Why the study?
This study aimed to assess the magnitude of treatment-seeking delay in adult heart failure patients and identify factors that contribute to it.
Heart failure patients in Ethiopia experience significant delays in seeking medical care (median 15 days), driven by rural residence, distance to healthcare, and poor symptom recognition, which is associated with longer hospital stays and worse outcomes.
Substantial HF care-seeking delays in Ethiopia signal need for awareness efforts; cross-sectional data leaves open causal effects of identified factors.
Objectives: This study was aimed at assessing the magnitude of treatment-seeking delay in adult heart failure patients and identifying factors that contribute to it. Design: An institution-based cross-sectional study with a consecutive sampling technique was conducted at Debre Tabor Comprehensive Specialized Hospital from February 1 to November 1, 2021. Setting: The study was conducted in the medical ward of the hospital. Participants: A total of 187 patients aged 18 and above admitted with a diagnosis of heart failure, and able to provide information were included. Results: The median delay time of adult heart failure patients admitted to the hospital was 15 days. The mean length of delay was also calculated to be 25.02 days. Urban residents and those who live at a ten or less-kilometer distance from healthcare facilities were found to be less likely to delay seeking care. Presenting with shortness of breath or paroxysmal nocturnal dyspnea, perceiving the cause to be heart-related, and getting positive responses from significant others were also associated with a relatively short delay time. Conclusion: Treatment-seeking delay was found to be a major problematic issue in heart failure patients. Therefore, patients, patient families, and the community at large must be taught about the symptoms of heart failure and the need for timely care.
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Birlie et al. (2023) studied this question.
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