Key result
High admission blood pressure, valvular heart disease, and concurrent infection were independently associated with a prolonged length of hospital stay in patients with heart failure with reduced ejection fraction.
Why the study?
Prolonged length of stay in patients with HFrEF reflects clinical severity, resource use, and quality of care, but factors associated with LOS at Waled Regional Hospital were not well characterized.
Cross-Sectional (n=150)
No
Admission blood pressure abnormalities, valvular heart disease, and infection are significant independent risk factors for prolonged length of stay in hospitalized patients with HFrEF.
Heart failure with reduced ejection fraction (HFrEF) is a major cause of hospitalization, and prolonged length of stay (LOS) reflects clinical severity, resource use, and quality of care. This study analyzed factors associated with LOS among patients with HFrEF at Waled Regional Hospital, Cirebon Regency. A retrospective analytical observational study with a cross-sectional approach used medical-record data from January 2024 to December 2025. Total sampling yielded 150 eligible patients. Univariable analysis described patient characteristics; independent t-tests and one-way analysis of variance assessed bivariate associations; and a generalized linear model evaluated independent factors. Mean LOS was 4.24 days (range, 2-9 days). Blood pressure, arrhythmia, valvular heart disease, diabetes mellitus, renal dysfunction, anemia, hyponatremia, chronic obstructive pulmonary disease, and infection were associated with LOS in bivariate analyses (p<0.05), whereas age, sex, coronary artery disease, and potassium status were not. After multivariable adjustment, blood pressure categories, valvular heart disease, and infection remained independently associated with LOS. Early hemodynamic stabilization, prompt recognition of valvular disease, and rapid infection management may help reduce hospitalization duration in patients with HFrEF.
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Mayadhiarni et al. (2026) conducted a cross-sectional in Heart failure with reduced ejection fraction (HFrEF) (n=150). Clinical risk factors (including blood pressure elevation, valvular heart disease, and infection) vs. Absence of the respective clinical risk factors / baseline reference categories was evaluated on Length of hospital stay (LOS). High admission blood pressure, valvular heart disease, and concurrent infection were independently associated with a prolonged length of hospital stay in patients with heart failure with reduced ejection fraction.
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