Respiratory Science
Vol. 4 No. 2 (2024): Respiratory Science

Evaluation of Mortality Risk Factors of COVID-19 in Jakarta Tertiary Hospital During Peak of Second Wave and Predictive Utility of Community RT-PCR Low CT Values

Putra, Andika Chandra (Unknown)
Burhan, Erlina (Unknown)
Aufa, Akhdan (Unknown)
Bur, Rika (Unknown)
Pangestu, Hendri (Unknown)
Bahri, Syukrini (Unknown)
Souvriyanti, Elsye (Unknown)
Muchtiar, Mulyadi (Unknown)
Erlina, Andi (Unknown)
Aditama, Tjandra Yoga (Unknown)
Yuliwulandari, Rika (Unknown)
Kusuma, Indra (Unknown)
Suciati, Yulia (Unknown)
Rifqatussaadah, Rifqatussaadah (Unknown)
Jalal, Fasli (Unknown)
Gusnanto, Arief (Unknown)
Utomo, Ahmad Rusdan H (Unknown)



Article Info

Publish Date
15 Feb 2024

Abstract

Background: The Delta variant of SARS-CoV-2 led to a surge in COVID-19 cases in Indonesia. This study aimed to assess the demographic profile and mortality rates of hospitalized COVID-19 patients in YARSI referral hospital, Jakarta, comparing pre-Delta and Delta wave periods. The study also investigated whether low CT values in RT-PCR tests indicated heightened viral transmission before the Delta wave surge. Method: A retrospective analysis was conducted on 1,457 COVID-19 patients hospitalized at YARSI (January-August 2021) and 25,279 RT-PCR test results from walk-in patients (April-August 17, 2021). Differences were evaluated using Chi-square or Fisher’s Exact Tests while binary logistic regression was used to assess mortality risk factors. Results: There were increased proportions of pregnant women, patients aged 20-29 and those with coronary artery disease during the Delta wave. This period also showed a significant increase in mortality rates, with the highest seen in patients >60 years old or those with multiple comorbidities. Notably, most of the deceased patients (131 of 139) were unvaccinated. Analysis of RT-PCR data showed rising percentages of positive results with low CT values (below 21 or 15) from April to June. Conclusion: The Delta wave saw a higher risk of hospitalization among young individuals and pregnant women, despite their low mortality risk. The unvaccinated and those with multiple comorbidities faced higher mortality risks. Increases in RT-PCR positivity with low CT values preceded the July COVID-19 case surge.

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Journal Info

Abbrev

journal

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Focuses on original article reviews and case reports in pulmonary and critical care medicine Scope: 1. Asthma 2. Chronic Obstructive Pulmonary Disease (COPD) 3. Lung Physiology and Sleep-Related Disorder 4. Lung Infection 5. Thoracic Oncology 6. Interstitial Lung Disease 7. Environmental Lung ...