Abstract:
HF is a serious condition in which the heart is unable to pump enough blood to meet the needs of
the body. The major clinical problem worldwide, reaching an epidemic level in the developed
world. Approximately 26 million people worldwide are living with HF, and nearly 1 million new
cases are diagnosed annually worldwide, making it the most rapidly growing cardiovascular
disorder. In economically developed countries, up to one person in five is expected to develop
HF at some point in their life. The main objective of this study is to identify their the determinant
factors of HF severity patients using ordinal logistic regression model in the case of university of
Gondar Referral hospital. A retrospective cohort study was implemented on HF patients whose
all age groups HF patients from 08/11/2011- 12/02/2012 E.C in university of Gondar referral
hospital, Gondar town in Amhara region, North West Ethiopia. The response variable is severity
of HF levels that is (mild, moderate and severe) and the model using cumulative logit or the
partial proportional odds regression model is one of the popular choices to study determinant
factors on ordinal responses and determines the goodness of fit as well as validity of the
assumptions and selecting an appropriate and model comparison was The higher value of log
likelihood, lower values of the AIC and high value of Pseudo R2 suggests the best fitted model. A
total of 252 HF patients were included in this study, in which the proportion of patients lived in
rural areas (54.8%) were higher than patients lived in urban areas (45.2%). And, female HF
patients have higher proportion (54.3%) than male HF patients (41.7%).The main findings of
this study have shown that age of patients, alcohol use of patients, habit of using vegetable/fruit
of patients, doing physical exercise of patients, have stress and BMI(Normal) of patients are
significantly affect the outcome of HF. HF patients who were age (65 and above) of patients,
alcohol drinks patients, patients not having a habit to use vegetable/fruit, not doing physical
exercise, have stress and BMI(obesity) of HF patients increased the odds ratio of being in either
severe or moderate HF categories, than those HF patients who are age (0-48), non-alcohol
drinks of patients, vegetable/fruit users of patients, doing physical exercise of patients, not
having stress of patients and BMI(normal) of patients. The finding of this study indicates that the
rise of HF patients (in the hospital) is generally as the result of direct effect of lifestyle (dietary
habit) of individuals. Polices and plans have to be put in place to improve (motivate)
vegetable/fruit users, doing physical exercise, non-alcohol drinks, not having stress,
BMI(normal) and concerned bodies need to issue to implement HF prevention strategies
