Comorbidity and Fatality Among Covid Patients: A Hospital Based-Retrospective Cohort Study

Authors

  • Yeni Kartika Sari STIKes Patria Husada Blitar
  • Thatit Nurmawati STIKes Patria Husada Blitar
  • Joko Ivnu Santoso RSUD Ngudi Waluyo Wlingi
  • Maratus Sholichah Fitriah Hajar Kusnianto STIKes Patria Husada Blitar

DOI:

https://doi.org/10.26699/jnk.v10i2.ART.p210-216

Keywords:

COVID-19, comorbidity, fatality

Abstract

People with comorbid diseases have a high risk of contracting COVID-19, because the immune system has decreased, thus increasing the risk of transmission of COVID-19 and even potentially increasing the risk of fatality. This study aimed to determine the comorbidity and mortality among COVID-19 confirmed cases during May to September, 2021. The study was a retrospective cohort with secondary data from the COVID-19 with in Hospital report from May to September, 2021, with a total sample of 178. We extracted demographic and clinical data, including hospital outcomes (discharge or death). The result of the research showed that the respondents separated in to two groups, half of them are patients with comorbidity (89 patients) and the rest are patients non comorbidity. From 89 patients with comorbidity, 62 % were died and 38 % were discharged. The most comorbidites were 67,4% diabetes mellitus, 33% hypertension. The fatality rate of COVID-19 patients was 34% devided to 61,8% were comorbidity patients and 5,5% were non comorbidity. The comorbidity related to fatality rate of COVID-19 patient’s (p=0.000). It is important for society to avoid and control comorbid factors of COVID-19

Author Biographies

Yeni Kartika Sari, STIKes Patria Husada Blitar

Nursing Department

Thatit Nurmawati, STIKes Patria Husada Blitar

Nursing Department

Joko Ivnu Santoso, RSUD Ngudi Waluyo Wlingi

Nursing Practitioner

Maratus Sholichah Fitriah Hajar Kusnianto, STIKes Patria Husada Blitar

Nursing Department

References

Alfad, H., Saftarina, F., Kurniawan, B., 2020. Dampak Infeksi SARS-Cov-2 Terhadap Penderita Hipertensi. J. Major. 9, 181–185.

Bastug, A., Bodur, H., Erdogan, S., Gokcinar, D., Kazancioglu, S., Kosovali, B.D., Ozbay, B.O., Gok, G., Turan, I.O., Yilmaz, G., Gonen, C.C., Yilmaz, F.M., 2020. Clinical and laboratory features of COVID-19: Predictors of severe prognosis. Int. Immunopharmacol. 88, 106950. https://doi.org/10.1016/j.intimp.2020.106950

Drew, C., Adisasmita, A.C., 2020. Gejala dan komorbid yang memengaruhi mortalitas pasien positif COVID-19 di Jakarta Timur, Maret-September 2020 | Tarumanagara Medical Journal [WWW Document]. URL https://journal.untar.ac.id/index.php/tmj/article/view/11742 (accessed 7.5.23).

Ejaz, H., Alsrhani, A., Zafar, A., Javed, H., Junaid, K., Abdalla, A.E., Abosalif, K.O.A., Ahmed, Z., Younas, S., 2020. COVID-19 and comorbidities: Deleterious impact on infected patients. J. Infect. Public Health 13, 1833–1839. https://doi.org/10.1016/j.jiph.2020.07.014

Erener, S., 2020. Diabetes, infection risk and COVID-19 - PubMed [WWW Document]. URL https://pubmed.ncbi.nlm.nih.gov/32585364/ (accessed 7.5.23).

Fanani, A., 2020. HUBUNGAN FAKTOR RISIKO DENGAN KEJADIAN DIABETES MELLITUS. Julnal Keperawatan 12, 371–378. https://doi.org/doi.org/https://doi.org/10.32583/keperawatan.v12i3.763

Hussain, A., Bhowmik, B., do Vale Moreira, N.C., 2020. COVID-19 and diabetes: Knowledge in progress. Diabetes Res. Clin. Pract. 162, 108142. https://doi.org/10.1016/j.diabres.2020.108142

Kamyshnyi, A., Krynytska, I., Matskevych, V., Marushchak, M., Lushchak, O., 2020. Arterial Hypertension as a Risk Comorbidity Associated with COVID-19 Pathology. Int. J. Hypertens. 2020, 8019360. https://doi.org/10.1155/2020/8019360

Karya, K.W.S., Suwidnya, I.M., Wijaya, B.S., 2021a. Hubungan penyakit komorbiditas terhadap derajat klinis COVID-19. Intisari Sains Medis 12, 708–717. https://doi.org/10.15562/ism.v12i2.1143

Karya, K.W.S., Suwidnya, I.M., Wijaya, B.S., 2021b. Hubungan penyakit komorbiditas terhadap derajat klinis COVID-19. Intisari Sains Medis 12, 708–717. https://doi.org/10.15562/ism.v12i2.1143

Karyono, D.R., Wicaksana, A.L., 2020. Current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia. J. Community Empower. Health 3, 77–84. https://doi.org/10.22146/jcoemph.57325

Kemenkes, 2020. Pedoman Pencegahan dan Pengendalian COVID-19 [WWW Document]. URL https://covid19.kemkes.go.id/protokol-covid-19/kmk-no-hk-01-07-menkes-413-2020-ttg-pedoman-pencegahan-dan-pengendalian-covid-19/ (accessed 7.5.23).

Li, J., Liu, Z., Wu, G., Yi, M., Chen, Y., Li, K., Xu, X., Xiao, L., Wu, Q., Chen, J., Wu, X., 2020. D-Dimer as a Prognostic Indicator in Critically Ill Patients Hospitalized With COVID-19 in Leishenshan Hospital, Wuhan, China. Front. Pharmacol. 11, 600592. https://doi.org/10.3389/fphar.2020.600592

Lippi, G., Wong, J., Henry, B.M., 2020. Hypertension in patients with coronavirus disease 2019 (COVID-19): a pooled analysis. Pol. Arch. Intern. Med. 130, 304–309. https://doi.org/10.20452/pamw.15272

Long, H., Nie, L., Xiang, X., Li, H., Zhang, X., Fu, X., Ren, H., Liu, W., Wang, Q., Wu, Q., 2020. D-Dimer and Prothrombin Time Are the Significant Indicators of Severe COVID-19 and Poor Prognosis. BioMed Res. Int. 2020, 6159720. https://doi.org/10.1155/2020/6159720

Longato, E., Fadini, G.P., Sparacino, G., Gubian, L., Di Camillo, B., 2020. Prediction of Cardiovascular Complications in Diabetes from Pharmacy Administrative Claims. pp. 315–320. https://doi.org/10.1109/MELECON48756.2020.9140600

Masruroh, 2018. HUBUNGAN UMUR DAN STATUS GIZI DENGAN KADAR GULA DARAH PENDERITA DIABETES MELITUS TIPE II. J. Ilmu Kesehat. Masy. 6, 153–163.

Nabila, T., 2021. SKRIPSI LITERATURE REVIEW : HIPERTENSI SEBAGAI KOMORBID PADA PASIEN COVID-19.

Perkeni, 2021. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2021. PERKENI.

Rahayu, L.A.D., Admiyanti, J.C., Khalda, Y.I., 2021. HYPERTENSION, DIABETES MELLITUS, AND OBESITY AS THE MAIN COMORBIDITY FACTORS OF MORTALITY IN COVID-19 PATIENTS: A LITERATURE REVIEW | JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia [WWW Document]. URL https://bapin-ismki.e-journal.id/jimki/article/view/342 (accessed 7.5.23).

Rias, Y.A., 2017. HUBUNGAN ANTARA BERAT BADAN DENGAN KADAR GULA DARAH ACAK PADA TIKUS DIABETES MELLITUS. J. Wiyata 4, 72–77.

Shi, Q., Zhang, Xiaoyi, Jiang, F., Zhang, Xuanzhe, Hu, N., Bimu, C., Feng, J., Yan, S., Guan, Y., Xu, D., He, G., Chen, C., Xiong, X., Liu, L., Li, H., Tao, J., Peng, Z., Wang, W., 2020. Clinical Characteristics and Risk Factors for Mortality of COVID-19 Patients With Diabetes in Wuhan, China: A Two-Center, Retrospective Study. Diabetes Care 43, 1382–1391. https://doi.org/10.2337/dc20-0598

Singh, A.K., Gupta, R., Ghosh, A., Misra, A., 2020. Diabetes in COVID-19: Prevalence, pathophysiology, prognosis and practical considerations. Diabetes Metab. Syndr. 14, 303–310. https://doi.org/10.1016/j.dsx.2020.04.004

Wang, 2020. Clinical course and outcome of 107 patients infected with the novel coronavirus, SARS-CoV-2, discharged from two hospitals in Wuhan, China. BMC 24. https://doi.org/10.1186/s13054-020-02895-6

Wulandari, E.W., Ronoatmodjo, S., Salama, N., 2021. Hubungan Komorbid Hipertensi dengan Kematian pada Kasus Konfirmasi COVID-19 di DKI Jakarta, Maret-Agustus 2020. J. Ilmu Kesehat. Masy. 10, 287–298. https://doi.org/10.33221/jikm.v10i04.1026

Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., Xiang, J., Wang, Y., Song, B., Gu, X., Guan, L., Wei, Y., Li, H., Wu, X., Xu, J., Tu, S., Zhang, Y., Chen, H., Cao, B., 2020. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet Lond. Engl. 395, 1054–1062. https://doi.org/10.1016/S0140-6736(20)30566-3

Downloads

Published

05-09-2023

How to Cite

Sari, Y. K., Nurmawati, T., Santoso, J. I., & Kusnianto, M. S. F. H. (2023). Comorbidity and Fatality Among Covid Patients: A Hospital Based-Retrospective Cohort Study. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 10(2), 210–216. https://doi.org/10.26699/jnk.v10i2.ART.p210-216

Issue

Section

Article

Most read articles by the same author(s)

<< < 1 2 3 > >>