What Does Comorbid Status Implication with the End Status of Corona Virus Disease (Covid-19) Patients

Abstract

Background: The prevalence of confirmed cases of Covid-19 is quite high and tends to continue to increase. Based on data, South Kalimantan Province in early mid-2021 experienced a high spike in cases, resulting in a large number of deaths, especially in the City of Banjarbaru. Covid-19 active cases in South Kalimantan in July 2021 were recorded at 5,279 cases (12.41%) out of a total of 42,527 positive cases. Many research results on risk factors for Covid-19 cases, the results vary widely. People with comorbidities are a very vulnerable group. Objective: to analyze whether comorbid status has implications for the final status of Covid-19 patients in inpatients at the Idaman Hospital, Banjarbaru City.Methods: Quantitative research using an observational design through a case-control approach. The population is 300 respondents and the research sample is 60 respondents with a sample group of 30 people and a control group of 30 people. The data used is data from the case form report (CFR). The dependent variable in this study was the final status (died/recovered) in inpatients diagnosed as positive for Covid-19 at the Idaman Hospital, Banjarbaru City, while the independent variables were age, gender, hypertension, diabetes mellitus, pneumonia, heart failure, kidney failure. chronic chronic disease (CKD) and stroke (CVA). Data were analyzed univariately and bivariately with chi-square to obtain adjusted OR. Results: Analysis using the chi-square test showed that chronic kidney failure (p=0, 026) has implications for the mortality status of patients with a risk of dying 10 times compared to patients without comorbidities, and heart disease (p=0.045) with a risk of dying 6 times compared to patients without heart disease. Conclusion: Chronic kidney disease (CKD) and heart disease are the highest risk factors that affect death in patients with Covid-19.