Ridho, Mohammad and Sofro, Muchlis AU (2023) FAKTOR SURVIVALITAS PASIEN COVID-19 di RSUP Dr. Kariadi Semarang. Masters thesis, Universitas Diponegoro.

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Abstract

COVID-19 PATIENT SURVIVALITY FACTORS AT RSUP DR. KARIADI SEMARANG
Mohammad Rosyid Ridho 1,*,Muchlis Achsan Udji Sofro1

1Department of Internal Medicine, Faculty of Medicine, Diponegoro University/Dr Kariadi General Hospital Medical Center, Semarang, Central Java, Indonesia
* Corresponding author's Email:

ABSTRACT
Introduction: The clinical manifestations of Covid-19 patients are various, related to several factors including: age, gender, previous comorbid diseases, the first time they visited a health facility, the length of treatment, and the presence of abnormal laboratory values. Several cases of patients with severe symptoms had a history of previous disease, chronic obstructive pulmonary disease (4.8%), coronary heart disease (10.4%), hypertension (38.7%), diabetes (19.3%), asthma (4.8%), with patients aged over 65 years (56.9%) and having a history of smoking (19.2%).
Aim: Analyzing the survival factors of PDP Covid-19 patients at RSUP Dr. Kariadi

Methods: A retrospective cohort study conducted at Dr. Kariadi Semarang. The independent variables of the study were the characteristics of the research subjects based on the patient's medical record data. The dependent variable of the study was the degree of patient survival. This study used 291 confirmed COVID-19 patients at dr. Kariadi who met the inclusion criteria and did not have the exclusion criteria.

Results: Based on 291 research subjects, research subjects were dominated by men (55%), with an age range of 51-60 years (34.4%). The highest degree of COVID-19 was suffered by moderate degrees (62.2%). Most of the study subjects were alive at the end of the study (92.1%). The most frequently complained symptoms of COVID-19 were dry cough (58.8%), shortness of breath (56%), and fever (50.9%). The most frequently reported comorbid disease was diabetes mellitus (27.1%). There was a significant difference in hemoglobin levels (P=0.039) and CRP levels (P=0.015) between the living and dead groups. In the dead group, the hemoglobin level was lower, while the CRP level was higher. Factors that affect the survival of COVID-19 patients include the degree of COVID-19 (P=0.010; OR=3.00) and CKD conditions (P=0.007; OR=0.21). Factors that influence the degree of COVID-19 include gender (P=0.045), dry cough symptoms (P=0.034) and shortness of breath (P=0.049). Female gender, not having a dry cough, and not experiencing shortness of breath are protective factors for the incidence of severe COVID-19.

Conclusion: Female gender is a protective factor against severe cases of COVID-19. There is a relationship between the degree of COVID-19 and the survival of the research subjects. So, it can be concluded that indirectly, gender is a survival factor for COVID-19 patients. There is no relationship between age and survival of COVID-19 patients. CKD comorbidity is associated with the survival of the study subjects.

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