Publikasi Scopus 926 artikel (Per 14 Maret 2022)

Elhidsi M., Rasmin M., Prasenohadi
57203157152;15754578700;55758911100;
In-hospital mortality of pulmonary tuberculosis with acute respiratory failure and related clinical risk factors
2021
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
23
100236
1
Department of Pulmonology and Respiratory Medicine Faculty of Medicine, Universitas Indonesia – Persahabatan National Respiratory Referral Hospital, Jakarta, Indonesia
Elhidsi, M., Department of Pulmonology and Respiratory Medicine Faculty of Medicine, Universitas Indonesia – Persahabatan National Respiratory Referral Hospital, Jakarta, Indonesia; Rasmin, M., Department of Pulmonology and Respiratory Medicine Faculty of Medicine, Universitas Indonesia – Persahabatan National Respiratory Referral Hospital, Jakarta, Indonesia; Prasenohadi, Department of Pulmonology and Respiratory Medicine Faculty of Medicine, Universitas Indonesia – Persahabatan National Respiratory Referral Hospital, Jakarta, Indonesia
Background/objective: Data on acute respiratory failure (ARF) in pulmonary tuberculosis (PTB) patients is limited. This study aims to investigate in-hospital mortality, its clinical risk factors and the accuracy of the existing scoring system in predicting in-hospital mortality. Methods: An observational prospective cohort study involving PTB patients with ARF in tertiary hospital, between January 2017 and December 2018, was conducted. The in-hospital mortality was predicted using the National Early Warning Score 2 (NEWS2), quick Sequential Organ Failure Assessment (qSOFA) and CRB-65. Regression models were run to analyze the clinical risk factors for in-hospital Mortality. Sensitivity and specificity of scoring systems were calculated using a Wilson score interval. Results: A total of 111 subjects were included. Most of subjects were hypoxemic type respiratory failure (68.5%), advanced lesions (62.2%), new cases (70.3%) and pneumonia co-infection (72.1%) patients. Invasive mechanical ventilation was utilized for 29.73% of cases. There were 53 (47.75%) in-hospital mortality cases and its risk factors were intensive phase treatment (3.34 OR; CI95% 1.27–8.78), P/F ratio < 100 (OR 4.30; CI 95% 1.75–10.59) and renal insufficiency (4.09 OR; CI95% 1.46–11.49). The sensitivity and specificity of NEWS2 ≥ 6, qSOFA ≥ 2 and CRB-65 ≥ 2 were 62.26% and 67.24%; 60.38% and 72.41%; 41.51% and 84.48% respectively. Conclusions: Most of PTB with ARF were new cases, advanced lesion and hypoxemic type respiratory failure. Intensive phase treatment, severe hypoxemia and renal insufficiency are independent predictors of in-hospital mortality in PTB patients with ARF. NEWS2, qSOFA and CRB-65 scores were poor to predict the in-hospital mortality. © 2021 The Author(s)
Acute respiratory failure; In-hospital mortality; Pulmonary tuberculosis; Tuberculosis
steroid; tuberculostatic agent; acute respiratory failure; adult; aged; Article; cohort analysis; coinfection; confidence interval; controlled study; CRB-65 score; diagnostic test accuracy study; female; human; in-hospital mortality; invasive ventilation; kidney failure; lung tuberculosis; major clinical study; male; National Early Warning Score 2; observational study; odds ratio; pneumonia; prospective study; quick Sequential Organ Failure Assessment Score; regression analysis; risk assessment; risk factor; scoring system; sensitivity and specificity; tertiary care center
Elsevier Ltd
24055794
Article
Q3
585
8643