scholarly journals Risk Factors of Covid-19 Confirmed Died Patients in Dr. Kariadi Hospital: A Retrospective Study

2021 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Elyana Sri Sulistyowati ◽  
Septi Sewi Muninggar ◽  
Verarica Silalahi

Covid-19 is a communicable disease causing global pandemic. Some factors inflict worse infection. This study aims to investigate risk factors of Covid-19 confirmed died patients at Dr. Kariadi Hospital Semarang. It is a retrospective study with a total sample of all Covid-19 confirmed patients involving died and healed patients from March to June 2020. Data was gathered from screening forms and analysed with Chi Square (confidence interval of 95%). This study found sixteen risk factors of Covid-19 confirmed died patients involving age (p= 0.000; OR= 8.803; 95% CI 3.982-19.462), entrepreneur (p= 0.041; OR= 14.894; 95% CI 1.12-198.65), farmer/trader (p= 0.029; OR= 25.625; 95% CI 1.40-469.25), contact history (p= 0.000; OR= 12.923; 95% CI 6.163-27.097), fever (p= 0.000; OR= 4.877; 95% CI 2.647-8.984), dyspnea (p=0.000; OR= 17.018; 95% CI 8.523-33.977), cough (p= 0.009; OR= 2.178; 95% CI 1.205-3.935), lethargic (p=0.010; OR= 2.282; 95% CI 1.205-4.323), cold (p= 0.002; OR= 0.180; 95% CI 0.054-0.600), diabetes (p=0.000; OR= 9.767; 95% CI 3.932-24.263), COPD (p= 0.001; OR= 6.360; 95% CI 2.164-18.690), hypertension (p= 0.043; OR= 2.436; 95% CI 1.008-5.887), cancer (p=0.001; OR= 9.647; 95% CI 2.413-38.579), heart disease (p= 0.000; OR= 12.226; 95% CI 2.4-62.294), neurological disorders (p=0.008; OR= 6.057; 95% CI 1.650-22.232), and immune disorders (p=0.031; OR= 1.625; 95% CI 1.186-113.899). Adequate handling is needed to prevent death. in patients with confirmed Covid-19 who have risk factors.

2019 ◽  
Vol 7 (2) ◽  
pp. 85
Author(s):  
Mayla Renata Sandi ◽  
Santi Martini ◽  
Kurnia Dwi Artanti ◽  
Sri Widati

Background: Coronary heart disease (CHD) is a non-communicable disease that causes the highest mortality in the world, including in Indonesia. Risk factors for CHD are divided into modifiable and non- modifiable risk factors. Purpose: This study aims to discover the description of risk factors that are modifiable in coronary heart disease patients at Dr Soetomo Regional Public Hospital. Methods: It was a descriptive observational study with cross sectional study design. The study population was coronary heart disease patients who were doing outpatient treatment at the Integrated Heart Service Center (PPJT) of Dr. Soetomo Regional Public Hospital. The number of study sample was 72 respondents using accidental sampling technique. Data sources used are primary data using questionnaires and secondary data using medical record. Data were collected during November 2018. The location of this study was Dr. Soetomo Regional Public Hospital. The data analysis technique chosen was univariate analysis and presented in the form of a frequency distribution table. Results: The results of the study showed that the characteristics of respondents were mostly between 56-65 years old (43,05%) and male (70,84%). Risk factors found on the respondents were smoking (84,72%), hypertension (72,22%), hyperlipidemia (68,05%), diabetes mellitus (81,94%) and poor physical activity (77,77%). Conclusion: Modifiable risk factor that was mostly found on coronary heart patients was smoking, while least one was hiperlipidemia.


Author(s):  
Iin Novita Nurhudayati Mahmuda ◽  
Nanda Nurkusumasari ◽  
Fakhri Nofaldi ◽  
Prihatin Puji Astuti ◽  
Ferika Dian Syafitri ◽  
...  

<p>Coronary heart disease (CHD), is one of the non-communicable diseases that has a tendency to increase every year and have an impact not only on developed countries, but also in developing countries. According to the World Health Organization (WHO), in 2012 there were 56 million deaths worldwide caused by non-communicable disease and heart disease contributed 46.2% or caused 17.5 million deaths. This review article to give brief explanation about CHD from risk factors, diagnosed criteria, management therapy and prognosis. Risk factors for CHD can be distinguished into major risk factors and minor risk factors. Symptoms of CHD are discomfort in the chest ranging from pain crushed during activity and improved with rest to continuous chest pain. The diagnosis of CHD is established based on anamnesis, physical examination, and laboratory examination. The CHD classification consists  of Stable Angina Pectoris (APS) and Acute Coronary Syndrome (ACS). Lifestyle changes accompanied<em> </em>by right medication can reduce complications caused             by CHD.</p>


Author(s):  
Elis Noviati ◽  
Tuti Hidayati ◽  
Resna Litasari ◽  
Reffi Nantia Khaerunnisa ◽  
Yanti Srinayanti ◽  
...  

Background : Dementia is a symptom of a decline in memory, thinking, behavior, and ability to perform everyday activities. One of the risk factors for dementia is physical activity. Good physical activity in the elderly can reduce the risk of dementia. Purpose : This study is to determine the relationship between the level of physical activity and the incidence of dementia in the elderly. Method : This study was an analytical association/correlation with a cross-sectional approach, with a total sample of 51 pages. The research instrument used PASE (Physical Activity Scale for Elderly) to measure the level of physical activity and MoCa (Montre al Cognitive Assessment) to assess cognitive function. Findings : The 15 respondents with a low level of physical activity, 13 respondents ( 86,7 %) had dementia and 2 respondents ( 13,3 %) of them did not have dementia. While 36 with good activity levels, 2 respondents ( 5,6 %) developed dementia and 34 respondents ( 94,4 %) had none Amendment I a. The statistical test used was the chi-square test (p = 0.00 ). ). There is a significant relationship between the level of physical activity and the incidence of dementia in the elderly. Also obtained an OR value of 0.009, meaning that physical activity that is less has a risk of 0.009 times experiencing dementia. Research limitations : Further research can be developed by conducting more specific research on the risk factors that can cause dementia Originality : The different from previous research, namely, in the research method, research instrument, time, and the title is taken.


2020 ◽  
Author(s):  
Chen Yanover ◽  
Barak Mizrahi ◽  
Nir Kalkstein ◽  
Karni Marcus ◽  
Pinchas Akiva ◽  
...  

BACKGROUND Reliably identifying patients at increased risk for coronavirus disease (COVID-19) complications could guide clinical decisions, public health policies, and preparedness efforts. Multiple studies have attempted to characterize at-risk patients, using various data sources and methodologies. Most of these studies, however, explored condition-specific patient cohorts (eg, hospitalized patients) or had limited access to patients’ medical history, thus, investigating related questions and, potentially, obtaining biased results. OBJECTIVE This study aimed to identify factors associated with COVID-19 complications from the complete medical records of a nationally representative cohort of patients, with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. METHODS We studied a cohort of <i>all</i> SARS-CoV-2–positive individuals, confirmed by polymerase chain reaction testing of either nasopharyngeal or saliva samples, in a nationwide health organization (covering 2.3 million individuals) and identified those who suffered from serious complications (ie, experienced moderate or severe symptoms of COVID-19, admitted to the intensive care unit, or died). We then compared the prevalence of pre-existing conditions, extracted from electronic health records, between complicated and noncomplicated COVID-19 patient cohorts to identify the conditions that significantly increase the risk of disease complications, in various age and sex strata. RESULTS Of the 4353 SARS-CoV-2–positive individuals, 173 (4%) patients suffered from COVID-19 complications (all age ≥18 years). Our analysis suggests that cardiovascular and kidney diseases, obesity, and hypertension are significant risk factors for COVID-19 complications. It also indicates that depression (eg, males ≥65 years: odds ratio [OR] 2.94, 95% CI 1.55-5.58; <i>P</i>=.01) as well as cognitive and neurological disorders (eg, individuals ≥65 years old: OR 2.65, 95% CI 1.69-4.17; <i>P</i>&lt;.001) are significant risk factors. Smoking and presence of respiratory diseases do not significantly increase the risk of complications. CONCLUSIONS Our analysis agrees with previous studies on multiple risk factors, including hypertension and obesity. It also finds depression as well as cognitive and neurological disorders, but not smoking and respiratory diseases, to be significantly associated with COVID-19 complications. Adjusting existing risk definitions following these observations may improve their accuracy and impact the global pandemic containment and recovery efforts.


1998 ◽  
Vol 5 ◽  
pp. 50
Author(s):  
L. Szollár ◽  
K. Rischák ◽  
Z. Böröcz ◽  
L. Belovai ◽  
A. Rónaszéki ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Nobuhiko Fukuda ◽  
Nobuaki Kobayashi ◽  
Makoto Masuda ◽  
Aya Wakabayashi ◽  
Nobuko Kusano ◽  
...  

Background. Pneumonia is a common disease among the aging population in Japan. Hence, it is important to elucidate the risks related to pneumonia mortality. Since Streptococcus pneumoniae is the most commonly observed pathogen, pneumococcal vaccination is recommended to older adults. Therefore, this study aimed to clarify the clinical features of pneumonia, including the status of pneumococcal vaccination, in hospitalized older adult patients in Japan. Methods. This single-centered retrospective study was conducted by reviewing the medical records of all patients with acute pneumonia at Fujisawa City Hospital in Japan from April 2018 to March 2019. Patients were divided into two groups based on their history of pneumococcal vaccination. The primary endpoint was in-hospital mortality, while the secondary endpoint was risk factors associated with mortality. Results. We included 93 patients with pneumonia in this retrospective study. Although the mortality rate was higher in the vaccinated group (15.8%) than in the unvaccinated group (9.1%), vaccination status was not identified as a significant risk factor for mortality after multivariable logistic regression (odds ratio: 2.71; 95% confidence interval: 0.667–11.02; p = 0.16 ). In addition, the A-DROP score was identified as an independent risk factor (odds ratio: 2.64; 95% confidence interval: 1.22–5.72; p = 0.008 ). Conclusions. Our study suggested that the A-DROP score is a risk factor of mortality for pneumonia in older adults. In addition, pneumococcal vaccination history was related to increased mortality; however, the influence of the vaccination remains unclear because of the small sample size.


2021 ◽  
Vol 2 (8) ◽  
pp. 1295-1308
Author(s):  
Lathifah Dzakiyyah Zulfa ◽  
Dessyani Salim ◽  
Abigail Tirza Melia Silalahi ◽  
Sharon Levita Hutapea ◽  
Margaretha Maria Odilia Natasha

Non-communicable diseases such as ischemic heart disease, stroke, chronic obstructive pulmonary disease, lung cancer, Alzheimer, diabetes melitus, and kidney disease are leading causes of death in the world. There are many risk factors which can contribute to non-communicable diseases such as dietary. Vegetable consumption such as tomato may lower risk factors to non-communicable diseases because of its active ingredient, lycopene, retinol, alpha tomatine, and tomatidine. In this study, authors aim to explain the mechanism of tomato’s active compound in lowering risk factors of non-communicable disease based on biomarker found on each disease collected from recent epidemiological, in silico, in vitro, and in vivo researches. Lycopene and retinol have proven in reducing ischemic heart disease and stroke because of its anti-atherogenic properties and anti-inflammatory effect. Anti-oxidative and anti-inflammatory effect of lycopene also proven in lowering risk factors of chronic obstructive pulmonary diseases by modulate reverse cholesterol transport, so cholesterol homeostasis is created. In lung cancer, lycopene and other bioactive compound such as α-tomatine and tomatidine also have an anti-proliferative effect by interacting with Epidermal growth factor receptor (EGFR). Its ability to reduce the final product of lipid peroxidation level makes lycopene lower Alzheimer risk factor. There is much more function of tomato’s active coumpound although pure tomato has contradictive effect on some disease.


2020 ◽  
Vol 20 (2) ◽  
pp. 560
Author(s):  
Fauziah Qifti ◽  
Hema Malini ◽  
Hilda Yetti

Diabetes mellitus is a non-communicable disease whose prevalence continues to increase every year. Adolescents are targeted in the selection and implementation of prevention of diabetes mellitus early on. This study aims to determine the characteristics of high school adolescents in the city of Padang who have risk factors for diabetes mellitus. This study is quantitative with cross sectional design. The sample of this study was high school students in Padang who met the inclusion criteria of 171 people. Of the total sample 48% were 16 years old, 33.3% were 17 years old, 16.4% were 15 years old and 0.6% were 19 years old. From the total sample, it is known that 64.3% are female and 35.7% male. Based on body mass index, it is known that 52.5% have a BMI ≥ 25 Kg / m² and 47.4% have a BMI <25 Kg / m². While the characteristics of students who have a family history of Diabetes Mellitus are 64.9% and do not have a family history of 35.1%. It is important for adolescents with risk factors to check blood sugar levels and get health education in order to increase awareness to take preventative measures early.


2020 ◽  
Vol 9 (2) ◽  
pp. 88-99
Author(s):  
Handono Fatkhur Rahman

Posbindu is a form of early detection of risk factors carried out continuously and continuously. Prevention of non-contagious disease is a combination of efforts for independent maintenance initiatives by officers, the community, and the individuals concerned and health promotion policies are then implemented intensively. The purpose of the study was to analyze the relationship between cadre and family support with the use of integrated non-communicable disease PTM posts in the Tlogosari Community Health Center Tlogosari District work area. The research design with a cross sectional research approach with a total sample of 221 respondents who met the inclusion criteria with judgment sampling technique.Then analyzed by chi-square test. The results of the study showed that out of 221 respondents, most of the cadre support used Posbindu as many as 119 respondents (53.8%) and most of the families who used Posbindu were 119 respondents (53.8%). Statistical test results with Chi Square test obtained ρ = 0.00, so that ρ <0.05, interpreted that there is a relationship between cadre support and the use of Posbindu, likewise there is a family relationship with the use of Posbindu by obtaining ρ = 0.00, so ρ < 0.05. It was concluded that there was support from cadres and families with the use of Posbindu in the Tlogosari Community Health Center and it was hoped that the community would really use Posbindu PTM as the smallest health facility in the community to prevent the increase in the incidence of non-communicable diseases.


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