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Indra Kusuma
Department of Physiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
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Journal : Respiratory Science

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Evaluation of Mortality Risk Factors of COVID-19 in Jakarta Tertiary Hospital During Peak of Second Wave and Predictive Utility of Community RT-PCR Low CT Values Putra, Andika Chandra; Burhan, Erlina; Aufa, Akhdan; Bur, Rika; Pangestu, Hendri; Bahri, Syukrini; Souvriyanti, Elsye; Muchtiar, Mulyadi; Erlina, Andi; Aditama, Tjandra Yoga; Yuliwulandari, Rika; Kusuma, Indra; Suciati, Yulia; Rifqatussaadah, Rifqatussaadah; Jalal, Fasli; Gusnanto, Arief; Utomo, Ahmad Rusdan H
Respiratory Science Vol. 4 No. 2 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v4i2.133

Abstract

Background: The Delta variant of SARS-CoV-2 led to a surge in COVID-19 cases in Indonesia. This study aimed to assess the demographic profile and mortality rates of hospitalized COVID-19 patients in YARSI referral hospital, Jakarta, comparing pre-Delta and Delta wave periods. The study also investigated whether low CT values in RT-PCR tests indicated heightened viral transmission before the Delta wave surge. Method: A retrospective analysis was conducted on 1,457 COVID-19 patients hospitalized at YARSI (January-August 2021) and 25,279 RT-PCR test results from walk-in patients (April-August 17, 2021). Differences were evaluated using Chi-square or Fisher’s Exact Tests while binary logistic regression was used to assess mortality risk factors. Results: There were increased proportions of pregnant women, patients aged 20-29 and those with coronary artery disease during the Delta wave. This period also showed a significant increase in mortality rates, with the highest seen in patients >60 years old or those with multiple comorbidities. Notably, most of the deceased patients (131 of 139) were unvaccinated. Analysis of RT-PCR data showed rising percentages of positive results with low CT values (below 21 or 15) from April to June. Conclusion: The Delta wave saw a higher risk of hospitalization among young individuals and pregnant women, despite their low mortality risk. The unvaccinated and those with multiple comorbidities faced higher mortality risks. Increases in RT-PCR positivity with low CT values preceded the July COVID-19 case surge.
Co-Authors Agus Sulistiawan Ahmad Sulaeman Ajib Susanto Alida Harahap Alvita, Nini Aridestama, Raihan Aulia Arief Boediono Arief, Ilham Ascobat, Purwantyastuti Asnita, Rika Aufa, Akhdan Aulia, Maila Rizqi Azmi, Sabrina Azzahra, Sabna Bahri, Syukrini Bambang Kiranadi Bambang Purwoko Dewi, Hanik Anggraeni Djoko Sasono, Djoko Edy Supriyadi Eko Poerwanto Elsye Souvriyanti, Elsye Endang Purwaningsih Endy Muhammad Astiwara Erlina Burhan Erlina, Andi Evy Latifah Fachry Abda El Rahman Fadilah, Khonsa Fitri Fahrudin Fahrudin Fajrian, Muhammad Adhif Fasli Jalal Fauzi, Achmad Ma’ruf Fitria Athayya Desvianti Galih Saputra, Galih Gusnanto, Arief Hadi, Restu S. Hambani, Susy Hidayati, Anggi Puspa Nur Hidayati, Nur Ilham Risma Idris, Muthoharoh Jemmy Rumengan Juniarti . Kesumaningtias, Raden Roro Widorini Lating, Noval Ali Lina Lasminingrum Muchtiar, Mulyadi Mulyono, Ibnu Utomo Wahyu Mulyono, Ibnu Utomo Wahyu Noeriwan, Noeriwan Olivia, Prisca Pangestu, Hendri Pelangi Eka Yuwita Pratama, Muhammad Abel Priyono, Harim Putra, Andika Chandra Putri, Pingkan Permata Restu Syamsul Hadi Restuti, Ratna Dwi Rianda Dirkareshza Rianto Setiabudy Rifqatussaadah, Rifqatussaadah Rika Bur Rika Yuliwulandari, Rika Riliani, Marisa Ros Sumarny Samsul Mustofa, Muhammad Sapto Mei Budiyanto, Sapto Mei Sophie Yolanda Sulistiawati, Indah Syarifah, Lensy Khosinatus Taupiqqurrahman Tjandra Yoga Aditama Trijaya, Dewi Sekarsari Trinovita Andraini Utomo, Ahmad Rusdan H Wening Sari Yati Sumiyati, Yati Yudertha, Andreo Yulia Suciati Yunazar Manjang Yurika Sandra Zannah, Fahma Hayyul