STUDI DOKUMENTASI PADA KASUS PASIEN YANG MENINGGAL DENGAN COVID-19 DI RUANG INTENSIVE RUMAH SAKIT X [DOCUMENT ANALYSIS OF THE CASES OF PATIENTS WHO DIED FROM COVID-19 IN THE INTENSIVE CARE UNIT OF HOSPITAL X]
Abstract
Coronavirus-2019 is an infectious disease caused by SARS-CoV-2 and has been a pandemic for four years. Various patient characteristics are risk factors for the severity of the condition and increased mortality in patients with COVID-19. Research objectives: This study aims to describe the cases of patients who died from COVID-19 in the intensive care unit at Hospital X in Tangerang. A retrospective, quantitative descriptive design with a document analysis was carried out in this study. 81 medical records were selected using the purposive sampling method and analysed from January to October 2021. This study showed that an age >65 years was the most common age for a total of 32 (39.5%) patients. Furthermore, most of the respondents were male patients for a total of 51 (63%). There were 54 (66.7%) patients with severe symptoms, and 76 (93.8%) patients using ventilators. Hypertension and diabetes were the most common comorbidities, found among 14 (17.3%) patients. The results of respiratory acidosis was the most common condition in 33 (40.7%) patients. In addition, 58 (71.6%) patients detected pneumonia on chest CT scan. 75 (92.5%) patients had a D-dimer >1.0, 53 (63.4%) patients had a CRP >200, and 54 (66.7%) patients had a PCT <0.5. Conclusion: It is necessary to conduct research on the relationship between the characteristics of patients who died with COVID-19.
BAHASA INDONESIA ABSTRAK Coronavirus-2019 adalah penyakit menular yang disebabkan oleh SARS-CoV-2 dan menjadi pandemic selama empat tahun. Berbagai karakteristik pasien menjadi faktor risiko keparahan kondisi dan peningkatan angka mortalitas pada pasien dengan COVID-19. Penelitian ini bertujuan untuk mengetahui gambaran kasus pasien yang meninggal dengan COVID-19 di ruang intensif rumah sakit X di Tangerang. Desain retrospektif deskriptif kuantitatif dengan studi dokumentasi dilakukan dalam penelitian ini. 81 rekam medis dipilih dengan metode purposive sampling dan dianalisis pada bulan Januari – Oktober 2021. Penelitian ini menunjukkan bahwa usia >65 tahun adalah usia terbanyak, yaitu sebanyak 32 (39.5%) pasien, dengan dominasi pasien laki-laki sebanyak 51 (63%) orang, dengan gejala berat sebanyak 54 (66.7%) pasien, serta sebanyak 76 (93.8%) pasien menggunakan ventilator. Hipertensi dan diabetes merupakan komorbid terbanyak, yaitu 14 (17.3%) pasien, dengan hasil asidosis respiratorik sebagai kondisi terbanyak, yaitu 33 (40.7%) pasien, gambaran pneumonia sebanyak 58 (71.6%) pasien pada pemeriksaan CT-scan thorax, 75 (92.5%) pasien dengan nilai D-dimer >1.0, 53 (63.4%) pasien dengan nilai CRP >200, dan sebanyak 54 (66.7%) pasien dengan nilai PCT <0.5. Saran untuk penelitian selanjutnya, perlu dilakukan penelitian terkait hubungan antar karakteristik pasien yang meninggal dengan COVID-19.
Keywords
DOI: http://dx.doi.org/10.19166/nc.v11i1.6949
Full Text:
PDFReferences
Abbasi, B., Akhavan, R., Ghamari Khameneh, A., Zandi, B., Farrokh, D., Pezeshki Rad, M., Feyzi Laein, A., Darvish, A., & Bijan, B. (2021). Evaluation of the relationship between Inpatient covid-19 mortality and chest CT severity score. The American Journal of Emergency Medicine, 45, 458–463. https://doi.org/10.1016/j.ajem.2020.09.056
Al-Azzam, N., Khassawneh, B., Al-Azzam, S., Karasneh, R. A., & Aldeyab, M. A. (2023). Acid–base imbalance as a risk factor for mortality among COVID-19 hospitalized patients. Bioscience Reports, 43(3). https://doi.org/10.1042/bsr20222362
Alfano, G., Fontana, F., Mori, G., Giaroni, F., Ferrari, A., Giovanella, S., Ligabue, G., Ascione, E., Cazzato, S., Ballestri, M., Di Gaetano, M., Meschiari, M., Menozzi, M., Milic, J., Andrea, B., Franceschini, E., Cuomo, G., Magistroni, R., Mussini, C., … Pinti, M. (2021a). Acid base disorders in patients with COVID-19. International Urology and Nephrology, 54(2), 405–410. https://doi.org/10.1007/s11255-021-02855-1
Bayraktaroglu, S., Cinkooglu, A., Ceylan, N., & Savas, R. (2021). The novel coronavirus pneumonia (COVID-19): A Pictorial Review of Chest CT features. Diagnostic and Interventional Radiology, 27(2), 188–194. https://doi.org/10.5152/dir.2020.20304
Chen Etchson, E., Khan, A., Schneider, J., & Gilbert, E. (2021). Severe respiratory acidosis and metabolic alkalosis in a patient with Covid-19 Ards. Chest, 160(4). https://doi.org/10.1016/j.chest.2021.07.1903
Covid-19 situational report in the ASEAN region. (n.d.). https://asean.org/wp-content/uploads/COVID-19_Situational-Report_ASEAN-BioDiaspora-Regional-Virtual-Center_7June2021.pdf
Dinas Kesehatan Provinsi Banten. (2021, October 16). Peta Sebaran Covid-19 Tanggal 16 Oktober 2021. https://dinkes.bantenprov.go.id/read/berita/1725/Peta-Sebaran-Covid-19-Tanggal-16-Oktober-2021.html
Fitri, I. C., Singh, G., & Amin, Z. (2021). Diagnosis Banding Ground Glass Opacities pada CT-Scan Toraks di Era COVID-19. Indonesia Journal Chest, 8(1). https://www.indonesiajournalchest.com/index.php/IJC/issue/view/177
Haq, A. D., Nugraha, A. P., Wibisana, I. K., Anggy, F., Damayanti, F., Syifa, R. R. D., Widhiani, N. P., & Warnaini, C. (2021). Faktor – Faktor Terkait Tingkat Keparahan Infeksi coronavirus disease 2019 (covid-19): Sebuah Kajian Literatur. JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia, 9(1), 48–55. https://doi.org/10.53366/jimki.v9i1.338
Hidayani, W. R. (2020). Faktor Faktor Risiko Yang Berhubungan Dengan covid 19 : Literature review. Jurnal Untuk Masyarakat Sehat (JUKMAS), 4(2), 120–134. https://doi.org/10.52643/jukmas.v4i2.1015
Hikmidaariyyati, H., Hudari, H., & Tanta, Y. (2022). Analisis Faktor Risiko Keparahan Klinis Dan Kematian PasienDewasa Covid-19 Di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Periode Januari-Juni 2021 [Doctoral dissertation,Sriwijaya University]. https://repository.unsri.ac.id/62140/Hoodbhoy, Z., Jafri, L., & Ahmed, S. (2021). Prognostic value of serum Procalcitonin in COVID-19 patients: A systematic review. Indian Journal of Critical Care Medicine, 25(1), 77–84. https://doi.org/10.5005/jp-journals-10071-23706
Hu, R., Han, C., Pei, S., Yin, M., & Chen, X. (2020). Procalcitonin levels in COVID-19 patients. International Journal of Antimicrobial Agents, 56(2), 106051. https://doi.org/10.1016/j.ijantimicag.2020.106051
Indarwati, R. (2020). LindungiLansia dari Covid-19. Jurnal Keperawatan Komunitas, 5(1), 2020. https://e-journal.unair.ac.id/IJCHN/article/view/22451/12337
Karasneh, R. A., Khassawneh, B. Y., Al-Azzam, S., Al-Mistarehi, A.-H., Lattyak, W. J., Aldiab, M., Kabbaha, S., Hasan, S. S., Conway, B. R., & Aldeyab, M. A. (2022). Risk factors associated with mortality in COVID-19 hospitalized patients: Data from the Middle East. International Journal of Clinical Practice, 2022, 1–10. https://doi.org/10.1155/2022/9617319
Kementrian Kesehatan Republik Indonesia. (2021). Ikhtisar Mingguan COVID-19. https://www.kemkes.go.id/downloads/resources/download/laporan-mingguan-covid/Laporan-Mingguan-Penanganan-Covid-19_18-Okt-2021.pdf
Luan, Y., Yin, C., & Yao, Y. (2021). Update advances on C-reactive protein in COVID-19 and other viral infections. Frontiers in Immunology, 12. https://doi.org/10.3389/fimmu.2021.720363
Malaru, C. R., Rondo, A. G., & Wagiu, C. G. (2021). Gambaran Hasil CT-Scan toraks Pada Pasien coronavirus disease 2019 (covid-19). E-CliniC, 9(1). https://doi.org/10.35790/ecl.v9i1.32416
Mubarak, R., Esa, T., Widaningsih, Y., & Bahrun, U. (2021b). D-dimer analysis in COVID-19 patients. Indonesian Journal of Clinical Pathology and Medical Laboratory, 28(1), 5–9. https://doi.org/10.24293/ijcpml.v28i1.1812
Ndera, M. L., Supriyatni, N., & Rahayu, A. (2021). Faktor komorbid Terhadap Covid-19 di Puskesmas Kota tahun 2020. Jurnal Biosainstek, 3(2), 1–9. https://doi.org/10.52046/biosainstek.v3i2.723
Nemec, H. M., Ferenczy, A., Christie, B. D., Ashley, D. W., & Montgomery, A. (2022). Correlation of D-dimer and outcomes in COVID-19 patients. The American Surgeon, 88(9), 2115–2118. https://doi.org/10.1177/00031348221091940
Rahayu, L. A., Admiyanti, J. C., Khalda, Y. I., Ahda, F. R., Agistany, N. F., Setiawati, S., Shofiyanti, N. I., & Warnaini, C. (2021). Hipertensi, diabetes mellitus, dan obesitas Sebagai Faktor Komorbiditas Utama terhadap mortalitas Pasien Covid-19: Sebuah Studi Literatur. JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia, 9(1), 90–97. https://doi.org/10.53366/jimki.v9i1.342
Restuningdyah, N. A., & Amalia, E. (2020). Pemeriksaan CT-Scan Thorax Pada Kasus covid-19 di Provinsi Nusa Tenggara Barat. Jurnal Pengabdian Magister Pendidikan IPA, 3(1). https://doi.org/10.29303/jpmpi.v3i1.447
Saputra, Y. E., Prahasanti, K., Laitupa, A. A., & Irawati, D. N. (2021). Gambaran Faktor Risiko Lanjut usia terhadap Kematian Pasien Covid-19. Jurnal Pandu Husada, 2(2), 114. https://doi.org/10.30596/jph.v2i2.6402
Sari, A. P., & Butar-Butar, F. (2022). Faktor-Faktor Yang Berhubungan Dengan Kematian Pasien Lansia Dengan Penyakit covid-19 di Rsud Drs. H. Amri Tambunan Deli serdang. Tropical Public Health Journal, 2(1), 5–11. https://doi.org/10.32734/trophico.v2i1.8652
Smilowitz, N. R., Kunichoff, D., Garshick, M., Shah, B., Pillinger, M., Hochman, J. S., & Berger, J. S. (2021). C-reactive protein and clinical outcomes in patients with COVID-19. European Heart Journal, 42(23), 2270–2279. https://doi.org/10.1093/eurheartj/ehaa1103
Syarifah, E. F., & Sugiharto, S. (2021). Lansia Sebagai populasi rentan dimasa pandemi covid-19: Scoping review. Prosiding Seminar Nasional Kesehatan, 1, 1452–1458. https://doi.org/10.48144/prosiding.v1i.878
Willim, H. A., Ketaren, I., & Supit, A. I. (2020). Dampak coronavirus disease 2019 terhadap Sistem Kardiovaskular. E-CliniC, 8(2). https://doi.org/10.35790/ecl.v8i2.30540
Xu, X., Yu, C., Qu, J., Zhang, L., Jiang, S., Huang, D., Chen, B., Zhang, Z., Guan, W., Ling, Z., Jiang, R., Hu, T., Ding, Y., Lin, L., Gan, Q., Luo, L., Tang, X., & Liu, J. (2020). Imaging and clinical features of patients with 2019 novel coronavirus SARS-COV-2. European Journal of Nuclear Medicine and Molecular Imaging, 47(5), 1275–1280. https://doi.org/10.1007/s00259-020-04735-9
Yang, X., Yu, Y., Xu, J., Shu, H., Xia, J., Liu, H., Wu, Y., Zhang, L., Yu, Z., Fang, M., Yu, T., Wang, Y., Pan, S., Zou, X., Yuan, S., & Shang, Y. (2020). Clinical course and outcomes of critically ill patients with SARS-COV-2 pneumonia in Wuhan, China: A single-centered, retrospective, Observational Study. The Lancet Respiratory Medicine, 8(5), 475–481. https://doi.org/10.1016/s2213-2600(20)30079-5
Zhang, L., Yan, X., Fan, Q., Liu, H., Liu, X., Liu, Z., & Zhang, Z. (2020). D‐dimer levels on admission to predict in‐hospital mortality in patients with COVID‐19. Journal of Thrombosis and Haemostasis, 18(6), 1324–1329. https://doi.org/10.1111/jth.14859
Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Meliza Yuliana, Siti Nurbaity, Alice Pangemanan, Anthina Luturmas
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Faculty of Nursing | Universitas Pelita Harapan | Lippo Karawaci, Tangerang, Indonesia, 15811 |