abdominal pain were intubated compared to 8.3% of patients without abdominal pain, with a p-value of 0.001). Conclusions Abdominal pain in a patient with COVID-19 infection significantly increases their chances of requiring intubation based on the results of this study.