scholarly journals Analisis Faktor Risiko Kematian dengan Penyakit Komorbid Covid-19

2020 ◽  
Vol 4 (1) ◽  
pp. 48-55
Author(s):  
Raden Muhammad Ali Satria ◽  
Resty Varia Tutupoho ◽  
Djazuly Chalidyanto

This study aimed to analyze comorbid diseases as a risk factor for death due to COVID-19 at Bhakti Dharma Husada Hospital Surabaya. This research method is an observational analytic study with a retrospective study design. The results showed that 358 patients were infected with COVID-19 and confirmed with nose and throat swabs. Sixty-six patients (18%) died from COVID-19. 60.6% were male (OR 1.87, P 0.041), 22.7% aged> 64 years (OR 2.097, P 0.041), and 83.3% of them were co-risk factors. Diabetes mellitus (30.3%) (OR 4,348, P 0,000), and cardiovascular disease (10.6%) (OR 4,319, P 0.016) were the highest risk factors for death in COVID-19. In conclusion, men, old age, diabetes, and hypertension are risk factors for death in COVID-19. Keywords: COVID-19, Diabetes, Hypertension, Comorbid, Elderly, Mortality

2017 ◽  
Vol 13 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Alijan A Ahangar ◽  
Payam Saadat ◽  
Behzad Heidari ◽  
Seyedeh T Taheri ◽  
Shayan Alijanpour

Background Stroke is the second leading cause of death worldwide and is associated with several risk factors with variable risk factor distribution by population. We report the types and frequency of the associated factors of stroke in north Iran. Methods Consecutive patients with stroke were recruited from 2014 to 2015. The two groups of ischemic and hemorrhagic stroke were compared with respect to age, sex, the prevalence, and distribution of the risk factors. Results Among 230 patients (84.3% ischemic stroke) with mean age of 61.2 years, hypertension (73%), diabetes mellitus (53%), cardiovascular disease (51%), and dyslipidemia (47%) were the most frequent risk factors. Hypertension was significantly more prevalent in males compared with females (88% vs. 60%, OR = 4.91, 95% CI: 2.48–9.71). Hypertension, smoking, and opioid consumption were associated with hemorrhagic stroke. Dyslipidemia was significantly higher in ischemic stroke (OR = 2.65, 95% CI: 1.21–5.8). Overall, 84.3% of stroke occurred in patients aged >50 years (92.8% of women vs. 74.5% of the men, OR = 4.43, 95% CI: 1.93–10.16, p = 0.001). Conclusion Stroke was more prevalent in females; hypertension was more prevalent in males. In the age group less than 50 years old, stroke is more prevalent in men.


2019 ◽  
Vol 81 (3) ◽  
Author(s):  
Nurliyana Juhan ◽  
Zarina Mohd Khalid ◽  
Yong Zulina Zubairi ◽  
Ahmad Syadi Mahmood Zuhdi ◽  
Wan Azman Wan Ahmad

Cardiovascular disease is the leading cause of death in Malaysia and globally. This study aimed to identify associated risk factors in cardiovascular disease among ST elevation myocardial infarction (STEMI) male patients and obtain a feasible model to describe the data. A total of 16,673 STEMI male patients from 18 participating hospitals across Malaysia in the National Cardiovascular Disease Database-Acute Coronary Syndrome (NCVD-ACS) registry year 2006-2013 were analysed. Univariate analysis was conducted. Significant variables from the univariate analysis were further analysed by a multivariate logistic analysis to identify the prognostic factors. The most prevalent risk factor for male patients was smoking (79.3%), followed by hypertension (54.9%) and diabetes mellitus (40.4%). At univariate level, this study is consistent with the findings from the Malaysian National Health and Morbidity Survey (NHMS) where smoking is a significant risk factor. After adjustment in multivariate logistic model, the risk factors for cardiovascular death among male patients are related to age, premorbid condition such as diabetes mellitus, hypertension, family history of CVD, Killip class, type of treatment such as percutaneous coronary intervention (PCI) and relevant comorbidity such as renal disease. Drastic efforts in the management of all risk factors in males is needed to improve adherence outcomes.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
T Alsafrani ◽  
A Abukhodair ◽  
O Khojah ◽  
E Jastania ◽  
R Alamri ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Objectives To estimate the prevalence of the risk factors for coronary artery disease (CAD) in the community of the Western Region, Saudi Arabia. Background CAD is a significant cause of mortality globally, particularly in developing countries, and predicted to increase significantly. The risk factors for CAD, such as hypertension, diabetes mellitus, hyperlipidemia, and smoking are increasingly prevalent, in addition to an increased prevalence of obesity. Design/Methods: A cross-sectional study was conducted in a mall, using a consecutive sampling technique. Individuals were interviewed in terms of clinical signs and symptoms as well as the risk factors. The anthropometric measurements were done on site to identify asymptomatic risk factors. Results In total, 193 individuals participated in this study. The mean age of the sample was 36.3 ± 12.4 years, with 53% male. Smoking was the most frequent risk factor (36.1%), followed by dyslipidemia (22.5%), hypertension (16.6%), and diabetes mellitus (14.5%). Less than half (40%) of the sample participated in sport for one to two hours per week. Almost all consumed fast food at least once a week, and 16.6% consumed fast food more than four times a week. The average systolic blood pressure was 129.41± 22.5 mmHg and the average body mass index (BMI) 28.6 ± 9.5 kg/m2. Conclusion Dyslipidemia was the most prevalent risk factor, followed by hypertension and diabetes mellitus. These three risk factors are first in the risk factor pyramid in commonality, and preventative interventions are pivotal to decrease the incidence of cardiovascular disease. The consumption of fast food is relatively high with a low level of physical activity. Educating the community regarding measures to reduce the modifiable risk factors is foundational to avoid catastrophic results.


2018 ◽  
Vol 15 (1) ◽  
pp. 55-63 ◽  
Author(s):  
Natalia G. Vallianou ◽  
Shah Mitesh ◽  
Agathoniki Gkogkou ◽  
Eleni Geladari

Introduction: Chronic Kidney Disease is a growing health burden world wide. Traditional and mutual risk factors between CVD and CKD are age, hypertension, diabetes mellitus, dyslipidemia, tobacco use, family history and male gender. In this review, we will focus on whether or not early CKD is an important risk factor for the presence, severity and progression of CVD. Specifically, we will examine both traditional and novel risk factors of both CKD and CVD and how they relate to each other. Conclusion: We will also assess if early treatment of CKD, intensive compared to standard, has an important effect on the halt of the development of CKD as well as CVD. Insights into the pathogenesis and early recognition of CKD as well as the importance of novel kidney biomarkers will be pointed out. Also, common pathogenetic mechanisms between CKD and CVD will be discussed.


2020 ◽  
Vol 8 (2) ◽  
pp. 96-98
Author(s):  
Arushi Purva ◽  
Kalpesh Sharma ◽  
Mohd. Shahid Khan

Dyslipidemia is characterized by abnormally elevated cholesterol or fats (lipids) in the blood.  Cardiovascular disease (CVD) is becoming more prevalent worldwide and is one of the leading causes of death. Dyslipidemia is an important risk factor for cardiovascular disease other factors are hypertension, diabetes mellitus, and smoking. Presently statins and fibrates are the major anti-hyperlipidemic agents for the treatment of elevated plasma cholesterol and triglycerides respectively, with remarkable side effects on the muscles and the liver.Lifestyle interventions remain a key component for the management of dyslipidemias. The present review will highlights types, risk factors and management available for dyslipidemia.     


Author(s):  
Niki Kusuma Bangsa ◽  
Rochmad Romdoni ◽  
Subagyo Subagyo

Introduction: Heart failure (HF) has emerged as a cardiovascular disease with high prevalence in developing countries. The highest number was expected to increase over the next few decades. Moreover, most people with HF do not show specific symptoms earlier, thus death often occurs. This study was undertaken to give an insight into the clinical symptoms and risk factors of HF.Methods: This cross-sectional study utilized medical records from Dr. Soetomo General Hospital between 6 months (July-December 2016). Eligibility criteria included female patients diagnosed with HF at the hospital with a classification of NYHA I-IV. Risk factors data from the participants such as hypertension, diabetes mellitus, dyslipidemia, body mass index (BMI), smoking status, and history of cardiovascular disease were collected. Clinical symptoms were reported descriptively.Results: From 84 patients admitted with HF in the hospital from July until December 2016, 53 were males (63.1%). In all groups, hypertension (35.6%) was the highest prevalence risk factor, followed by diabetes mellitus (25.3%), and a history of cardiovascular disease (17.2%). In this study, the most common symptom was shortness of breathing, contributing to 72.6%, followed by chest pain (10.7%), and body weakness (6%).Conclusion: This study concluded that most of the respondents were male, aged 46-65 years old. The highest risk factor that contribute to an HF was hypertension. The most common symptom in patients with HF in the hospital was shortness of breathing. Studies further emphasize the need for primordial prevention related to symptoms and risk factors of HF. 


2020 ◽  
Vol 16 ◽  
Author(s):  
Harish A Rao ◽  
Prakash Harischandra ◽  
Srikanth Yadav

Introduction: Diabetes mellitus is a well-known risk factor for cardiovascular disease, because of the accelerated process of atherosclerosis. Obesity is an established risk factor and has gained immense importance in recent studies as an important risk factor for clinical cardiovascular disease, yet the fundamental component stays unclear. Calf circumference is another form for lean mass and peripheral subcutaneous fat and is inversely associated with occurrence of carotid plaques (CP). Multiplicative and opposite effects of both Calf Circumference (CC) and Waist Circumference (WC) in event of CP suggest that the two measures should be taken into account commonly while assessing vascular risk profile. Aim & Objective: To ascertain if waist to calf circumference ratio (WCR) is a marker of Carotid atherosclerosis in patients with type 2 diabetes mellitus. To asses s the correlation between waist to calf circumference ratio and carotid intima media thickness (CIMT ) in patients with Type 2 diabetes. Materials and methods: A cross sectional study at Hospital affiliated to Kasturba Medical college Mangalore from Sept 2016 to Sept 2018 . Method of study: Patients with type 2 DM as per ADA criteria, age >18years are recruited for the study. Results and discussion: In our study with 150 population 25 patients had carotid atherosclerosis and 20 patients had CIMT>1.1. The waist circumference in patients with CA is in the range of 93.07 and 99.85 & the CC in patients with CA is in the range of 29.49 to 31.25. The WCR in patients with CA is in the range of 3.12 to 3.26. The difference was statistically significant with a p value of <0.05. In our study it was found that WC and WCR correlated well with carotid atherosclerosis, and surprisingly calf circumference also correlated with carotid atherosclerosis but not as significant as both WC and WCR. Conclusion: To conclude, in our population based study of 150 subjects we found that carotid atherosclerosis is significantly more in people with increased waist calf circumference ratio. WCR may be a new, useful and practical anthropometric index that facilitates the early identification of diabetic subjects with high risk for cardiovascular disease. Validation of this finding in individual populations is required. Future studies should test the association of calf circumference with carotid intima media thickness and carotid plaques using better measures than ultrasound such as magnetic resonance imaging. Further research focusing on underlying mechanisms in the role of lean mass and peripheral fat mass is required.


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