Hubungan komorbiditas dengan tingkat keparahan COVID-19 berdasarkan computerized tomography severity score

A Retrospective Cross-Sectional Study

Authors

  • Sri Asriyani Radiology Department, Medical Faculty of Hasanuddin University
  • Silvia Suminto Program Studi Pendidikan Dokter Spesialis 1 Radiologi, Fakultas Kedokteran, Universitas Hasanuddin
  • Nikmatia Latief Departemen Radiologi, Fakultas Kedokteran Universitas Hasanuddin
  • Andi Alfian Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Hasanuddin
  • Irawaty Djaharuddin Departemen Pulmonologi dan Kedokeran Respirasi, Fakultas Kedokteran Universitas Hasanuddin
  • Bachtiar Murtala Departemen Radiologi, Fakultas Kedokteran Universitas Hasanuddin

DOI:

https://doi.org/10.25170/djm.v22i1.3702

Keywords:

COVID-19, CT scan toraks, CT severity score, komorbiditas

Abstract

Pendahuluan: CT scan toraks berperan penting dalam COVID-19, baik dalam penentuan diagnosis, menentukan tingkat keparahan, dan memandu tatalaksana. Penelitian ini bertujuan untuk mengetahui hubungan komorbiditas dengan tingkat keparahan COVID-19 berdasarkan CT Severity Score (CT SS).

Metode: Desain penelitian retrospektif cross-sectional dilakukan pada 192 pasien terkonfirmasi COVID-19 yang memenuhi syarat  dan menjalani CT scan toraks. Analisis karakteristik gambaran CT scan toraks pasien dilakukan pada window paru dan mediastinal. CT SS dilakukan untuk penilaian derajat keparahan COVID-19. Perbedaan proporsi gambaran CT scan berdasarkan komorbiditas diuji dengan chi-square.

Hasil: Penyakit komorbid yang paling banyak ditemukan yaitu hipertensi (51 pasien), diabetes mellitus (37 pasien), gagal ginjal kronik (29 pasien), penyakit jantung koroner (14 pasien), keganasan (14 pasien), dan tuberkulosis (5 pasien). Temuan CT scan yang paling sering adalah ground-glass opacities, konsolidasi, crazy paving, dan fibrosis dengan distribusi periferal. Terdapat hubungan yang signifikan antara pasien berusia > 50 tahun, memiliki riwayat komorbiditas, komorbiditas >1, memiliki riwayat diabetes mellitus, hipertensi, dan penyakit jantung koroner dengan CT SS ≥19,5 menunjukkan tingkat penyakit yang lebih berat (p<0,05).

Simpulan: Pasien dengan riwayat komorbiditas, komorbiditas >1, berusia >50 tahun, memiliki riwayat diabetes mellitus, hipertensi, dan PJK menunjukkan tingkat penyakit yang lebih berat berdasarkan CT SS. 

Kata Kunci: COVID-19, CT scan toraks, CT severity score, komorbiditas.

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Author Biographies

Silvia Suminto, Program Studi Pendidikan Dokter Spesialis 1 Radiologi, Fakultas Kedokteran, Universitas Hasanuddin

Student at Radiology Study Program

Nikmatia Latief, Departemen Radiologi, Fakultas Kedokteran Universitas Hasanuddin

Lektor pada Departemen Radiologi

Andi Alfian, Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Hasanuddin

Lektor Kepala di Departemen Ilmu Kesehatan Masyarakat

Irawaty Djaharuddin, Departemen Pulmonologi dan Kedokeran Respirasi, Fakultas Kedokteran Universitas Hasanuddin

Lektor Kepala di Departemen Pulmonologi dan Kedokteran Respirasi

Bachtiar Murtala, Departemen Radiologi, Fakultas Kedokteran Universitas Hasanuddin

Guru Besar di Departemen Radiologi

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Published

2023-07-04

How to Cite

1.
Asriyani S, Suminto S, Latief N, Alfian A, Djaharuddin I, Murtala B. Hubungan komorbiditas dengan tingkat keparahan COVID-19 berdasarkan computerized tomography severity score: A Retrospective Cross-Sectional Study. DJM [Internet]. 2023 Jul. 4 [cited 2024 Nov. 5];22(1):10-2. Available from: https://ejournal.atmajaya.ac.id/index.php/damianus/article/view/3702
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