2021
DOI: 10.1177/10105395211002624
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Significance of Chronic Diseases and Smoking Behavior in the Development of Acute Respiratory Distress Syndrome Among Hospitalized COVID-19 Patients in Indonesia

Abstract: Acute respiratory distress syndrome (ARDS) is one of the main causes of high mortality among coronavirus disease 2019 (COVID-19) patients. This study aimed at determining the association between presence of chronic diseases and smoking behaviors with the development of ARDS among hospitalized COVID-19 patients in Indonesia. This study was carried out in 15 Muhammadiyah-‘Aisyiyah–affiliated COVID-19 referral hospitals in Indonesia. Four hundred ninety participants who tested positive for the COVID-19 were recru… Show more

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Cited by 8 publications
(5 citation statements)
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“…The results provide further evidence in terms of ACEs’ association with chronic health conditions later on life. Ineffective coping and risk behaviors, such as smoking, are among the most commonly used unhealthy behaviors among individual who lack mental health and psychosocial resources, and these behaviors lead to physiological deterioration [ 31 ]. The findings of this study sustain the connection between disruptive behaviors among children who lack resilience, which make it difficult for them to get through their stress and manage day-to-day issues, causing further psychological and physical harm [ 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…The results provide further evidence in terms of ACEs’ association with chronic health conditions later on life. Ineffective coping and risk behaviors, such as smoking, are among the most commonly used unhealthy behaviors among individual who lack mental health and psychosocial resources, and these behaviors lead to physiological deterioration [ 31 ]. The findings of this study sustain the connection between disruptive behaviors among children who lack resilience, which make it difficult for them to get through their stress and manage day-to-day issues, causing further psychological and physical harm [ 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…Self-treatment in patients experiencing COVID-19-like symptoms by purchasing medicines at pharmacies/stalls is common but may increase the risk of developing more severe symptoms, especially in comorbidities such as diabetes, chronic heart disease, hypertension, and chronic liver diseases. 5 Elderly, diabetics, hypertensive, and obese patients are at increased risk of severe illness and death from COVID-19 infection. 6 Diabetes and shortness of breath are associated with seeking treatment from health workers in the public health center and/or hospitals.…”
Section: Discussionmentioning
confidence: 99%
“…A previous study showed that smokers were 1.4 times more likely to have severe symptoms and approximately 2.4 times to be admitted to an Intensive Care Unit (ICU), need mechanical ventilation, or die, than non-smokers 6 . A similar study showed that patients who currently smoked had a five times greater risk of developing Acute Respiratory Distress Syndrome (ARDS) compared to non-smokers 7 . Indonesia has the fourth highest smoking rate globally, with one-third (33.8%) active adult smokers by 2018 and the highest number of male smokers worldwide 8 .…”
Section: Introductionmentioning
confidence: 93%