ANALYZING PANDEMIC IMPACTS ON RESPIRATORY DISEASE PATTERNS AND FUNCTIONAL OUTCOMES IN GERIATRIC INPATIENTS

Authors: Melinda Harini¹, Jenica Xaviera Budiman², Wanarani Alwin¹, Megawati Al’badly Ponco Dewi Poernomo³

Affiliation:

¹ Department of Physical Rehabilitation, University of Indonesia, Cipto Mangunkusumo Hospital, Jl. Salemba Raya No. 6, Jakarta Pusat, 10430, Indonesia

² Medical Doctor Study Program, Faculty of Medicine, University of Indonesia, Jl. Salemba Raya No. 6, Jakarta Pusat, 10430, Indonesia

³Faculty of Medicine, University of Jenderal Soedirman, Jl. Dr. Gumbreg No.1, Purwokerto, 53112, Indonesia

Correspondence to: Melinda Harini, Departement of Physical Rehabilitation, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jl. Salemba Raya No. 6, Jakarta Pusat, 10430, Indonesia

E-mail: melindaharini@gmail.com

Phone number : +628159635765

ABSTRACT

Introduction: In 2020, COVID-19 has forced upon people for a change in their lifestyle to prevent and accommodate it, which may bring about its own set of positive and negative impacts.

Objectives: This research aims to analyze the effects of COVID-19 pandemic on the geriatric population in Jakarta through evaluation of changes in patient characteristics and disease variation of patients hospitalized in a major Indonesian hospital non-COVID geriatric inpatient ward.

Methods: This is a Retrospective study using secondary data of patients that was hospitalized in hospital’s geriatric inpatient ward between May 2019-December 2020. Data was collected from EHR and analyzed using IBM SPSS Statistics 27.0 for a cross-sectional design study.

Results: Changes of patients’ age group and gender is not statistically significant. The notable shifts within medical diagnosis group are the increase of incidence of non-COVID respiratory infections (9.6% to 12.64%), encephalopathy cases (2.7% to 6.7%), and gastrointestinal bleeding (5.7% to 7.1%), and decrease in cardiovascular diseases incidence (20.5% to 13.8%) and neoplasm cases (12.8% to 8.6%). Within functional diagnosis group, there is increase in mobility disorders (24% to 30.1%).

Conclusion: COVID-19 pandemic does not cause significant change in patients’ characteristics (gender and age group), but significantly causes a shift in the variation of diseases recorded as the main reason for patients’ admission into the inpatient ward. Future studies should evaluate strategies to help geriatric patients in cases like COVID pandemic, due to the increased incidence in mobility disorders, non-COVID respiratory infections, gastrointestinal bleeding, and encephalopathy.

Key words: COVID-19, functional diagnosis, geriatric patients, pandemic

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