Abstract

Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) is a virus that causes COVID-19, which has become a worldwide pandemic. However, until now, there is no vaccine or specific drug to prevent or treat COVID-19. To find out the effective treatment as an antiviral agent for COVID-19, to determine the correlation between sociodemography with clinical outcomes and duration of treatment, and to determine the relationship between comorbidities with clinical outcomes and duration of treatment for COVID-19 patients. A prospective cohort study was conducted in this study. This study included only confirmed COVID-19 patients who were admitted to the hospital during April-May 2020. Convenience sampling was used to select 103 patients, but only 72 patients were suitable for inclusion. The survival analysis for COVID-19 patients using the Kaplan Meier method showed that patients receiving Oseltamivir + Hydroxychloroquine had an average survival rate of about 83% after undergoing treatment of about ten days. Gender (p = 0.450) and age (p = 0.226) did not have a significant correlation with the duration of treatment for COVID-19 patients. Gender (p = 0.174) and age (p = 0.065) also did not have a significant correlation with clinical outcome of COVID-19 patients. Comorbidities showed a significant correlation with duration of treatment (p = 0.002) and clinical outcome (p = 0.014) of COVID-19 patients. The most effective antiviral agent in this study based on treatment duration was the combination of Oseltamivir + Hydroxychloroquine. The higher the patient's average treatment duration is, the lower the average survival rate for COVID-19 patients.

Highlights

  • Coronaviruses (CoVs) are a part of the Coronaviridae family [1]

  • The survival analysis for COVID-19 patients using the Kaplan Meier method showed that patients receiving Oseltamivir + Hydroxychloroquine had an average survival rate of about 83% after undergoing treatment of about ten days

  • Comorbidities showed a significant correlation with duration of treatment (p = 0.002) and clinical outcome (p = 0.014) of COVID-19 patients

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Summary

Introduction

Coronaviruses (CoVs) are a part of the Coronaviridae family [1] They spread among multiple hosts, clinically presenting various symptoms, such as common cold-like to severe, sometimes deadly, respiratory infections [1]. The new virus, which is responsible for this outbreak, was initially referred to as "2019-nCoV" or "SARS-CoV-2" [1]. The pathogen that causes Severe Acute Respiratory Syndrome (SARS), SARS-CoV, is believed to be familiar with SARS-CoV-2 [1]. COVID-19 (Coronavirus Diseases 2019) outbreak has been here since December 2019 [1, 4]. COVID-19 ranges from mild self-limiting respiratory disorders to severe progressive pneumonia, which causes multiple organ failure and death [1, 4]. Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) is a virus that causes COVID-19, which has become a worldwide pandemic. Until now, there is no vaccine or specific drug to prevent or treat COVID-19

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