Clinical Features, Imaging, Laboratory Result, and Severity of COVID-19 Patients in Referral Hospital

Bekti Safarini; Mohamad Arif; Danis Pertiwi; Santika Puji Rahayu Wijaya; Suryani Yuliyanti

doi:10.3889/oamjms.2023.10664

Authors

Bekti Safarini Department of Radiology, Medical Faculty, Universitas Islam Sultan Agung, Semarang, Indonesia
Mohamad Arif Department of internal medicine, Medical Faculty, Universitas Islam Sultan Agung, Semarang, Indonesia https://orcid.org/0000-0001-5182-4331
Danis Pertiwi Department of Clinical Pathology, Medical Faculty, Universitas Islam Sultan Agung, Semarang, Indonesia
Santika Puji Rahayu Wijaya Medical Faculty, Universitas Islam Sultan Agung, Semarang, Indonesia
Suryani Yuliyanti Department of Public Health, Medical Faculty, Universitas Islam Sultan Agung, Semarang, Indonesia https://orcid.org/0000-0002-4750-6231

DOI:

https://doi.org/10.3889/oamjms.2023.10664

Keywords:

COVID-19, limited resources, prognostic

Abstract

BACKGROUND: COVID-19 pandemic became a global health problem due to the high number of cases and no specific treatment. Furthermore, the diagnosis was difficult due to limited publication data and diagnostic tests.

AIM: The aim of this study was to determine the demographics, clinical features, laboratory results, radiological results, and factors related to the severity of COVID-19 at a referral hospital.

METHODS: A descriptive analytic study of confirmed COVID-19 patients was conducted during March–October 2020. Data were collected from the medical records to determine the patient demographics, clinical symptoms, comorbidities, laboratory, chest X-ray, and first illness severity at 24 h of treatment.

RESULTS: There were 79 (59%) male and 55 (41%) female patients during the study. The clinical symptoms were fever 103 (77%), cough 100 (75%), shortness of breath 88 (66%), comorbidities of diabetes mellitus 18 (13%), hypertension 24 (18%), and heart disease 20 (15%). The patient’s laboratory profiles were lymphopenia 85 (63%) and increased C-reactive protein 82 (61%). The radiology imaging of the patients was mostly atypical of COVID-19. Factors that influence the severity of COVID-19 are age, comorbid diabetes, and hypertension

CONCLUSION: Most cases with severe symptoms are old age, a history of comorbid diabetes mellitus and heart disease, and abnormal laboratory results.

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