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All Journal Indonesian Journal of Rheumatology JIPES - JOURNAL OF INDONESIAN PHYSICAL EDUCATION AND SPORT Jurnal EduHealth The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Jurnal Penyakit Dalam Indonesia
Gurmeet Singh
Universitas Indonesia
Education Health Professions Medicine & Pharmacology Physics Public Health Veterinary

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Skoring Risiko Mortalitas pada Pneumonia Komunitas Sedang-Berat Kusuma, Ni Nyoman Indirawati; Singh, Gurmeet; Wulani, Vally; Rumende, Cleopas Martin Martin; Fauzar, Fauzar; Kamelia, Telly; Koesnoe, Sukamto; Susilo, Adityo; Shatri, Hamzah
Jurnal Penyakit Dalam Indonesia
Publisher : UI Scholars Hub

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Abstract

Introduction. Community Acquired Pneumonia (CAP) is a lung parenchyma infection acquired outside of the hospital and is significantly associated with morbidity and mortality rates. Identifying patients with moderate-severe CAP at high risk of mortality through a combination of these variables is expected to serve as a basis for prompt and appropriate intervention, ultimately improving clinical outcomes for CAP patients. This study aimed to develop a scoring system using clinical characteristics, radiological findings, and serum biomarkers to assess the mortality risk in patients with moderate-severe CAP. Methods. This study employs a retrospective cohort design with moderate-severe CAP patients treated at Dr. Ciptomangunkusumo Hospital, Jakarta. The sample data were secondary, derived from medical records of patients diagnosed with moderate-severe CAP between January 2022 and December 2023. Predictor variables for mortality risk were obtained through multivariate analysis using Cox regression. Results. The study included 277 subjects, with 124 (44.77%) deaths and 153 (55.23%) survivors. Predictor variables consistently influencing mortality risk in moderate-severe CAP patients were low BMI (HR 1.609, 95% CI 1.047 – 2.472), procalcitonin (HR 1.778, 95% CI 1.200 – 2.634), and lactate levels (HR 1.451, 95% CI 0.994 – 2.119). The prediction model’s performance, based on the ROC curve analysis, showed moderate predictive ability (AUC = 0.641), and calibration performance, as assessed by the Hosmer-Lemeshow test, showed good validation (p = 0.082). Conclusions. There is an association between BMI, procalcitonin, and lactate levels with the mortality risk in moderate-severe CAP patients. A mortality risk scoring model for moderate-to-severe CAP patients has been established.
Co-Authors Adityo Susilo, Adityo Adna, Rury Maharani Alvina Widhani, Alvina Annisa, Firda Bambang Setyohadi Bambang Setyohadi Borries Foresto Buharman Bramantya Wicaksana Budi Yulhasfi Febrianto Buharman, Borries Foresto C. Martin Rumende, C. Martin Ceva W. Pitoyo Cleopas M Rumende Cleopas M Rumende, Cleopas M Cleopas Martin Rumende Cynthia Olivia Maurine Jasirwan E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Edwin Wijaya Edwin Wijaya, Edwin Em Yunir, Em Erni J Nelwan, Erni J Erni Juwita Nelwan, Erni Juwita Evy Yunihastuti Fauzar, Fauzar Firda Annisa Gunawan, Mikhael Fabian Harini Oktadiana Harini Oktadiana, Harini Hasan Maulahela Herikurniawan Herikurniawan Herikurniawan, Herikurniawan Ikhwan Rinaldi Jasirwan, Chyntia OM Jeo, Wifanto Saditya Kemal Fariz Kalista, Kemal Fariz Khie Chen Kuntjoro Harimurti Kusuma, Ni Nyoman Indirawati Leonard Nainggolan Maksum, Maradewi Maradewi Maksum Marbun, Maruhum Bonar Hasiholan Mira Yulianti Mira Yulianti, Mira Neeraj Malik Noto Dwimartutie Nur Atikah Rabbinu R Pribadi, Rabbinu R Rahmat Cahyanur Rahmi Afifi Robert Sinto Robert Sinto Rumende, Cleopas Martin Martin Safira, Ranindita Amaida Sukamto Koesnoe Sukamto Koesnoe Telly Kamelia Valy Wulani, Valy Vina Tri Septiana Wicaksana, Bramantya Widayat Djoko Santoso Widayat Djoko Santoso, Widayat Djoko Wifanto Saditya Jeo Wulani, Vally Wuryantoro Wuryantoro, Wuryantoro Zulkifli Amin