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All Journal Jurnal Respirologi Indonesia Indonesian Journal of Global Health research Respiratory Science Narra J Asian Journal of Public Health and Nursing
Yusuf, Nurrahmah
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Risk factors of early mortality in COVID-19 patients in Indonesia: A retrospective cohort study in a provincial referral hospital of Aceh Ismayana, Vera; Yanti, Budi; Kurniawan, Ferry D.; Zulfikar, Teuku; Yusuf, Nurrahmah
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.185

Abstract

Some of coronavirus disease 2019 (COVID-19) patients died after being hospitalized and early mortality is a matter of concern during the pandemic; therefore, it is critical to determine which patients are the most vulnerable of having early mortality. The aim of this study was to determine the risk factors for early mortality among hospitalized COVID-19 patients in Indonesia. A retrospective cohort study was conducted on hospitalized COVID-19 patients from July 2020 to September 2021 at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia. Demographic data, clinical characteristics, laboratory findings, and mortality were collected. Early mortality was defined as a death before seven days of the hospitalization. Multivariate regression analysis was employed to determine the risk factors associated with early mortality. We included the data of 624 COVID-19 patients who died during the study period. More than half of the patients were male and aged over 50 years old. The average hospitalization period was 10 days and most patients had more than two comorbidities. Chronic lung disease was the most common comorbidity (46.0%) followed by respiratory disease (26.8%) and heart disease (14.3%). Multiple comorbidities and elevated D-dimers exceeding 3376.92 ng/mL were associated with early mortality with OR: 7.029; 95%CI: 2.02–24.43 and OR: 1.000085, 95%CI: 1.000028–1.000142, respectively. In conclusion, early mortality in COVID-19 patients was associated with having multiple comorbidities and elevated D-dimer level. Therefore, it is crucial to assess the presence of comorbidities and routine laboratory test while managing COVID-19 patients in order to prevent the early mortality.
The Relationship between Particulate Matter and Length of Exposure to Respiratory Complaints and Lung Function Disorder among Brick Craftsmen in Aceh Besar Dianova, Sri; Febriansyah, TM.; Yanti, Budi; Andayani, Novita; Yusuf, Nurrahmah; Kurniawan, Ferry Dwi; Salawati, Liza
Respiratory Science Vol. 5 No. 1 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i1.161

Abstract

Background: Brick craftsmen are heavily exposed to particulate matter (PM) from brick burning, possibly contributing to respiratory complaints. The research aims to evaluate the association between PM levels, duration of exposure, respiratory complaints, and lung function disorders among brick craftsmen in Aceh Besar. Method: The research method is observational analytic with a cross-sectional design. It was conducted in September 2023 on 68 respondents to assess lung function using spirometry and PM levels using the Air Quality Monitor. Results: The data analysis revealed restrictive types of lung function disorders (47.1%), 75% of participants had worked for more than three years with working hours ≥8 hours/day (100%), the most frequent respiratory complaint was coughing (23.5%) and shortness of breath (13.2%), and the dominant type of work was brick molding (67.6%) rather than burning (32.4%). The PM2.5 index in the brick manufacturing area is classified as very dangerous (100%), while the PM10 index is identified as very unsafe (55.6%) and very dangerous (44.4%). The correlation analysis revealed a significant connection between PM2.5 as well as PM10 and lung function impairments (values of P=0.002 and 0.012, respectively). There was a significant correlation between work periods and lung function impairments (P=0.037). Multivariate analysis showed that a working term of 1-3 years was strongly linked with lung function disorder (FEV1) among brick craftsmen in Aceh Besar (P=0.026). Conclusion: This study showed that PM exposure was significantly associated with impaired lung function but not with respiratory complaints. Furthermore, a long working period is significantly associated with respiratory symptoms, especially for workers with 1-3 years, and is associated with impaired lung function in brick artisans in Aceh Besar.
The Association of Serum Vitamin D Levels with Lung Function, Symptom Severity, and Exacerbations in Stable COPD Patients Yusuf, Nurrahmah; Mekasari, Chelsy; Dianova, Sri; Priyanto, Herry; Yanti, Budi
Asian Journal of Public Health and Nursing Vol. 1 No. 2 (2024)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/drshg005

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a significant health burden associated with a decrease in quality of life. Patients with the disease often have a deficiency of Vitamin D, a fat-soluble vitamin important for respiratory health. A previous study suggested an association between low vitamin D levels and poor lung function, as well as increased exacerbation, and more severe COPD symptom. Therefore, this study aimed to assess serum vitamin D levels in stable COPD patients and explore association with lung function, symptom severity, and frequency of exacerbation. Methods: This was a cross-sectional study conducted from May to July 2023 at Lung Polyclinic of Dr. Zainoel Abidin Regional General Hospital (RSUDZA) Banda Aceh. A total of 30 subjects selected based on specific inclusion and exclusion criteria were included. Results: The results showed that the mean serum vitamin D level was 26.25 ng/mL, with 56.7% of subjects showing vitamin D insufficiency. Statistical analysis showed p-values of 0.58, 0.637, 0.12, and 0.98 for lung function, exacerbation, COPD Assessment Test (CAT), and Modified Medical Research Council (mMRC) dyspnoea scale respectively, indicating no significant association between vitamin D levels and these outcomes. Potential confounding factors include unassessed variables such as medication use, educational background, and psychological status. Conclusion: This study found no significant association between serum vitamin D levels and lung function, symptom severity, or frequency of exacerbation in stable COPD patients. Further studies with a larger sample size and extended follow-up are needed to confirm these results and explore additional influencing factors.
Air Quality and Correlation of Exhaled Carbon Monoxide Level with Lung Function among Petrol Station Attendants in Banda Aceh Hardisa, Rika; Kurniawan, Ferry Dwi; Dianova, Sri; Yanti, Budi; Yusuf, Nurrahmah
Respiratory Science Vol. 5 No. 3 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i3.177

Abstract

Background: Risks of developing respiratory diseases due to pollutant exposures at petrol stations are high. The pollutants, such as particulate matter, carbon monoxide (CO), and volatile organic compounds emitted from vehicle exhaust and gasoline vapours, may affect the lung function of petrol station attendants. This study aimed to assess the levels of particulate matter, total volatile organic compounds, and the correlation of CO level and lung function among petrol station attendants in Banda Aceh. Method: An analytical observational study with a cross-sectional design involved 114 attendants from 12 petrol stations in Banda Aceh. Lung function was evaluated using spirometry, and CO exhalation levels were measured using a Smokerlyzer. In addition, particulate matter and total volatile organic compounds levels were measured in the petrol station area using an air quality monitor. Results: Most participants were male (82.5%) with a mean age of 30 years. The duration of work was under 5 years in 68 participants (59.6%). Approximately 61.4% (70 samples) were active smokers, with the most common Brinkman index indicating mild smoking habits for 50 samples (43.9%). The Pearson chi-square test revealed no significant relationship between CO exhalation levels and decreased lung function (P=0.118). The level of TVOC exceeded safe limits at all gas stations (>0.601 mg/m3), with an average TVOC level of 7.53 mg/m3. Most participants showed above-normal expiratory CO levels (53.6%). The average of the PM2.5 level was moderate. Conclusion: This study found no significant correlation between exhaled CO levels and decreased lung function among petrol station attendants, likely due to their shorter duration of work and age under 40 years.
The Impact of Chest Therapy on Symptoms Relief and Pulmonary Function in Chronic Obstructive Pulmonary Disease Exacerbations Yusuf, Nurrahmah; Karunia, Yuris Hikman; Irmaini, Irmaini; Arliny, Yunita; Yanti, Budi
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4998

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a global health concern defined by persistent respiratory symptoms and irreversible airflow blockage. Excess mucus production and decreased ciliary function in mucus elimination are two of the most common issues among COPD patients. Chest therapy is a physiotherapy practice that helps to remove mucus in a variety of acute and chronic respiratory illnesses. Objective: The study aims to explore how chest treatment affects symptoms and lung function in patients with COPD exacerbations. Methods: This study employed a one-group pretest-posttest design, selecting a sample of 30 COPD exacerbation patients from dr. Zainoel Abidin Hospital through convenience sampling technique. Chest therapy was administered consecutively over six days. Pulmonary function was assessed with a peak flow meter, while symptom improvement was assessed through the BORG questionnaire, Modified Medical Research Council (mMRC) scale, and COPD Assessment Test (CAT). Data analysis was performed using the paired T-test and Wilcoxon test. Results: Chest therapy increased average peak expiratory flow (PEF) by 6.40 L/min, from 29.20 ± 6.26 L/min to 35.60 ± 7.65 L/min. BORG scale scores were likewise reduced, with the majority shifting from scale 4 (56.7%) to scale 2 (40%), as were mMRC scores, which decreased from a dominant scale 3 (40%) to scale 2 (33.3%). Furthermore, CAT scores shifted from the high category (76.7%) to the moderate category (53.3%). Bivariate tests revealed that chest therapy had a significant effect on rising PEF values (P<0.001), decreasing BORG scale scores (P<0.001), and decreasing CAT scores (P = 0.001), but no significant effect was seen on the mMRC scale (P = 0.564). Conclusions: Chest therapy positively impacts lung function, as shown by increased peak expiratory flow (PEF) values and improved clinical symptoms of COPD exacerbation, as measured by BORG and CAT scale scores.
Analysis of Latent Tuberculosis Risk Factors Detected by Tuberculin Skin Tests in Chronic Kidney Disease Patients Undergoing Routine Hemodialysis Mardiansyah, Muhammad Andi; Arliny, Yunita; Yusuf, Nurrahmah; Abdullah, Abdullah
Jurnal Respirologi Indonesia Vol 45 No 1 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i1.633

Abstract

Background: Due to changes in the immune system, chronic kidney disease (CKD) patients on routine hemodialysis (HD) are at increased risk for latent tuberculosis (LTB). Latent tuberculosis requires special attention to prevent its development into active form because infection increases mortality in CKD patients. This study aims to determine the prevalence and risk factors associated with LTB in CKD in routine HD patients. Method: This research uses a cross-sectional design and is an analytical observational study. The study was conducted in the Hemodialysis Unit at dr. Zainoel Abidin Hospital between June and August 2023, using consecutive non-probability sampling. Results: Of the 289 CKD patients undergoing routine hemodialysis, 54 met the inclusion criteria. The prevalence of latent tuberculosis among these patients was 27.8%, as determined by the Tuberculin Skin Test (TST). Statistical analysis revealed no significant association between LTB and risk factors such as age, gender, body mass index, smoking status, or CKD etiology (P>0.05). Due to value of P>0.25, multivariate analysis could not be performed. Conclusion: There is a high prevalence of latent tuberculosis among chronic kidney disease patients undergoing dialysis. The risk factors for LTB remain unclear. However, early diagnosis and treatment are recommended to prevent progression to active TB.
Co-Authors Abdullah Abdullah Dianova, Sri Febriansyah, TM. Hardisa, Rika Irmaini, Irmaini Ismayana, Vera Karunia, Yuris Hikman Kurniawan, Ferry D. Kurniawan, Ferry Dwi Liza Salawati, Liza Mardiansyah, Muhammad Andi Mekasari, Chelsy Novita Andayani, Novita Priyanto, Herry Teuku Zulfikar Yanti, Budi Yunita Arliny