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All Journal Jurnal Kebijakan Kesehatan Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Muhammadiyah Medical Journal Barongko : Jurnal Ilmu Kesehatan
Akaputra, Risky
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Biochemistry, Genetics & Molecular Biology Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : Muhammadiyah Medical Journal

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Risk Factors Related to COVID-19 Deaths at Fatmawati Hospital in 2021 Utomo, Muhammad Wiji; Purnamawati, Dewi; Almaududi, Abul A’la; Akaputra, Risky; Sugiatmi, Sugiatmi
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.42-50

Abstract

Background: Coronavirus Disease 2019 (COVID-19) has a risk of death. The risk of death increases in patients with several factors, such as age, gender, and comorbidities. Purposes: This study aims to determine the risk factors for the cause of death in patients with COVID-19 at Fatmawati Hospital in 2021. Methods: This study uses a quantitative approach with a case-control design without matching with a ratio of 1:1. Cases were identified as deaths due to COVID-19 as many as 109, and controls were COVID-19 sufferers who lived or recovered during the treatment period as many as 109 respondents. Data were collected from medical record data and analyzed multivariately with logistic regression. Result: The bivariate modeling showed that Age, Diabetic, Pneumonia, and Acute Respiratory Syndrome (ARDS) have significantly affected COVID-19 mortality (p ≤ 0.05). Multivariate modeling showed the ARDS variable (p=0.0001; OR=53.067) and age variable (p=0.028; OR=2.8) to be risk factors for COVID-19 death at Fatmawati Hospital Jakarta with an Attribute Risk (AR) value of 92,7% and the value of Population Attribute Risk (PAR) 58%. Conclusion: This model can predict 62.1% of COVID-19 deaths; the rest is due to other factors not studied in this study. ARDS is the dominant factor causing the death of COVID-19 at Fatmawati Hospital, Jakarta.
Comparison of GeneXpert Results of Adult Pulmonary Tuberculosis (TB) Patients with Human Immunodeficiency Virus (HIV) without HIV Infection at three private hospitals in Jakarta Fachri, Muhmmad; Pramesti, Salsabila Widya; Akaputra, Risky; Yanti, Fitri
Muhammadiyah Medical Journal Vol 5, No 2 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.2.89-96

Abstract

Background: Tuberculosis (TB) is a bacterial infection caused by Mycobacterium TB. According to the International Standard for TB Care (ISTC), Human Immunodeficiency Virus (HIV) is one of the main comorbidities in TB. Purposes: To compare the positivity rate of GeneXpert in diagnosing TB to suspected TB adult patients with and without HIV infection at three private hospitals in Jakarta. Methods: This study uses a cross-sectional approach; the data comes from medical records. The sampling technique in this research uses the cluster sampling formula. The inclusion criteria in this study were adult pulmonary TB patients more than 18 years of age, patients with pulmonary TB, and patients who had complete medical record data, and the exclusion criteria were patients who did not have GeneXpert examination results and adult pulmonary TB patients who did not have laboratory results of HIV Rapid test results. Statistical analysis using the Chi-Square statistical test. Results: A total of 24 adult pulmonary TB patients with HIV and positive GeneXpert were identified, whereas 13 adult TB patients with HIV and positive GeneXpert were identified, and pulmonary TB patients without HIV and positive GeneXpert numbered 59, while those with positive GeneXpert numbered 15. There is a tendency for fewer positive GeneXpert values in Adult Pulmonary TB patients with HIV compared to those without HIV Infection. Statistically not significant (p 0.05) Conclusion: Adult pulmonary TB patients without HIV tend to have higher positive GeneXpert test results than adult pulmonary TB patients with HIV, and there is no statistically significant relationship.
Co-Authors Almaududi, Abul A’la Andriyani Andriyani Atthariq Dewi Purnamawati Fachri, Muhmmad Fitri Yanti Kausy, Alyda Kirani, Nabila Amelia Muhammad Fachri Pramesti, Salsabila Widya Putri, Maria Eka Renovaldi, Dede Shaskia, Nagita Sugiatmi, Sugiatmi Utomo, Muhammad Wiji