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Clinical Outcomes of Diabetic Patients with and without Hypertension Vaccinated with the Sinovac Vaccine Ngarso, Sofia; Ramatillah, Diana Laila; Zaman Huri, Hasniza
Journal La Medihealtico Vol. 5 No. 4 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i4.1460

Abstract

Diabetes and hypertension are the most common degenerative diseases found during the Covid-19 vaccination. Of the 1488 cases of patients exposed to the Covis-19 virus, 13.2% died with hypertension and 11.6% with diabetes. This study aims to evaluate the clinical outcomes of diabetic and diabetic patients with hypertension who have been vaccinated with the Sinovac vaccine. This study uses retrospective and prospective cohort methods for 5 months. Of the 300 patients, 56.3% were female patients with the majority of the ages coming from the 41 to 60 years old group (46.7%) and 47.6% from the >60 years age group. There was no significant association between the length of diagnosis of diabetic patients and diabetes with hypertension and clinical outcomes. There was an association between kidney failure and clinical outcomes with the death of 8 people (2.7%) in patients with stage 4 and 5 renal failure. There was no association between sociodemographics and clinical outcomes. In comorbidities with Diabetes Mellitus, 3.33% of patients die. From the results of the study, it is also known that patients diagnosed with the disease >10 years have a higher percentage of mortality compared to patients diagnosed <10 years.
Evaluasi Parameter Laboratorium Klinis pada Pasien Diabetes dan Diabetes dengan Hipertensi Pasca Vaksinasi Vaksin Sinovac Ngarso, Sofia; Ramatillah, Diana Laila; Huri, Hasniza Zaman
MAHESA : Malahayati Health Student Journal Vol 4, No 11 (2024): Volume 4 Nomor 11 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i11.16491

Abstract

ABSTRACT During the COVID-19 pandemic, people with diabetes and hypertension are especially vulnerable to this virus. Of 1488 cases, 50.5% of patients had hypertension, 34.5% had diabetes, with mortality rates of 13.2% and 11.6%, respectively.  This study aims to evaluate the clinical laboratory parameters of diabetes and hypertensive diabetes patients  who have been vaccinated with Sinovac Vaccine. This study used retrospective and prospective cohort methods with convenience sampling. Inclusion criteria included patients over 18 years of age who were diagnosed with diabetes and diabetes with hypertension, had been vaccinated with two doses of Sinovac, and had filled out informed consent. From the 300 research samples, there were 169 women (56.3%). The majority of patients (94.4%) were over 40 years old, with 36.0% having comorbid DM hypertension with cholesterol, and 26.6% were smokers. The results of the analysis showed that age (P = 0.009), gender (P = 0.000), BMI (P = 0.000), and time of diagnosis (P = 0.000) were significantly correlated with EGFR clinical results. BMI (P=0.007) was also significantly associated with creatinine. Diabetes medication use showed  significant association with  GDS (P = 0.000) and HbA1c (P = 0.000). There is a significant relationship between gender, age, BMI, and time diagnosed with EGFR. Patients with a diagnosis period of more than 10 years suffer from stage 3 kidney failure reaching 9% and stages 4 and 5 reaching 4%. The use of metformin, sulfonyl urea, insulin glulisine, and insulin glargine provides a controlled effect on GDS and HbA1c. Keywords: Diabetes, Hypertension, Laboratory, Sinovac, Sosiodemography  ABSTRAK Selama pandemi COVID-19, penderita diabetes dan hipertensi sangat rentan terhadap virus ini. Dari 1488 kasus, 50,5% pasien memiliki hipertensi, 34,5% menderita diabetes, dengan angka kematian masing-masing 13,2% dan 11,6%.   Penelitian ini bertujuan mengevaluasi hasil klinis laboratorium pasien Diabetes dan Diabetes dengan Hipertensi yang telah divaksinasi dengan Vaksin Sinovac. Penelitian ini menggunakan metode kohort retrospektif dan prospektif dengan pengambilan sampel secara convenience sampling. Kriteria inklusi mencakup pasien berusia di atas 18 tahun yang terdiagnosis diabetes dan diabetes dengan hipertensi, telah divaksinasi Vaksin Sinovac dua dosis, dan telah mengisi informed consent. Dari 300 sampel penelitian, perempuan berjumlah 169 (56.3%). Mayoritas pasien 94.4% berusia di atas 40 tahun dengan 36,0% memiliki komorbiditas DM hipertensi dengan kolesterol, dan 26.6% adalah perokok. Hasil analisis menunjukkan bahwa usia (P = 0,009), jenis kelamin (P = 0,000), IMT (P = 0,000), dan lama terdiagnosis (P=0,000) berkorelasi secara signifikan dengan hasil klinis EGFR. IMT (P-0,007) juga berhubungan secara signifikan dengan hasil klinis kreatinin. Penggunaan obat diabetes menunjukkan hubungan yang signifikan dengan hasil klinis GDS (P = 0,000) dan HbA1c (P = 0,000).  Terdapat hubungan yang signifikan antara jenis kelamin, usia, Indeks Masa Tubuh (IMT), dan lama terdiagnosis dengan gagal ginjal (EGFR). Pasien dengan lama terdiagnosis lebih dari 10 tahun menderita gagal ginjal stadium 3 mencapai 9% dan stadium 4 dan 5 mencapai 4%. Penggunaan obat diabetes, metformin, sulfonil urea, insulin glulisine, dan insulin glargine memberikan efek terkontrol pada GDS dan HbA1c. Kata Kunci: Diabetes, Hipertensi, Laboratorium, Sinovac, Sosiodemografi