Comparison of Death Rates between COVID-19 Patients with Type 2 Diabetes Mellitus and without Type 2 Diabetes Mellitus

Authors

  • Nadhila Widianita Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia
  • Resna Murti Wibowo Department of internal medicine, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia

DOI:

https://doi.org/10.24853/mmj.4.1.45-51

Keywords:

covid-19, mortality, type 2 diabetes mellitus

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an acute airway infection caused by coronavirus, and one of the comorbid diseases that can increase the severity and mortality of COVID-19 is diabetes mellitus. Purposes: To compare mortality rates in COVID-19 patients with type 2 DM and those without type 2 DM at Bunda Margonda General Hospital, Depok Jawa Barat. Methods: This study is a comparative study with a cross-sectional design obtained from secondary data in the form of medical record data at Bunda Margonda Depok Hospital in January-December 2021. The collection was carried out using the total sampling technique. Data were tested using the Cross Tabulation (crosstab) test. Results: Of the 144 COVID-19 patients, 56.9% of COVID-19 patients died with type 2 DM, while 43.1% died without type 2 DM comorbidity. Based on the comparison results of the mortality rate of COVID-19 patients accompanied by Type 2 DM and those not accompanied by Type 2 DM, the P value is 0.127, which means there was no relationship between mortality rate and Type 2 DM status. The mortality rate male gender is more likely to die in COVID-19 cases with an incidence of (53.5%), while in women (46.5%). Conclusion: Patients with comorbidities are more susceptible to Covid-19, and their symptoms are divided into mild, moderate, and severe. In patients with comorbid diabetes mellitus, there will be an increased occurrence of Covid-19 disease due to decreased immune function, resulting in a longer healing time in patients with diabetes mellitus.

Author Biographies

Nadhila Widianita, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia

Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia

Resna Murti Wibowo, Department of internal medicine, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia

Department of internal medicine, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Indonesia

References

Lestari N, Ichsan B. Diabetes Melitus Sebagai Faktor Risiko Keparahan Dan Kematian Pasien Covid-19 : Meta-Analisis. Biomedika. 2020;13(1):83–94.

Syahniar R, Purba MB, Bekti HS, Mardhia M. Vaccines against coronavirus disease: target proteins, immune responses, and status of ongoing clinical trials. J Pure Appl Microbiol. 2020;14(4):2253–63.

Jaelani HF, Syahniar R. Factors associated with the willingness to receive COVID-19 vaccination among pregnant women. Int J Public Heal Sci. 2023 Mar 1;12(1):261.

Syahniar R, Kharisma DS. SARS-CoV-2 vaccine challenge based on spike glycoprotein against several new variants. Clin Exp Vaccine Res. 2022 May;11(2):173–83.

Hunafa AF, Harahap SP, Yulianti R, Nugraha Y. Hubungan Diabetes Melitus dengan Kejadian Mortalitas pada Pasien Terkonfirmasi Covid-19 Tahun 2020: Systematic Review. eJournal Kedokt Indones. 2021 May 5;9(1 SE-Review Article):67.

Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. Infodatin tetap produktif, cegah, dan atasi Diabetes Melitus. Kementerian Kesehatan Republik Indonesia; 2020 p. 1–10.

Uhm J-S, Ahn JY, Hyun J, Sohn Y, Kim JH, Jeong SJ, et al. Patterns of viral clearance in the natural course of asymptomatic COVID-19: Comparison with symptomatic non-severe COVID-19. Int J Infect Dis. 2020 Oct;99:279–85.

Roeroe PAL, Sedli BP, Umboh O. Faktor Risiko Terjadinya Coronavirus Disease 2019 (Covid-19) pada Penyandang Diabetes Melitus Tipe 2. e-CliniC. 2021;9(1):154–60.

Irsan A, Mardhia M, Rialita A. Evaluation of Humoral Response of Emergency Unit Healthcare Workers after Third Dose of COVID-19 Vaccination. Muhammadiyah Med J. 2022;3(1):27.

Adinagoro MR, Wiratama RB, Widyakusuma E.S Y, Humairah H, Navisa CC, Atika A. Mortalitas Pasien COVID-19 dengan Komorbiditas Diabetes Mellitus: Systematic Review. Aatomica Med J. 2021 Nov 4;4(3):170.

Kementerian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MenKes/413/2020 Tentang Pedoman Pencegahan dan Pengendalian Corona Virus Disease 2019 (Covid-19). 2020.

Widiastuti L. Acupressure dan Senam Kaki terhadap Tingkat Peripheral Arterial Disease pada Klien DM Tipe 2. J Keperawatan Silampari. 2020;3(2):694–706.

Drew C, Adisasmita AC. Gejala dan komorbid yang memengaruhi mortalitas pasien positif COVID-19 di Jakarta Timur, Maret-September 2020. Tarumanagara Med J. 2021 Apr 30;3(1):42–51.

Lim S, Bae JH, Kwon H-S, Nauck MA. COVID-19 and diabetes mellitus: from pathophysiology to clinical management. Nat Rev Endocrinol. 2021 Jan 13;17(1):11–30.

Afni N, Rahayu S. Analysis of Risk Factors for Death of Covid-19 Patients at Undata Hospital Palu. J Public Heal Pharm. 2021;1(6):110–5.

Norouzi M, Norouzi S, Ruggiero A, Khan MS, Myers S, Kavanagh K, et al. Type-2 Diabetes as a Risk Factor for Severe COVID-19 Infection. Microorganisms. 2021 Jun;9(6).

Hanis TM, Arifin WN, Musa KI, Rodzlan Hasani WS, Che Nawi CMNH, Shahrani SA, et al. Risk Factors for COVID-19 Mortality in Malaysia. Malays J Med Sci. 2022 Dec;29(6):123–31.

Muniyappa R, Gubbi S. COVID-19 pandemic, coronaviruses, and diabetes mellitus. Am J Physiol Endocrinol Metab. 2020 May;318(5):E736–41.

Kim DW, Byeon KH, Kim J, Cho KD, Lee N. The Correlation of Comorbidities on the Mortality in Patients with COVID-19: an Observational Study Based on the Korean National Health Insurance Big Data. J Korean Med Sci. 2020 Jul;35(26):e243.

Downloads

Published

2023-03-31