Gambaran Pasien COVID-19 Dengan Komorbiditas Di RSU Universitas Kristen Indonesia Periode 2020

Halim, Benaya Putra (2022) Gambaran Pasien COVID-19 Dengan Komorbiditas Di RSU Universitas Kristen Indonesia Periode 2020. S1 thesis, Unviersitas Kristen Indonesia.

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Abstract

Coronavirus Disease-19 (COVID-19) merupakan penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV�2). COVID-19 pada saat ini masih menjadi masalah kesehatan utama di seluruh dunia termasuk Indonesia, dan memiliki beberapa faktor risiko. Komorbiditas, merokok, jenis kelamin laki-laki, dan usia lanjut merupakan faktor risiko terbesar pada COVID-19. Komorbiditas pada COVID-19 sering dikaitkan dengan gejala yang lebih berat dan angka kematian yang lebih tinggi. Data mengenai komorbiditas pasien COVID-19 di Indonesia saat ini masih terbatas dan kemungkinan kurangnya pelaporan di berbagai daerah di Indonesia sehingga penelitian ini dibuat dengan harapan memberikan data lebih terhadap gambaran pasien COVID-19 dengan komorbiditas. Pendekatan yang dipakai dalam penelitian ini adalah deskriptif retrospektif dengan data sekunder berupa rekam medis yang diambil dari Rumah Sakit Umum (RSU) Universitas Kristen Indonesia (UKI) dari Januari 2020 sampai Desember 2020, dengan tujuan mengetahui gambaran pasien COVID-19 dengan komorbiditas. Dari 156 pasien COVID-19 yang sesuai dengan kriteria inklusi dan ekslusi, 91 pasien (58,3%) memiliki komorbiditas dan didistribusikan berdasarkan jenis kelamin, kelompok usia, gejala klinis, jenis komorbiditas, dan jumlah komorbiditas tiap pasien. Berdasarkan distribusi jenis kelamin, pasien laki-laki berjumlah 46 pasien (50,5%) dan pasien perempuan berjumlah 45 pasien (49,5%). Kelompok usia terbanyak adalah 50 – 54 tahun sebanyak 14 pasien (15,4%). Demam sebanyak 88 pasien (95,9%), batuk sebanyak 86 pasien (93,8%) dan sesak napas sebanyak 55 pasien (60,8%) adalah gejala klinis paling sering. Jenis komorbiditas tersering adalah hipertensi sebanyak 66 pasien (72,5%), diabetes mellitus (DM) sebanyak 20 pasien (22,0%), dan obesitas sebanyak 14 pasien (15,4%). Terdapat 58 pasien (63,7%) yang hanya memiliki 1 jenis komorbiditas, dan 33 pasien (36,3%) dengan ≥ 2 jenis komorbiditas. Identifikasi komorbiditas yang lebih cepat, penyuluhan umum mengenai komorbiditas dan faktor risiko COVID-19 lainnya, serta kepatuhan terhadap protokol kesehatan sangat disarankan untuk menurunkan proporsi pasien COVID�19 dengan komorbiditas. Kata kunci: COVID-19, SARS-CoV-2, Komorbiditas./ Coronavirus Disease-19 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV-2). At this point of time, COVID-19 remains as the main health issue all around the world including Indonesia, with existing risk factors. Comorbidities, smoking, male sex, and elderly are the some of its biggest risk factors. Current data about COVID-19 patients with existing comorbidities in Indonesia were limited and for that reason this study was made to present more data about clinical profile of COVID-19 with comorbidities. Descriptive retrospective method was used in this study with secondary data obtained from medical records in Christian University of Indonesia General Hospital from January 2020 to December 2020 and aimed to describe the clinical profile of COVID-19 patients with comorbidities. Among 156 samples of COVID�19 patients that were found in this study according to inclusion and exclusion criterias, 91 patients (58,3%) had atleast one comorbidity and were distributed based on sex, age group, clinical symptoms, type of comorbidity, and the number of comorbidities in each patient. Based on sex distribution, there were 46 male patients (50,5%) and 45 female patients (49,5%). The most prevalent age group was 50 – 54 years old with the amount of 14 patients (15,4%). Fever with 88 patients (95,9%), cough with 86 patients (93,8%), and dyspnea with 55 patients (60,8%) were the most common clinical symptoms. The most common types of comorbidity were hypertension with 66 patients (72,5%), diabetes mellitus (DM) with 20 patients (22,0%), and obesity with 14 patients (15,4%). There were 58 patients (63,8%) with only one comorbidity and 33 patients (36,3%) with ≥ 2 comorbidities. Prompt identification of comorbidities, public enlightenment about comorbidities with other risk factors of COVID-19 and complying with health protocols are recommended to decrease the proportion of COVID-19 patients with comorbidities. Keywords: COVID-19, SARS-CoV-2, Comorbidity.

Item Type: Thesis (S1)
Contributors:
ContributionContributorsNIDN/NIDKEmail
Thesis advisorPohan, Dame JoyceNIDN0327125803UNSPECIFIED
Subjects: MEDICINE > Medicine (General) > Medical records
Divisions: FAKULTAS KEDOKTERAN > Pendidikan Dokter
Depositing User: Users 1643 not found.
Date Deposited: 14 Apr 2022 07:10
Last Modified: 14 Apr 2022 07:10
URI: http://repository.uki.ac.id/id/eprint/7645

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