DESCRIPTION OF COVID-19 PATIENTS WITH VENTILATORS AT GATOT SOEBROTO ARMY HOSPITAL FOR THE PERIOD OF JULY-SEPTEMBER 2021

Abstract

COVID-19 is a disease caused by the SARS-CoV-2 virus. More than 90% of patients on ventilators with COVID-19 infection develop pneumonia and 40% develop ARDS. The severity of the disease is influenced by several things such as age and comorbid factors. In July 2021 Indonesia experienced a very high increase, namely 948,467 new positive cases with 20,877 deaths. This study aims to find out the description of COVID-19 patients with ventilators at the Gatot Soebroto Army Hospital for the period July-September 2021. The research method used is descriptive. Data collection in this study used secondary data in the form of patient medical records. The sample of this research is those who fulfill the requirements by using the total sampling technique. The sample size in the study was 76 people who were COVID-19 patients on ventilators at the Gatot Soebroto Army Hospital for the period July-September 2021. The results showed that the majority of COVID-19 patients were adults (60.5%) with male sex (53.9%). The results of the CT-value examination showed that 63.2% of patients had CT values <29, including strong positives. The results of D-dimer examination found 94.7% of patients had abnormal results ≥500 ng/dL and radiological examination results found 96.1% of patients indicated pneumonia. Comorbid patients were 46.1% DM comorbid patients, 44.7% hypertension comorbid patients, 31.6% obese patients and 5.3% cardiovascular disease comorbid patients. The patient mortality rate at discharge was 80.3% of patients who died. Males and the adult age group had the highest number of COVID-19 patients on ventilators with an average patient's chest X-ray showing indications of pneumonia with CT<29. Patients who have comorbidities increase the severity of the disease three times that of those who do not have comorbidities and increase the patient's mortality rate