Jurnal Kesehatan Andalas
Vol 11, No 2 (2022): Online July 2022

Risiko Perdarahan Saluran Cerna pada Pasien COVID-19 berdasarkan Jenis Obat Antivirus di Rumah Sakit Umum Pusat Dr. M. Djamil Padang

Arnelis Arnelis (Gastroenterohepatology Subdivision, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Saptino Miro (Gastroenterohepatology Subdivision, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Nasrul Zubir (Gastroenterohepatology Subdivision, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Vesri Yoga (Gastroenterohepatology Subdivision, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Andry Kurniawan (Gastroenterohepatology Subdivision, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Alexander Kam (Endocrinology and Metabolic Subdivision, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Abdul Alim Rahimi (Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
Jersivindo Ranazeri (Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)
R. Ifan Arief Fahrurozi (Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, Indonesia)



Article Info

Publish Date
26 Dec 2022

Abstract

Coronavirus disease 2019 (COVID-19) has become a global pandemic to date. Some studies reported gastrointestinal tract (GIT) bleeding occurs in several patients hospitalized with COVID-19. Medications known to be associated with an increased risk of GIT bleeding were not associated with GIT bleeding in COVID-19 patients. Objectives: To examined the risk of gastrointestinal tract (GIT) bleeding in COVID-19 patients based on antiviral drugs at Dr. M. Djamil General Hospital Padang. Methods: A nested cohort study was conducted in Dr. M. Djamil General Hospital Padang from May until October 2021. All COVID-19 patients who received antiviral drugs with GIT bleeding with onset days 0 - 7 were included. COVID-19 was confirmed by RT-PCR swab. Data entry and analysis were conducted by computerized. Results: 30 patients were involved in this study. 43,3% COVID-19 Moderate stage and 56,7% Severe stage. 63,3% were treated with remdesivir and 36,7% were treated with favipiravir. Onset on GIT tract bleeding at day 4 (23,3%), day 5 (26.7%), day 6 (30%), and day 7 (20%). The Chi-square test to determine the factors associated with GIT bleeding in COVID-19 patients including COVID-19 severity, type of antiviral drugs, anticoagulant, and corticosteroid revealed that none of all potential factors above related to GI bleeding. Conclusion: The type of antiviral drugs was not related to GIT bleeding in COVID-19 patients.Keywords: antiviral drugs,  COVID-19, gastrointestinal tract bleeding

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Journal Info

Abbrev

JKA

Publisher

Subject

Health Professions

Description

Jurnal Kesehatan Andalas merupakan Jurnal yang diterbitkan oleh Fakultas Kedokteran Universitas ...