Analysis Of Predictors In The Case Of Covid-19 Based On Clinical, Laboratory And Radiological Descriptions In The Emergency Surgery Case Of Hospital In Surabaya Indonesia

Abstract

Background: Covid 19 is a virus that has been officially designated by the World Health Organization since March 11, 2020 as a pandemic. Limited human resources, natural resources and time, as well as the outbreak of this disease made it impossible for PCR-19 SWAB to be carried out in all groups, so a system was formed to classify patients as needed. Then, in the case of emergency surgery, patients who already have signs and symptoms based on the underlying disease, require an immediate response in treatment so that predictors are needed.
Aims: To analyze the predictor factors of COVID-19 cases Emergency Surgery at one of the hospital in Surabaya, Indonesia, without considering comorbid factors and diseases that were carried out for emergencysurgery.
Methods: This research is an analytical observational study with a cross sectional design. The sampling technique is total sampling.
Results: In a prospective search of emergency surgery patients, data were obtained for 501 patients, of which 380 patients met the inclusion criteria and 121 patients were excluded. This data was analyzed prospectively with the distribution characteristics of male as many as 135 (35.5%) and female as many as 245 (64.5%) patients. Based on logistic regression statistical tests in emergency surgical patients, the independent variables that had a significant relationship with the PCR swab were symptoms of fever or a history of fever in the last 14 days, respiratory symptoms, swab antigen, and chest X-ray.
Conclusion: Symptoms of fever or a history of fever in the last 14 days, respiratory symptoms (cough, flu, sore throat, shortness of breath), antigen swab and photos have a significant relationship with PCR swab, where P < 0.05 so that it can be used as a predictor factor in the patient's initial diagnosis.