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Association between BMI, Immunocompromised Status, and Pulmonary TB History with Severity of TB Spondylitis Mulia, Maulidia; Supartono, Basuki; Yulianti, Retno; Amalia, Muttia
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v14i2.4725

Abstract

Abstract Background: Tuberculous spondylitis is the most common form of skeletal TB that can cause joint damage and disability if left untreated. Several studies have discussed risk factors associated with the severity of TB spondylitis. However, there are differences in findings among these studies, especially regarding age, sex, body mass index, immunocompromised conditions, and pulmonary TB history. Early detection through risk factor screening and adequate treatment can be useful to prevent disease severity. Objective: This research aims to find out the association between risk factors and the severity of TB spondylitis using GATA classification. Methods: Observational analytical methods with a retrospective hospital-based cross-sectional study design were used. Using consecutive sampling technique. The total research sample was 50 patients diagnosed with TB spondylitis between January 1, 2022-December 31, 2024 at Gatot Soebroto Army Hospital Jakarta. Result: The characteristics of TB spondylitis patients were mostly adults (68%), male (54%), had normal BMI (42%), had immunocompromised conditions (52%), and had a history of pulmonary TB (58%), with severe TB spondylitis (42%). Bivariate analysis showed a significant association between BMI (p=0.033) and immunocompromised conditions (p=0.047) and no significant association between age (p=0.482), sex (p=0.356), and history of pulmonary TB (p=0.469) with the severity of TB spondylitis. Conclusion: A significant association was found between BMI and immunocompromised conditions with the severity of TB spondylitis. However, there is no significant association between pulmonary TB history with the severity of TB spondylitis.Keywords: risk factors, tuberculous spondylitis, severity
Co-Authors Abyanka Rayhan Fuadi Afriyanti, Yati Alya Roza Lisanti Amalia, Riza Ambari, Muhamad DJazuli Aronica - Tounso Abdennour Ayodya Heristyorini Ayola Dewi Utami Ayola Dewi Utami Barakat, Abeer Bintang Bayu Aryandi Cut Fauziah Cut Fauziah Denina Kusumaningayu Puspitarini Dewi Gayatri Dhia Adhi Perwirawati Dhial Falah Mahasin Dohong, Almerveldy Azaria El Mashharawi, Aya KH Elly Nurachmah Fatma Lestari Florencia Christofora Ngantung Heristyorini, Ayodya Kaurow, Sarah Primadani Kimin, Amelia Kusumaningsih, Prita Kusumawardani, Kunthi Ayu Laras Bani Waseso Lisanti, Alya Roza Makkiyah, Feda Anisah Maria Selvester Thadeus Mila Citrawati Mufida, Fahira Shafira Qori Muftisany, Hafidz Muhammad Ibnu Khaldun Mulia, Maulidia Muttia Amalia Nadia Nadia Nefrisa Adlina Maaruf Novianti , Novianti Nugraha, Nurcholis Hendry Nugrahana, Raisa Yunika Nurfitri Bustamam Pratidina, Yusticia Valen Prita Kusumaningsih Prita Kusumaningsih Prita Kusumaningsih Prita Maya Savitri Putri, Arcellia Farosyah Rahayu, Melinda Dwi Rayhan Maulana Retno Yulianti Ribka Carolin Rudi, Muhamad Ryan Herardi Sarah Primadani Kaurow Satiadharmanto, Deddi Fasmadhy Satya, Ika Savitri, Prita Maya Setya, Clarita Ayu Putri Shifa Azzahra Sofia Wardhani Soroy Lardo Subroto, Maruf Hari Sugeng Wiyono Suhaida, Feby Triana Supadmo, Darto Susanti, Shinta Tiwuk Susantiningsih Untung Sujianto Waseso, Laras Bani Widiyani, Khadijah Ratna Yanti Harjono Hadiwiardjo Yanto Sandy Tjang Yanto Sandy Tjang Yuli Suciati Yusticia Valen Pratidina Zahra, Dewi Fatimah Zakiyyah Zakiyyah