KADAR LAKTAT DEHIDROGENASE, PROKALSITONIN, D-DIMER DAN LAMA RAWAT PASIEN TERKONFIRMASI COVID-19
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Kadar Laktat Dehidrogenase, Prokalsitonin, D-Dimer dan Lama Rawat Pasien Terkonfirmasi Covid-19. Covid-19 merupakan penyakit sistemik yang klinisnya sangat bervariasi mulai dari gejala ringan hingga penyakit berat kritis dengan risiko mortalitas tinggi. Perubahan kadar prokalsitonin, D-Dimer dan LDH dapat memprediksi risiko perburukan pasien Covid-19. Tujuan penelitian untuk mengetahui pengaruh LDH prokalsitonin, dan D-dimer terhadap lama rawat pasien Covid-19. Penelitian ini menggunakan data sekunder dari rekam medis periode Januari 2020 hingga Desember 2021. Pengambilan sampel menggunakan Purposive Sampling sebanyak 144 orang. Instrumen penelitian adalah lembar observasi LDH, prokalsitonin dan D-Dimer berdasarkan panduan RSUP H.Adam Malik Medan. Uji yang digunakan adalah uji korelasi Spearman karena data tidak berdistribusi normal. Hasil penelitian menunjukkan rerata LDH 304,49 U/L, prokalsitonin 1,78 ng/mL, D-Dimer 783,76 dan rerata lama rawat adalah 11,66 hari. Tidak terdapat hubungan antara LDH, prokalsitonin, D-dimer dengan lama rawat pasien Covid-19 dengan kekuatan korelasi yang lemah. Perlu penelitian lanjutan dengan menilai derajat keparahan penyakit, parameter hematologi lain.
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Alshukry, A., Ali, H., Ali, Y., Al-Taweel, T., Abu-Farha, M., AbuBaker, J., Devarajan, S., Dashti, A. A., Bandar, A., Taleb, H., Bader, A. Al, Aly, N. Y., Al-Ozairi, E., Al-Mulla, F., & Abbas, M. B. (2020). Clinical characteristics of coronavirus disease 2019 (COVID-19) patients in Kuwait. PLoS ONE, 15(11 November), 1–16. https://doi.org/10.1371/journal.pone.0242768.
Annisa, N., Iskandar, A., & Rianawati, B. (2022). Lactate Dehydrogenase (LDH) Sebagai Prediktor Mortalitas Pada Pasien COVID-19. In Repository. http://repository.ub.ac.id/id/eprint/187511/
Aronson, J. K., & Ferner, R. E. (2017). Biomarkers—a general review. Current Protocols in Pharmacology, 2017(March), 9.23.1-9.23.17. https://doi.org/10.1002/cpph.19
Baihaqi, F. A. (2022). ARTIKEL PENELITIAN Hubungan Antara Jumlah Trombosit dengan Derajat Keparahan COVID-19. 45(3), 284–292.
Gao, Y., Li, T., Han, M., Li, X., Wu, D., Xu, Y., Zhu, Y., Liu, Y., Wang, X., & Wang, L. (2020). Diagnostic utility of clinical laboratory data determinations for patients with the severe COVID-19. Journal of Medical Virology, 92(7), 791–796. https://doi.org/10.1002/jmv.25770
Guo, A., Lu, J., Tan, H., Kuang, Z., Luo, Y., Yang, T., & Xu, J. (2021). Risk factors on admission associated with hospital length of stay in patients with COVID ‑ 19 : a retrospective cohort study. Scientific Reports, 1–7. https://doi.org/10.1038/s41598-021-86853-4
Hu, Y., Liang, W., Liu, L., & Li, L. (2020). Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl j Med, 18(382), 1708–1728. https://doi.org/10.1056/NEJMoa2002032
Huisman, M. V. (2006). Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. Jama, 295(2), 172–179. https://doi.org/10.1001/jama.295.2.172
Jat, K. R., Sankar, J., Das, R. R., Ratageri, V. H., Choudhary, B., Bhat, J. I., Mishra, B., Bhatnagar, S., Behera, B., Charoo, B. A., Goyal, J. P., Gupta, A. K., Gulla, K. M., Gera, R., Illalu, S., Kabra, S. K., Khera, D., Kumar, B., Lodha, R., … Wari, P. K. (2021). Clinical Profile and Risk Factors for Severe Disease in 402 Children Hospitalized with SARS-CoV-2 from India: Collaborative Indian Pediatric COVID Study Group. Journal of Tropical Pediatrics, 67(3), 1–11. https://doi.org/10.1093/tropej/fmab048
Kaur, N., Gupta, I., Singh, H., Karia, R., Ashraf, A., Habib, A., Patel, U. K., & Malik, P. (2020). Epidemiological and Clinical Characteristics of 6635 COVID-19 Patients: a Pooled Analysis. SN Comprehensive Clinical Medicine, 2(8), 1048–1052. https://doi.org/10.1007/s42399-020-00393-y
Kementerian Kesehatan Republik Indonesia. (2022). COVID-19. Media Informasi Resmi Terkini Penyakit Infeksi Emerging. https://infeksiemerging.kemkes.go.id/dashboard/covid-19
Kibe, S., Adams, K., & Barlow, G. (2011). Diagnostic and prognostic biomarkers of sepsis in critical care. 33–40. https://doi.org/10.1093/jac/dkq523
Liu, J., Liu, Y., Xiang, P., Pu, L., Xiong, H., Li, C., Zhang, M., Tan, J., Xu, Y., Song, R., Song, M., Wang, L., Zhang, W., Han, B., Yang, L., Wang, X., Zhou, G., Zhang, T., Li, B., … Wang, X. (2020). Neutrophil-to-lymphocyte ratio predicts critical illness patients with 2019 coronavirus disease in the early stage. Journal of Translational Medicine, 18(1). https://doi.org/10.1186/s12967-020-02374-0
Mahardhika, G. S., Dharma Tedjamartono, T., & Buwono, P. W. (2021). High D-dimer and CRP levels in an asymptomatic COVID-19 patient: A case report and brief literature review. Seminar Nasional Riset Kedokteran, 2, 167–177.
Ozen, M., Yilmaz, A., Cakmak, V., Beyoglu, R., Oskay, A., Seyit, M., & Senol, H. (2021). D-Dimer as a potential biomarker for disease severity in COVID-19. American Journal of Emergency Medicine, 40, 55–59. https://doi.org/10.1016/j.ajem.2020.12.023
Puspitasari, Aliviameita, A., Rinata, E., & Salim, S. Z. (2021). Korelasi Antara Kadar C-Reactive Protein dengan. Proceeding of The 13th University Research Colloquium 2021: Kesehatan Dan MIPA, 954–957.
Smilowitz, N. R., Kunichoff, D., Garshick, M., Shah, B., Pillinger, M., Hochman, J. S., & Berger, J. S. (2021). C-reactive protein predicts outcome in COVID-19: is it also a therapeutic target? European Heart Journal, 42(23), 2280–2283. https://doi.org/10.1093/eurheartj/ehab169
Tian, W., Jiang, W., Yao, J., Nicholson, C. J., Li, R., Sigurslid, H. H., & Malhotra, R. (2020). Predictors of mortality in hospitalized COVID‐19 patients: A systematic review and meta‐analysis - Tian - 2020 - Journal of Medical Virology - Wiley Online Library. Medical Virology Journal, 92, 1875–1883. https://onlinelibrary.wiley.com/doi/full/10.1002/jmv.26050
Wardhani, A. K., Rahayu, M., Wibawa, D., & Setyadi, A. (2019). Hubungan Eosinopenia dan Rasio Neutrofil / Limfosit dengan Procalcitonin pada Pasien Sepsis. 9(1).
WHO. (2020). WHO Coronavirus (COVID-19). https://covid19.who.int/
Xu, P., Zhou, Q., & Xu, J. (2020). Mechanism of thrombocytopenia in COVID-19 patients. Annals of Hematology, 99(6), 1205–1208. https://doi.org/10.1007/s00277-020-04019-0
Yameny, A. (2021). Lactate dehydrogenase level as a COVID-19 biomarker. Journal of Bioscience and Applied Research, 7(1), 29–34. https://doi.org/10.21608/jbaar.2021.173662
Zhao, W., Zha, X., Wang, N., Li, D., Li, A., & Yu, S. (2021). Clinical Characteristics and Durations of Hospitalized Patients with COVID-19 in Beijing : A Retrospective Cohort Study. 6(1), 33–44. https://doi.org/10.15212/cvia.2021.0019
Zhou, C., Huang, Z., Tan, W., Li, X., Yin, W., Xiao, Y., Tao, Z., Geng, S., & Hu, Y. (2020). Predictive factors of severe coronavirus disease 2019 in previously healthy young adults: A single-center, retrospective study. Respiratory Research, 21(1), 1–8. https://doi.org/10.1186/s12931-020-01412-1
DOI: https://doi.org/10.33024/jikk.v10i1.8750
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