Faktor Risiko Tingkat Keparahan pada Anak dengan Covid-19 di Ruang Isolasi Covid-19 RSUD Dr. Moewardi
DOI:
https://doi.org/10.20961/plexus.v3i1.1103Keywords:
Covid-19, anak, tingkat keparahan, faktor risikoAbstract
Pendahuluan: Covid-19 merupakan penyakit infeksi saluran pernapasan yang dapat menyerang semua kalangan usia. Hingga saat ini, penelitian mengenai faktor risiko tingkat keparahan pada pasien anak dengan Covid-19, khususnya di negara berkembang, masih terbatas dengan hasil yang bervariasi. Penelitian ini bertujuan untuk menganalisis usia, jenis kelamin, obesitas, penyakit bawaan, dan asma sebagai faktor risiko tingkat keparahan Covid-19.
Metode: Penelitian menggunakan metode deskriptif desain cross sectional yang dilakukan pada bulan Mei-September 2023 di Rumah Sakit Dr. Moewardi dengan jumlah sampel sebanyak 60 pasien dengan data sekunder dan diolah menggunakan SPSS analisis chi square dan uji regresi logistik.
Hasil: Dari 60 pasien yang diteliti dalam penelitian ini 40% di antaranya mengalami tingkat keparahan kritis. Berdasarkan analisis multivariat, terdapat satu variabel yang memengaruhi tingkat keparahan, yaitu penyakit jantung bawaan (OR = 6,000, 95% CI: 1,890-19,043, p = 0,002). Sementara itu, variabel usia hanya berpengaruh signifikan pada analisis bivariat. Untuk variabel jenis kelamin, obesitas, dan asma tidak menunjukkan hasil yang signifikan pada analisis bivariat.
Kesimpulan: Faktor risiko yang memengaruhi tingkat keparahan yaitu pasien dengan riwayat penyakit jantung bawaan.
References
Arep, I. N., Negara, K., Agung, A., Budhitresna, G., Luh, N., & Eka, P. (2022). Hubungan Antara Komorbiditas Dengan Derajat Keparahan Infeksi Covid - 19 Di Rumah Sakit Sanjiwani Gianyar. 2(1), 13–20.
Bhavsar, S. M., Clouser, K. N., Gadhavi, J., Anene, O., Kaur, R., Lewis, R., Naganathan, S., Michalak, Z., Chen, C. Q., Shah, P., Siu, A., & Ballance, C. (2021). COVID-19 in Pediatrics: Characteristics of Hospitalized Children in New Jersey. Hospital Pediatrics, 11(1), 79–87. https://doi.org/10.1542/hpeds.2020-001719
Chao, J. Y., Derespina, K. R., Herold, B. C., Goldman, D. L., Aldrich, M., Weingarten, J., Ushay, H. M.,
Cabana, M. D., & Medar, S. S. (2020). Clinical Characteristics and Outcomes of Hospitalized and Critically Ill Children and Adolescents with Coronavirus Disease 2019 at a Tertiary Care Medical Center in New York City. Journal of Pediatrics, 223(January), 14-19.e2. https://doi.org/10.1016/j.jpeds.2020.05.006
Choi, J. H., Choi, S. H., & Yun, K. W. (2022). Risk Factors for Severe COVID-19 in Children: A Systematic Review and Meta-Analysis. Journal of Korean Medical Science, 37(5), 1–14. https://doi.org/10.3346/JKMS.2022.37.E35
Grandinetti, R., Palazzolo, E., Rizzo, L., Carbone, R., Pisi, G., Fainardi, V., & Esposito, S. (2023). Impact of SARS-CoV-2 Infection in Children with Asthma and Impact of COVID-19 Vaccination: Current Evidence and Review of the Literature. Microorganisms, 11(7). https://doi.org/10.3390/microorganisms11071745
Hartoyo, E., Ariyani, R., Fitri, L., Nurfahmayati, T., Qotrunnada, S. A., & Rahmiati, R. (2022). Studi Deskriptif dan Analitik COVID-19 pada Anak di Rumah Sakit Umum Daerah Ulin Banjarmasin. Sari Pediatri, 23(5), 290. https://doi.org/10.14238/sp23.5.2022.290-8
Ilmiah, J., Sandi, K., & Hakim, A. (2022). Characteristics of Covid-19 in Children. 11, 247–254. https://doi.org/10.35816/jiskh.v11i1.746
Jin, J. M., Bai, P., He, W., Wu, F., Liu, X. F., Han, D. M., Liu, S., & Yang, J. K. (2020). Gender Differences in Patients With COVID-19: Focus on Severity and Mortality. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00152
Li, N., Zhu, L., Sun, L., & Shao, G. (2021). The effects of novel coronavirus (SARS-CoV-2) infection on cardiovascular diseases and cardiopulmonary injuries. Stem Cell Research, 51. https://doi.org/10.1016/j.scr.2021.102168
Liu, W., Zhang, Q., Chen, J., Xiang, R., Song, H., Shu, S., Chen, L., Liang, L., Zhou, J., You, L., Wu, P., Zhang, B., Lu, Y., Xia, L., Huang, L., Yang, Y., Liu, F., Semple, M. G., Cowling, B. J., … Liu, Y. (2020). Detection of Covid-19 in Children in Early January 2020 in Wuhan, China. New England Journal of Medicine, 382(14), 1370–1371. https://doi.org/10.1056/nejmc2003717
Ludvigsson, J. F. (2020). Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults. Acta Paediatrica, International Journal of Paediatrics, 109(6), 1088–1095. https://doi.org/10.1111/apa.15270
Martin, B., Dewitt, P. E., Russell, S., Anand, A., Bradwell, K. R., Bremer, C., Gabriel, D., Girvin, A. T., Hajagos, J. G., McMurry, J. A., Neumann, A. J., Pfaff, E. R., Walden, A., Wooldridge, J. T., Yoo, Y. J., Saltz, J., Gersing, K. R., Chute, C. G., Haendel, M. A., … Bennett, T. D. (2022). Characteristics, Outcomes, and Severity Risk Factors Associated with SARS-CoV-2 Infection among Children in the US National COVID Cohort Collaborative. JAMA Network Open, 5(2), 1–16.
https://doi.org/10.1001/jamanetworkopen.2021.43151
Silva, A. C. S. S. da, Góes, F. G. B., Silva, L. F. da, Silva, L. J. da, Bonifácio, M. C. S., & Coelho, Y. C. C. B. (2021). Children with congenital heart disease in COVID-19 pandemic times: an integrative review. Revista Brasileira de Enfermagem, 75(1), e20201033. https://doi.org/10.1590/0034-7167-2020-1033
Swann, O. V, Holden, K. A., Turtle, L., Pollock, L., Fairfield, C. J., Drake, T. M., Seth, S., Egan, C., Hardwick, H. E., Halpin, S., Girvan, M., Donohue, C., Pritchard, M., Patel, L. B., Ladhani, S., Sigfrid, L., Sinha, I. P., Olliaro, P. L., Nguyen-van-tam, J. S., … Semple, M. G. (2020). Clinical characteristics of children and young people admitted to hospital with covid-19 in United Kingdom : prospective multicentre observational cohort study. https://doi.org/10.1136/bmj.m3249
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