The Impact of Time to Intubate Towards Mortality Rate Among Covid-19 Patients in Dr. Soetomo General Hospital Resuscitation and ICU

Arinald Findari Manoppo, Arie Utariani^*, Pesta Parulian

Abstract

Backgrounds: The COVID-19 pandemic began to spread in Indonesia in March 2020 and continues to increase. Patients with severe symptoms are known to have impaired oxygenation leading to hypoxaemia. Severe oxygenation disorders can be seen from clinical symptoms of respiratory distress and examination of blood gas analysis with a low PF ratio. Patients with respiratory distress should be assisted by administering a High-Flow Nasal Cannula to mechanical ventilation. Patients who experience respiratory distress for a long time will cause a decrease in negative intrathoracic pressure which can cause interstitial pulmonary edema and will lead to an increase in mortality. Therefore, this study was prepared with the aim of analyzing the effect of intubation time on mortality of Covid-19 patients in a special resuscitation and infection room at a hospital in Indonesia.

Methods: This study is a retrospective analytic observational study with a sample of 35 subjects. This study uses the criteria for respiratory distress through the 3rd edition of the COVID-19 Management Guidelines with the RR criteria> 30 times per minute.

Results: The results showed that the median mortality of patients during intubation was 8 hours, while the median mortality of patients from the time the patient entered the intensive care unit until intubation was 6 hours.

Conclusion: Therefore, it can be concluded that the shorter the intubation time and the time to enter the intensive care unit until intubation is carried out in Covid-19 patients, the lower the patient mortality rate.

Keywords

Time to Intubation; Mortality; COVID-19

Cite This Article

Manoppo, A. F., Utariani, A., Parulian, P. (2021). The Impact of Time to Intubate Towards Mortality Rate Among Covid-19 Patients in Dr. Soetomo General Hospital Resuscitation and ICU. International Journal of Scientific Advances (IJSCIA), Volume 2| Issue 5: Sep-Oct 2021, Pages 783-786 , URL: https://www.ijscia.com/wp-content/uploads/2021/09/Volume2-Issue5-Sep-Oct-No.167-783-786.pdf 

Volume 2 | Issue 5: Sep-Oct 2021