Factors affected mortality of new and TB relapse cases at Manchakhiri Hospital Fiscal Year 2020-2024

Abstract

     This survey research was analytical study in the form of an unmatched case-control study to compare results of treatment of tuberculosis patients who have been cured and died.Secondary data were collected from the National Tuberculosis Information Program (NTIP) from October 1 , 2020 to September 30, 2024.
     The results of the study showed that most TB patients were male. 73.5 percent and 26.5 percent of females.Age over 65 years old, accounting for 45.5 percent, occupation in agriculture was 46.3 percent, BMI in the low weight category (thin) was 52.1 percent, in the normal range was 35.5 percent, most of the sample were new cases, accounting for 91.4 percent, most of them were pulmonary tuberculosis 96.1 percent. HIV infection 3.1 percent The comorbidities found in tuberculosis patients in the most fatal group were diabetes (7.4%) and chronic kidney disease. Factors that correlate with the death of new and recurrent TB patients are statistically significant, including body mass index (BMI), location of TB infection, and the location of TB infection. Infection and the presence of chronic kidney disease as comorbidities. Results of the analysis of factors related to the mortality of new and recurrent TB patients. When controlling for the influence of other variables, it was found that TB patients with a body mass index (BMI) below normal (thin) were 0.63 times more likely to die than those with a normal BMI (ORadj 0.63; 95% CI 0.26-1.51). 2.82 times more likely to die than non-HIV infected people. (ORadj 2.82; 95%CI 1.01-7.86) Patients with tuberculosis with chronic kidney disease are 0.18 times more likely to die than those with extrapulmonary infections (ORadj 0.18; 95% CI 0.03-1.04). 0.24 times more likely to die than those without chronic kidney disease (ORadj; 95% CI 0.09-0.654).