RISIKO MORTALITAS PASIEN COVID-19 (STUDI KOHORT RETROSPEKTIF DI RUMAH SAKIT RUJUKAN COVID-19)

Abstract

Abstrak

RSU Jati Husada Karanganyar sebagai rumah sakit rujukan COVID-19 menjadi penyumbang angka kematian COVID-19 tertinggi keempat di Kabupaten Karanganyar dengan CFR 11%. Tujuan penelitian ini adalah untuk mengetahui variabel-variabel yang mempengaruhi risiko mortalitas pada pasien COVID-19 di RSU Jati Husada Karanganyar. Desain penelitian yang digunakan adalah kohort retrospektif menggunakan rekam medis pasien COVID-19. Penelitian ini dilaksanakan pada bulan September-Desember 2021. Sampel minimal penelitian sebanyak 68 responden, diambil dengan simple random sampling. Instrumen yang digunakan berupa lembar observasi. Data dianalisis menggunakan aplikasi pengolah data dengan uji chi-square dan regresi logistik. Hasil penelitian menunjukan bahwa setelah mengontrol variabel lain, secara signifikan ARDS dan kadar SPO2 berturut-turut 20,01 dan 7,34 kali lebih besar meningkatkan risiko kematian pada pasien COVID-19 (p<0,05). Berdasarkan hasil penelitian diharapkan dengan adanya pemberian obat yang tepat, deteksi dini hipoksemia, dan tindakan cepat dalam merujuk pasien COVID-19 yang membutuhkan oksigen, maka risiko kematian pasien COVID-19 dapat dikendalikan.

 Kata kunci: COVID-19, mortalitas, rekam medis

 Abstract

RSU Jati Husada Karanganyar was a COVID-19 referral hospital was fourth highest contributor to the COVID-19 death rate in Karanganyar Regency with a CFR of 11%. The purpose of this study was to determine the variables that affect the risk of mortality in COVID-19 patients at Jati Husada General Hospital Karanganyar. The study design used was a retrospective cohort using medical records of COVID-19 patients. This research was conducted in September-December 2021. The minimum sample of the study was 68 respondents, taken by simple random sampling. The instrument used is an observation sheet. Data were analyzed using a data processing application with chi-square test and logistic regression. The results showed that after controlling for other variables, ARDS and S_PO₂ levels were significantly 20,01 and 7,34 times, respectively, increased the risk of death in COVID-19 patients (p<0.05). Based on results, it’s expected that with appropriate drug administration, early detection of hypoxaemia, and rapid action in referring COVID-19 patients who need oxygen, the risk of death of COVID-19 patients can be controlled.

 Keywords: COVID-19, mortality, medical records