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All Journal Medical Journal of Indonesia Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Jurnal Penyakit Dalam Indonesia Indonesian Journal of Endocrinology Metabolism and Diabetes (InaJEMD)
Hasan Maulahela
Division Of Gastroenterology, Department Of Internal Medicine, Faculty Of Medicine Universitas Indonesia/Dr. Cipto Mangukusumo General National Hospital, Jakarta
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Prevalensi COVID-19 Derajat Berat dan Kritis saat Admisi pada Pasien Penyakit Reumatik Autoimun dan Faktor-Faktor yang Berhubungan Destini, Mulia; Ariane, Anna; Yulianti, Mira; Rizka, Aulia; Rinaldi, Ikhwan; Mansjoer, Arif; Maulahela, Hasan; Wafa, Syahidatul
Jurnal Penyakit Dalam Indonesia Vol. 13, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Patients with autoimmune rheumatic diseases are known to be more vulnerable to severe and critical infections, including COVID-19. Although it is no longer classified as a pandemic, SARS- CoV-2 infection still persists, and several surges of cases have been reported, including in Indonesia. To date, no data are available regarding the prevalence of severe and critical COVID-19 at admission in patients with autoimmune rheumatic diseases in Indonesia and the associated factors. This study aimed to determine the prevalence of severe and critical COVID-19 at admission in patients with autoimmune rheumatic diseases at Dr. Cipto Mangunkusumo National General Hospital, and to identify the associated factors. Methods. This was a cross-sectional study using secondary data from the medical records of patients with autoimmune rheumatic diseases confirmed with COVID-19 and hospitalized at Dr. Cipto Mangunkusumo National General Hospital between July 2020 and August 2024. Analyses were performed up to multivariate logistic regression to evaluate the association between predictor variables and severe and critical COVID-19 at admission. Results. Among 171 subjects, the majority were female (n=158). The median age was 31 years, ranging from 18 to 74 years. The prevalence of severe and critical COVID-19 at admission in patients with autoimmune rheumatic diseases was 41.5%. Routine corticosteroid use (adjusted prevalence ratio (aPR) 2.58; 95% CI 1.40–5.17; p=0.004), the presence of comorbidities (aPR 2.24; 95% CI 1.19–4.59; p=0.018), moderate–high disease activity (aPR 5.12; 95% CI 1.74–21.96; p=0.009), and combination immune-modifying therapy (aPR 1.79; 95% CI 1.06–3.17; p=0.034) were independently associated with severe and critical COVID-19 at admission in the final multivariate analysis. Conclusions. The prevalence of severe and critical COVID-19 at admission in patients with autoimmune rheumatic diseases was 41,5%. The associated factors were routine corticosteroid use, the presence of comorbidities, moderate–high disease activity, and combination immune-modifying therapy.
Co-Authors Achmad Fauzi Achmad Fauzi ACHMAD FAUZI Achmad Fauzy, Achmad Adityo Susilo, Adityo Alvita Dewi Amanda P Utari, Amanda P Anjar Raraswati Anna Ariane, Anna Ardani, Yanuar Ari F Syam Ari F Syam Ari Fahrial Syam Arif Mansjoer Aulia Rizka, Aulia Brian Eka Rahman C Rinaldi A Lesmana Cleopas Martin Rumende Dadang Makmun Dedy G Sudrajat Destini, Mulia Diana Sunardi Dinda Nisrina E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Esa, Dekta Filantropi Evy Yunihastuti Faisal, Edward Firman, Fauzan Hertrisno Gurmeet Singh Harianja, Gerald Abraham Hendra Budiawan Hilda Nurmalihah Ikhwan Rinaldi Irma Wahyuni Irvianita, Vinandia Isabela Andhika Paramita Isna Mahmudah Jaffray DP Rambak Juferdy Kurniawan Kaka Renaldi Kevin Winston Kuntjoro Harimurti Lazuardi G Ilhami Lusiani Lusiani Marcellus Simadibrata Marcellus Simadibrata Maureen Irawati Koesnadi Mira Yulianti, Mira Muhammad Miftahussurur Murdani Abdullah Murdani Abdullah Murdani Abdullah Naufali Rizkiawan Noto Dwimartutie Nur Atikah Paramita, Isabela Andhika Purwita Wijaya Laksmi Raditya Dewangga Rahmat Cahyanur Rian Hidayatullah Roy Soetikno Rudi Putranto Rudy Hidayat Rumagesan, Djahalia Sabrina Munggarani Yusuf Samudra Andi Yusuf Sepmeitutu, Iwandheny Syahidatul Wafa, Syahidatul Tandan, Manu Thamrin, Husin Tri Juli Edi Tarigan Triyanta Yuli Pramana Winston, Kevin Yoshio Yamaoka Yudith Annisa Ayu Rezkitha Zulkifly, Steven