HUBUNGAN WAKTU INTUBASI, USIA, JENIS KELAMIN DAN PEMBERIAN TERAPI OKSIGEN TERHADAP TINGKAT MORTALITAS PASIEN DENGAN COVID-19 BERAT DI RSUD DR. PIRNGADI KOTA MEDAN TAHUN 2020

Abstract

Background: One of the many viral families that can cause illnesses of the human respiratory system is the one that includes coronaviruses. Respiratory failure is a frequent cause of death in victims of COVID-19. The mainstay of ARDS management in severe COVID-19 is trials of High Flow Nasal Cannula (HFNC), non-invasive ventilation (NIV) or Non-Rebreathing Mask (NRM). In patients with respiratory failure, delayed intubation is associated with higher mortality rates. However, there is much debate about optimizing the management of ARDS at COVID-19 patients. The dilemma of timing of intubation and mechanical ventilation in severe COVID-19 was taken based on the assessment of doctors globally in the pandemic. Intubation and the use of mechanical ventilators also have risks that determine whether this strategy is better for the patient or not. Several studies regarding the appropriate time for intubation in COVID-19 patients have been conducted, but the results currently available are still debatable.

Research Objectives: To determine the relationship between intubation time, age, gender and administration of oxygen therapy to the mortality rate of patients with severe COVID-19.

Research Methods: The type of research is an observational analytic study using a cross-sectional method where researchers observe or measure variables at certain times.

Research Results: The analysis of 160 samples revealed claimed gender has no bearing on how someone died. rate of individuals with verified severe COVID-19 p-values = 0.003, However, age and gender did correlate with one another. The fatality rate of individuals with proven severe respiratory failure did not correlate with intubation time. COVID-19 (p-value = 0.523) or oxygen treatment on the mortality rate of patients with confirmed severe COVID-19 (p-value = 0.231).

Conclusion: Final results stated there was absolutely no correlation between the various kinds of oxygen therapy and length of intubation, however there was a correlation between age and gender and the mortality rate of patients with severe COVID-19 at Dr. Pirngadi Hospital in 2020.