Interest : Jurnal Ilmu Kesehatan
INTEREST: Jurnal Ilmu Kesehatan Volume 11 Number 2 Year 2022

Analysis Of Severity Factors In COVID-19 Patients With Comorbid Diabetes Melitus

Sandi Alfa Wiga Arsa (Department of Nursing, STIKes Patria Husada Blitar, Indonesia)
Erni Setiyorini (Department of Nursing, STIKes Patria Husada Blitar, Indonesia)
Thatit Nurmawati (Department of Nursing, STIKes Patria Husada Blitar, Indonesia)
Anita Rahmawati (Department of Nursing, STIKes Patria Husada Blitar, Indonesia)
Eko Wiyono (Ngudi Waluyo Wlingi Hospital, Indonesia)



Article Info

Publish Date
28 Dec 2022

Abstract

Background: Patients infected with the SARS-CoV2/COVID-19 virus and comorbid diabetes mellitus type 2 will experience a worsening of their condition, resulting in increased levels of inflammatory mediators in the blood, including lipopolysaccharide, inflammatory cytokines, and toxic metabolites that cause pulmonary fibrosis. This study aimed to determine the factors associated with the severity of COVID patients with comorbid Diabetes Mellitus Type 2. Methods: A qualitative study, a cohort with secondary data from April to August 2021, sampling 142 medical records. Independent Variables are Age, Gender, Blood Glucose, Oxygen, Saturation (SPO2), D-Dimer Value, Other Comorbidities. Results: The results of the selection of bivariate analysis showed that the variables that had no relationship were age (p = 0.262), gender (p = 0.340), and other co-morbidities (p = 0.962), while those having a relationship following the multivariate test were random blood sugar variables (p = 0.031), SPO2 oxygen saturation (p = 0.000), and d-dimer (p = 0.034). The multivariate results using the linear logistic regression test showed that the results of variables related to the severity of COVID-19 and co-morbid diabetes mellitus were blood sugar (p = 0.417), SPO2 (p = 0.095), and D-dimer (p = 0.890), which had no partial effect on the level of severity, but together these three variables equally affect the level of severity. Conclusion: SAR-CoV2 patients with comorbid Type 2 DM, accompanied by decreased SPO2, increased d-dimer values, increased random blood sugar, with a predictive rate of 93.7%, experienced severe severity.

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Journal Info

Abbrev

int

Publisher

Subject

Health Professions

Description

Jurnal Ilmu Kesehatan Merupakan jurnal yang menyediakan forum untuk bertukar ide tentang teori, metodologi dan isu-isu mendasar yang terkait dengan dunia kesehatan yang meliputi keperawatan, kebidanan, fisioterapi, akupuntur, jamu (herbal), okupasi terapi, ortotik prostetik, terapi wicara, kesehatan ...