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Prognostic Scoring System for Mortality of Hospitalized COVID-19 Patients in Resource-Limited Settings: A Multicenter Study from COVID-19 Referral Hospitals

ACTA MEDICA INDONESIANA · Vol. 53 No. 4 (2022)

ISSN
2338-2732, 0125-9326
Terbit
2022-01-10
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

Background: Many studies identified the risk factors and prognostic factors related to in-hospital COVID-19 mortality using sophisticated laboratory tests. Cost and the availability of supporting blood tests may be problematic in resource-limited settings. This multicenter cohort study was conducted to assess the factors associated with mortality of COVID-19 patients aged 18 years and older, based on history taking, physical examination, and simple blood tests to be used in resource-limited settings. Methods: The study was conducted between July 2020 and January 2021 in five COVID-19 referral hospitals in Indonesia. Among 1048 confirmed cases of COVID-19, 160 (15%) died during hospitalization. Results: Multivariate analysis showed eight predictors of in-hospital mortality, namely increased age, chronic kidney disease, chronic obstructive pulmonary disease, fatigue, dyspnea, altered mental status, neutrophil-lymphocyte ratio (NLR) ≥ 5.8, and severe-critical condition. This scoring system had an Area-under-the-curve (AUC) of 84.7%. With cut-off score of 6, the sensitivity was 76.3% and the specificity was 78.2%. Conclusion: The result of this practical prognostic scoring system may be a guide to decision making of physicians and help in the education of family members related to the possible outcome.

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  • State University of Semarang
  • National Research and Innovation Agency
  • University of Indonesia
  • Institut Agama Islam Negeri Bone
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Rekan penulisOrganisasiArtikel bersama
Hamzah ShatriAfiliasi tidak diketahui22
Muhammad Khifzhon AzwarAfiliasi tidak diketahui16
Noto DwimartutieAfiliasi tidak diketahui15
Rudi PutrantoAfiliasi tidak diketahui14
Idrus AlwiAfiliasi tidak diketahui12
Ikhwan RinaldiAfiliasi tidak diketahui12
Sally Aman NasutionAfiliasi tidak diketahui12
Imam SubektiAfiliasi tidak diketahui11
Eric Daniel TendaAfiliasi tidak diketahui10
Eka GinanjarAfiliasi tidak diketahui10
Murdani AbdullahAfiliasi tidak diketahui10
Aulia RizkaAfiliasi tidak diketahui9
Rudy HidayatAfiliasi tidak diketahui9
Juferdy KurniawanAfiliasi tidak diketahui9
Dadang MakmunAfiliasi tidak diketahui8
Iris RengganisAfiliasi tidak diketahui8
Dyah PurnamasariAfiliasi tidak diketahui7
Alvina WidhaniAfiliasi tidak diketahui6
Simon SalimAfiliasi tidak diketahui6
Em YunirUniversity of Indonesia6
Muhammad YaminInstitut Agama Islam Negeri Bone5
Aida LydiaAfiliasi tidak diketahui5

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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Prognostic Scoring System for Mortality of Hospitalized COVID-19 Patients in Resource-Limited Settings: A Multicenter Study from COVID-19 Referral Hospitals</dc:title>
	<dc:creator>Saldi, Siti Rizny F.</dc:creator>
	<dc:creator>Safitri, Eka Dian</dc:creator>
	<dc:creator>Setiati, Siti</dc:creator>
	<dc:creator>Ranakusuma, Respati W</dc:creator>
	<dc:creator>Marsigit, Jessica</dc:creator>
	<dc:creator>Azwar, Muhammad K</dc:creator>
	<dc:creator>Astuti, Puji</dc:creator>
	<dc:creator>Sari, Cut Yulia Indah</dc:creator>
	<dc:creator>Istanti, Rahmi</dc:creator>
	<dc:creator>Yulianti, Mira</dc:creator>
	<dc:creator>Rumende, Cleopas Martin</dc:creator>
	<dc:creator>Yunihastuti, Evy</dc:creator>
	<dc:creator>Susilo, Adityo</dc:creator>
	<dc:creator>Harimurti, Kuntjoro</dc:creator>
	<dc:creator>Liastuti, Lies Dina</dc:creator>
	<dc:creator>Trimartani, Trimartani</dc:creator>
	<dc:creator>Restuti, Ratna Dwi</dc:creator>
	<dc:creator>Syam, Ari Fahrial</dc:creator>
	<dc:subject xml:lang="en-US">COVID-19</dc:subject>
	<dc:subject xml:lang="en-US">prognostic</dc:subject>
	<dc:subject xml:lang="en-US">predictive score</dc:subject>
	<dc:subject xml:lang="en-US">mortality</dc:subject>
	<dc:subject xml:lang="en-US">resource-limited settings</dc:subject>
	<dc:description xml:lang="en-US">Background: Many studies identified the risk factors and prognostic factors related to in-hospital COVID-19 mortality using sophisticated laboratory tests. Cost and the availability of supporting blood tests may be problematic in resource-limited settings. This multicenter cohort study was conducted to assess the factors associated with mortality of COVID-19 patients aged 18 years and older, based on history taking, physical examination, and simple blood tests to be used in resource-limited settings. Methods: The study was conducted between July 2020 and January 2021 in five COVID-19 referral hospitals in Indonesia. Among 1048 confirmed cases of COVID-19, 160 (15%) died during hospitalization. Results: Multivariate analysis showed eight predictors of in-hospital mortality, namely increased age, chronic kidney disease, chronic obstructive pulmonary disease, fatigue, dyspnea, altered mental status, neutrophil-lymphocyte ratio (NLR) ≥ 5.8, and severe-critical condition. This scoring system had an Area-under-the-curve (AUC) of 84.7%. With cut-off score of 6, the sensitivity was 76.3% and the specificity was 78.2%. Conclusion: The result of this practical prognostic scoring system may be a guide to decision making of physicians and help in the education of family members related to the possible outcome.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2022-01-10</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1921</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 53 No. 4 (2021): Acta Medica Indonesiana; 407</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1921/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2022 Siti Setiati, Siti Rizny F. Saldi, Puji Astuti, Cut Yulia Indah Sari, Rahmi Istanti, Mira Yulianti, Cleopas Martin Rumende, Evy Yunihastuti, Adityo Susilo, Kuntjoro Harimurti, Lies Dina Liastuti, Trimartani Trimartani, Ratna Dwi Restuti, Ari Fahrial Syam</dc:rights>
</oai_dc:dc>