Clinical Presentation Factors Associated with Length of Pre-Hospital Time in Patients with Acute Exacerbation of Heart Failure in Blitar

Heart Failure was suffered by 26 million people in the world, and 3, 083 people in Indonesia in 2013. Clinical presentation of patients leads them to make a decision for seeking medical care that would affect the length of pre-hospital time. The aim of this study was to analyze clinical presentation factors associated with length of pre-hospital time in patients with acute exacerbation of heart failure in Blitar. This study used an observational analytic design with a cross-sectional approach. 60 respondents were selected by using purposive sampling technique. This study was conducted at Ngudi Waluyo General Hospital and Mardi Waluyo General Hospital. Mann Whitney test found that factors associated with length of pre-hospital time in patients with acute exacerbation of heart failure were chest pain (p=0.001), dyspnea (p=0.007), fatigue (p=0.006), number of symptoms (p=0.000), and acute symptom onset time (p=0.005). Multiple linear regression test showed that chest pain was the most dominant factor associated with length of pre-hospital time in patients with acute exacerbation of heart failure (Beta =-0.422).