Kristoforus H. Djaya1, Sally A. Nasution2, Dono Antono3
1Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia, Jakarta
2Divisi Kardiologi, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia, Jakarta 3Divisi Kardiologi, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia, Jakarta
ABSTRACT
Background: Heart failure has become a global health issue worldwide. It has been associated with a high rate of readmissions and prolonged hospitalizations. Publications describing the profile and length of hospital stay of heart failure patients in Indonesia were still limited.
Objective: To obtain the length of hospital stay and describe the demographic as well as clinical characteristic of heart failure patients hospitalized at Cipto Mangunkusumo Hospital in 2012.
Methods: A cross sectional study was done using secondary data from patients’ medical records in Cipto Mangunkusumo Hospital admitted during 2012., Data were then calculated and presented further. Results: Based on the medical records, 331 heart failure patients were included in the study. Median age was 58 years old, 62,2% were men, 42,9% used Askes/In-Health as their social insurance payor, and as many as 23,9% had graduated from senior high school level education center. Median length of stay was 8 days for all patients, For patients admitted with NYHA functional class III - IV, the median length of stay was 9 days. When patients were admitted to hospital, median systolic blood pressure was 124 mmHg and pulse 90 beats per minute. Peripheral edema was shown in 36,9% of patients; hypertension in 57,1%; diabetes mellitus in 33,2%; ischemic heart disease in 74,9%; renal impairment in 46,2%; and acute respiratory conditions in 45,9%. The most frequent CCI score was 3. Conclusion: Median length of stay for heart failure patients in Cipto Mangunkusumo Hospital was 8 - 9 days. Most patients were men, senior high school graduate, and used Askes/In-Health as their social insurance with median age of 58 years old.
Keywords: Length of stay, heart failure.
