Characteristics, Clinical Manifestations, Length of Hospitalization, and Nutritional Status of COVID-19 Patients

Main Article Content

Erika Martining Wardani
Riezky Faisal Nugroho
Difran Nobel Bistara
Lono Wijayanti
Siti Nurhasina
Fety Susanti Cahyaningsih

Abstract

BACKGROUND: The disease that is endemic and has become a global pandemic is COVID-19 due to reports of thousands of cases. The pandemic is weighing on intensive care units with an influx of COVID-19 patients. The clinical manifestations of COVID-19 vary, diagnostic examinations and treatment are also experiencing dynamic developments. This study aims to provide an overview  of the characteristics, clinical manifestations, length of treatment, and nutritional status of COVID-19 patients.


METHODS: This study used a descriptive analytic cross-sectional method with inclusion criteria that were positive for COVID-19. The research data were obtained from 130 hospital medical records for the period June to August 2021. The collected data were then analyzed using SPSS.


RESULTS: The study found that men were more exposed to COVID-19 (71.5%) and 70% of patients worked as medical personnel. The age  range of the majority of patients was more than 40 years (78.5%). Most of the comorbidities were hypertensive patients. Clinical manifestations of COVID-19 patients were cough (44.6%), fever (40%), flu-like symptoms (32.3%), painful swallowing (26.2%), anosmia (16.2%), shortness of  breath (15.4%), nausea (14.6%), vomiting (13.8%), and diarrhea (0.9%). The average length of stay is 7–14 days (9.2%) with adequate nutritional status (14.6%). Patients with length of treatment (p = 0.01) and poor nutritional status (p =0.000) were significantly different.


CONCLUSION: The majority of COVID-19 sufferers are male, over 40 years old, with cough symptoms, and the most comorbid hypertension, as well as deaths from hypertension and the elderly. Better treatment is needed for people with COVID-19.

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1.
Wardani EM, Nugroho RF, Bistara DN, Wijayanti L, Nurhasina S, Cahyaningsih FS. Characteristics, Clinical Manifestations, Length of Hospitalization, and Nutritional Status of COVID-19 Patients. SEE J Cardiol [Internet]. 2023 Jun. 30 [cited 2024 Jul. 15];4(1):10-4. Available from: https://seejca.eu/index.php/seejca/article/view/6040
Section
General Cardiology

References

Kementerian Kesehatan RI. Pedoman Kesiapan Menghadapi COVID-19. In: Kementerian Kesehatan RI. Indonesia: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit (P2P); 2020a.

World Health Organization. COVID-19 Weekly Epidemiological Update, 27 December 2020. Geneva: World Health Organization; 2020a.

Pemerintah Kota Surabaya. Surabaya Tanggap COVID-19. Available from: https://lawancovid-19.surabaya.go.id/visualisasi/graph [Last accessed on 2021 Jan 03].

Rees EM, Nightingale ES, Jafari Y, Waterlow NR, Clifford S, Carl CA, et al. COVID-19 length of hospital stay: A systematic review and data synthesis. BMC Med. 2020;18(1):270. https://doi.org/10.1186/s12916-020-01726-3 PMid:32878619 DOI: https://doi.org/10.1186/s12916-020-01726-3

Tresnasari C, Dharmmika S. COVID-19 dan Tatalaksana Kedokteran Fisik Serta Rehabilitasi Pasien. Pusat Penerbitan Unisba (P2U). Indonesia: LPPM UNISBA; 2020.

Wardani EM, Nugroho RF, Ainiyah N, Nurhasina S. Mask wearing behavior, type of mask, frequency replacement of mask, and duration of mask wearing with skindemic. AIP Conf Proc. 2023;1(2595):090012-1-5. https://doi.org/10.1063/5.0123955 DOI: https://doi.org/10.1063/5.0123955

Sauer AC, Li J, Partridge J, Sulo S. Assessing the impact of nutrition interventions on health and nutrition outcomes of community-dwelling adults: A systematic review. Nutr Diet Suppl. 2018;10:45-57. https://doi.org/10.2147/NDS.S177248 DOI: https://doi.org/10.2147/NDS.S177248

Zhang XY, Huang HJ, Zhuang DL, Nasser MI, Yang MH, Zhu P, et al. Biological, clinical and epidemiological features of COVID-19, SARS and MERS and AutoDock simulation of ACE2. Infect Dis Poverty. 2020;9(1):99. https://doi.org/10.1186/ s40249-020-00691-6 PMid:32690096 DOI: https://doi.org/10.1186/s40249-020-00691-6

Feng X, Li P, Ma L, Liang H, Lei J, Li W, et al. Clinical characteristics and short-term outcomes of severe patients with COVID-19 in Wuhan, China. Front Med (Lausanne). 2020;7:491. https://doi.org/10.3389/fmed.2020.00491 PMid:32850926 DOI: https://doi.org/10.3389/fmed.2020.00491

Liu XQ, Xue S, Xu JB, Ge H, Mao Q, Xu XH, et al. Clinical characteristics and related risk factors of disease severity in 101 COVID-19 patients hospitalized in Wuhan, China. Acta Pharmacol Sin. 2021;43(1):64-75. https://doi.org/10.1038/ s41401-021-00627-2 PMid:33742107 DOI: https://doi.org/10.1038/s41401-021-00627-2

Ahmed SB, Dumanski SM. Sex, gender and COVID-19: A call to action. Can J Public Health. 2020;111(6):980-3. https://doi.org/10.17269/s41997-020-00417-z PMid:32990927 DOI: https://doi.org/10.17269/s41997-020-00417-z

Maji R, Bhattacharjee A, Elango A, Ghosh S, Gantait K. Laboratory biomarkers of COVID-19 outcome: findings from a high dependency unit of South Bengal. Int J Res Med Sci [Internet]. 2021;9:3074-8. Available from: https://www.msjonline.org/index. php/ijrms/article/view/10049 [Last accessed on 2023 Jul 06]. DOI: https://doi.org/10.18203/2320-6012.ijrms20213935

Wu Z, McGoogan JM. Characteristics of and important lessons from the Coronavirus disease 2019 (COVID-19) Outbreak in China: Summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA. 2020;323(13):1239-42. https://doi.org/10.1001/jama.2020.2648 PMid:32091533 DOI: https://doi.org/10.1001/jama.2020.2648

Susilo A, Rumende CM, Pitoyo CW, Santoso WD, Yulianti M, Sinto R, et al. Coronavirus Disease 2019: Tinjauan literatur terkini Coronavirus disease 2019: Review of current literatures. J Penyakit Dalam Indones. 2020;7(1):45-67. DOI: https://doi.org/10.7454/jpdi.v7i1.415

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel Coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet. 2020;395(10223):507-13. https://doi.org/10.1016/S0140-6736(20)30211-7 PMid:32007143 DOI: https://doi.org/10.1016/S0140-6736(20)30211-7

Feng Y, Xu B, Feng J, Xianyu J. Association of procalcitonin and the severity of COVID-19: A meta-analysis. Case Stud Opin. 2021;1(7):166-74.

Harapan H, Itoh N, Yufika A, Winardi W, Keam S, Te H, et al. Coronavirus disease 2019 (COVID-19): A literature review. J Infect Public Health. 2020;13(5):667-73. https://doi.org/10.1016/j.jiph.2020.03.019 PMid:32340833 DOI: https://doi.org/10.1016/j.jiph.2020.03.019

Gong XM, Song L, Li H, Li L, Jin W, Yu KH, et al. CT characteristics and diagnostic value of Covid-19 in pregnancy. PLoS One. 2020;15(7):e0235134. https://doi.org/10.1371/journal.pone.0235134 PMid:32614854 DOI: https://doi.org/10.1371/journal.pone.0235134

Hu J, Wang Y. The clinical characteristics and risk factors of severe COVID-19. Gerontology. 2021;67(3):255-66. https://doi.org/10.1159/000513400 PMid:33406518 DOI: https://doi.org/10.1159/000513400

Keddie S, Ziff O, Chou MK, Taylor RL, Heslegrave A, Garr E, Lakdawala N, et al. Laboratory biomarkers associated with COVID-19 severity and management. Clinical immunology. 2020;221:108614. DOI: https://doi.org/10.1016/j.clim.2020.108614

Huang S, Wang J, Liu F, Liu J, Cao G, Yang C, et al. COVID-19 patients with hypertension have more severe disease: A multicenter retrospective observational study. Hypertens Res. 2020;43(8):824-31. https://doi.org/10.1038/s41440-020-0485-2 PMid:32483311 DOI: https://doi.org/10.1038/s41440-020-0485-2

Kuba K, Imai Y, Ohto-Nakanishi T, Penninger JM. Trilogy of ACE2: A peptidase in the renin-angiotensin system, a SARS receptor, and a partner for amino acid transporters. Pharmacol Ther. 2010;128(1):119-28. https://doi.org/10.1016/j.pharmthera.2010.06.003 PMid:20599443 DOI: https://doi.org/10.1016/j.pharmthera.2010.06.003

Rodilla E, Saura A, Jiménez I, Mendizábal A, Pineda-Cantero A, Lorenzo-Hernández E, et al. Association of hypertension with all-cause mortality among hospitalized patients with COVID-19. J Clin Med. 2020;9(10):3136. https://doi.org/10.3390/jcm9103136 PMid:32998337 DOI: https://doi.org/10.3390/jcm9103136

Wardani EM, Bistara DN, Septianingrum Y. Karakteristik klinis dan lama rawat inap pasien covid-19 dengan kormobid dan tanpa kormobid. Holistik Jurnal Kesehatan. 2021;15(4):666-73. DOI: https://doi.org/10.33024/hjk.v15i4.5761

Yu Y, Ye J, Chen M, Jiang C, Lin W, Lu Y, et al. Malnutrition prolongs the hospitalization of patients with COVID-19 infection: A clinical epidemiological analysis. J Nutr Health Aging. 2021;25(3):369-73. https://doi.org/10.1007/s12603-020-1541-y PMid:33575730 DOI: https://doi.org/10.1007/s12603-020-1541-y

Im JH, Je YS, Baek J, Chung MH, Kwon HY, Lee JS. Nutritional status of patients with COVID-19. Int J Infect Dis. 2020;100:390-3. https://doi.org/10.1016/j.ijid.2020.08.018 PMid:32795605 DOI: https://doi.org/10.1016/j.ijid.2020.08.018

Wardani EM, Nugroho RF, Bistara DN, Afiyah RK, Hasina SN, Septianingrum Y. Clinical manifestations of COVID-19 patients with comorbid and non-comorbid at Dr. Soetomo hospital, Surabaya. Open Access Maced J Med Sci. 2022;10(G):330-4. https://doi.org/10.3889/oamjms.2022.7582 DOI: https://doi.org/10.3889/oamjms.2022.7582

Wardani EM, Nugroho RF, Bistara DN, Fitriasari A, Wijayanti L, Ainiyah N, et al. Level of student education and knowledge about sinovac vaccine with immunization participation. Bali Med J. 2022;11(2):738-41. https://doi.org/10.15562/bmj.v11i2.3153 DOI: https://doi.org/10.15562/bmj.v11i2.3153

Wardani EM, Nugroho RF. Buku Saku Vaksin Langkah Preventif Cegah Covid-19. Surabaya: Unusa Press; 2021.

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