Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study

Background: Coronavirus Disease 2019 is an emerging respiratory disease that is now a pandemic. Indonesia is experiencing a rapid surge of cases but the local data are scarce. Methods: this is an analysis using data from the ongoing recapitulation of Epidemiological Surveillance (ES) by the Provinci...

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Main Authors: Anna Rozaliyani, Ary Indriana Savitri, Findra Setianingrum, Titania Nur Shelly, Vini Ratnasari, Romala Kuswindarti, Ngabila Salama, Dwi Oktavia, Widyastuti Widyastuti, Diah Handayani
Format: Article
Language:English
Published: Interna Publishing 2020-10-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:http://actamedindones.org/index.php/ijim/article/view/1525
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author Anna Rozaliyani
Ary Indriana Savitri
Findra Setianingrum
Titania Nur Shelly
Vini Ratnasari
Romala Kuswindarti
Ngabila Salama
Dwi Oktavia
Widyastuti Widyastuti
Diah Handayani
author_facet Anna Rozaliyani
Ary Indriana Savitri
Findra Setianingrum
Titania Nur Shelly
Vini Ratnasari
Romala Kuswindarti
Ngabila Salama
Dwi Oktavia
Widyastuti Widyastuti
Diah Handayani
author_sort Anna Rozaliyani
collection DOAJ
description Background: Coronavirus Disease 2019 is an emerging respiratory disease that is now a pandemic. Indonesia is experiencing a rapid surge of cases but the local data are scarce. Methods: this is an analysis using data from the ongoing recapitulation of Epidemiological Surveillance (ES) by the Provincial Health Office of Jakarta from March 2nd to April 27th 2020. We evaluated demographic and clinical characteristics of all confirmed cases in association with death. Results: of the 4,052 patients, 381 (9.4%) patients were deceased. Multivariable analysis showed that death was associated with older age (odds ratio [OR] 1.03; 95% confidence interval [CI] 1.02, 1.05, per year increase; p<0.001), dyspnea (OR 4.83; 95% CI 3.20, 7.29; p<0.001), pneumonia (OR 2.46; 95%CI 1.56, 3.88; p<0.001), and pre-existing hypertension (OR 1.86; 95% CI 1.24, 2.78; p=0.003). Death was highest in the week of April 6th 2020 and declined in the subsequent weeks, after a large-scale social restriction commenced. Conclusion: older age, dyspnea, pneumonia, and pre-existing hypertension were associated with death. Mortality was high, but may be reduced by lockdown.
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spelling doaj.art-727013da985a4f9d9e523436eca247272022-12-21T19:07:21ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322020-10-01523390Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological StudyAnna Rozaliyani0Ary Indriana Savitri1Findra Setianingrum2Titania Nur Shelly3Vini Ratnasari4Romala Kuswindarti5Ngabila Salama6Dwi Oktavia7Widyastuti Widyastuti8Diah Handayani9National Medical Team COVID-19, the Indonesian Society of Respirology Department of Parasitology, Faculty of Medicine Universitas IndonesiaSiena Clinical: Academic Research Organization, Jakarta, Indonesia.Department of Parasitology, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaSiena Clinical: Academic Research Organization, Jakarta, Indonesia.Regional Public Hospital of Pasar Rebo, Jakarta, IndonesiaRegional Public Hospital of Ciracas, Jakarta, IndonesiaProvincial Health Office of Special Capital Region of Jakarta, Jakarta, IndonesiaProvincial Health Office of Special Capital Region of Jakarta, Jakarta, IndonesiaProvincial Health Office of Special Capital Region of Jakarta, Jakarta, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Indonesia, Persahabatan Hospital, Jakarta, Indonesia Universitas Indonesia Hospital, Depok, IndonesiaBackground: Coronavirus Disease 2019 is an emerging respiratory disease that is now a pandemic. Indonesia is experiencing a rapid surge of cases but the local data are scarce. Methods: this is an analysis using data from the ongoing recapitulation of Epidemiological Surveillance (ES) by the Provincial Health Office of Jakarta from March 2nd to April 27th 2020. We evaluated demographic and clinical characteristics of all confirmed cases in association with death. Results: of the 4,052 patients, 381 (9.4%) patients were deceased. Multivariable analysis showed that death was associated with older age (odds ratio [OR] 1.03; 95% confidence interval [CI] 1.02, 1.05, per year increase; p<0.001), dyspnea (OR 4.83; 95% CI 3.20, 7.29; p<0.001), pneumonia (OR 2.46; 95%CI 1.56, 3.88; p<0.001), and pre-existing hypertension (OR 1.86; 95% CI 1.24, 2.78; p=0.003). Death was highest in the week of April 6th 2020 and declined in the subsequent weeks, after a large-scale social restriction commenced. Conclusion: older age, dyspnea, pneumonia, and pre-existing hypertension were associated with death. Mortality was high, but may be reduced by lockdown.http://actamedindones.org/index.php/ijim/article/view/1525covid-19deathindonesiajakartapatient characteristics
spellingShingle Anna Rozaliyani
Ary Indriana Savitri
Findra Setianingrum
Titania Nur Shelly
Vini Ratnasari
Romala Kuswindarti
Ngabila Salama
Dwi Oktavia
Widyastuti Widyastuti
Diah Handayani
Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study
Acta Medica Indonesiana
covid-19
death
indonesia
jakarta
patient characteristics
title Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study
title_full Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study
title_fullStr Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study
title_full_unstemmed Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study
title_short Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study
title_sort factors associated with death in covid 19 patients in jakarta indonesia an epidemiological study
topic covid-19
death
indonesia
jakarta
patient characteristics
url http://actamedindones.org/index.php/ijim/article/view/1525
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