Factors that influence the length of hospitalization for acute heart failure patients in RSUP Dr. M Djamil

M. Syaoqi, Andri Andri, Citra Kiki Krevani, Muhammad Syukri


More than 500,000 new patients were diagnosed with heart failure each year in all developing countries. Previous studies had shown that longer hospitalizations for patients with acute heart failure are associated with worse outcome. We analyzed factors that influence length of stay in our centre. We used a retrospective and descriptive analysis of acute heart failure patients at RSUP DR. M. Djamil from January to March 2018. We collected patient data from medical records including baseline characteristics, laboratory and echocardiographic results. We used statistical analysis to find the average length of stay (LOS) and possible causes of longer hospitalization. Among 30 patients had been collected, mean LOS was 6.23 days. Mean for age, BMI, and LVEF were 59.87 years, 23.55 kg/m2, and 36.93%, respectively. Patients those had LOS > 6 days may had relationship with initial degree edema pretibial (p=0.025) and systolic BP below 120 mmHg (p=0.018), but no significant with rales (p=0.543) and pulmonary infection (p=0.709). Length of stay associated with the degree of pretibial pitting edema and systolic blood pressure at admission.


Acute Heart Failure ; Length of Stay ; Pitting Edema Pretibial

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[1] Gheorghiade M, Vaduganathan M, Fonarow GC, Bonow RO. Rehospitalization for Heart Failure: Problems and Perspectives. Journal of the American College of Cardiology. 2013;61(4):391-403.

[2] Siswanto BB, Radi B, Kalim H, Santoso A, Suryawan R, et al. Heart failure in NCVC Jakarta and 5 hospitals in Indonesia. CVD Prevention and Control. 2010;5:35-8.

[3] Chun S, Tu JV, Wijeysundera HC, Austin PC, Wang X, et al. Lifetime Analysis of Hospitalizations and Survival of Patients Newly Admitted with Heart Failure. Circulation Heart Failure. 2012;5(4):414-21.

[4] Omar HR, Guglin M. Longer-than-average Length of Stay in Acute Heart Failure. Springer. 2018;43(2):131-9.

[5] Bickley LS, Szilagyi PG. Bates' Guide to Physical Examination and History Taking. 12th ed. Philadelphia, PA: Wolters Kluwer; 2017.p528-9.

[6] Djaya KH, Nasution SA, Antono D. Gambaran Lama Rawat dan Profil Pasien Gagal Jantung di Rumah Sakit Cipto Mangunkusumo. Indonesian Journal of Chest: Critical and Emergency Medicine. 2015;2(4):141-9.

[7] Darmawan W, Doddy D. Hubungan umur, jenis kelamin, dan riwayat hipertensi dengan angka kejadian gagal jantung kongestif di poli jantung RSPAD Gatot Soebroto Periode 1 Juli 2010 – 31 Desember 2010. Bachelor of Medicine [undergraduate thesis]. Jakarta: Pembangunan Nasional Veteran University; 2010.

[8] Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, et al. Heart Disease and Stroke Statistics-2010 Update a Report from the American Heart Association. Circulation. 2010;121:e46-e215.

[9] Sleight P. The HOPE Study (Heart Outcomes Prevention Evaluation). Journal of The Renin-Angiotensin-Aldosterone System. 2001;1(1):18-20.

[10] Wright SP, Verouhis D, Gamble G, Swedberg K, Sharpe N, et al. Factors influencing the length of hospital stay of patients with heart failure. The European Journal of Heart Failure. 2003;5:201-9.

[11] Cardoso JN, Carlo CHD, Junior MTdO, Ochiai ME, Filho RK, et al. Infection in Patients with Decompensated Heart Failure: In-Hospital Mortality and Outcome. Arquivos Brasileiros de Cardiologica. 2018;110(4):364-70.

DOI: http://dx.doi.org/10.33533/jpm.v14i1.1489

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