{
  "abstract": "Background\n\nHeart failure with reduced ejection fraction (HFrEF) remains a major contributor to morbidity and mortality among Filipinos. Contemporary ESC and ACC/AHA guidelines emphasize quality indicators aimed at optimizing outcomes.Objective\n\nThe study aimed to evaluate the quality of care received by stable and stabilized HFrEF patients admitted to the medical wards of a tertiary center in the Philippines, focusing on physician adherence to guideline-recommended quality indicators.Methods\n\nA cross-sectional study was done through review of charts involving all adult HFrEF patients aged ≥19 years admitted to the medical wards of a tertiary hospital from November 2022 to April 2023. Quality-of-care assessment included prescription of Class I guideline-directed medical therapy (GDMT) at discharge for eligible patients, as well as non-pharmacologic indicators such as scheduling of post-discharge follow-up and referrals to a heart failure clinic or cardiac rehabilitation. Descriptive statistics were used; analyses were performed using STATA 13.1. QI of 80% was considered to be optimal quality of care.Results\n\nA total of 148 patients were included; most were male (69.6%) with a mean age of 56 ± 14 years. Hypertension (62.8%) and diabetes (41.2%) were the most frequent comorbidities. Beta-blockers, ACEi / ARB / ARNI, and diuretic prescription were high (95.17%, 91.41%, and 100%, respectively). In contrast, prescription of MRA and SGLT2i was 68.50% and 55.56%, respectively. Post-discharge physician appointments within 4 weeks were arranged in 91.54%. Only 27.7% were referred to cardiac rehabilitation, and 2.31% were referred to the heart failure clinic.Conclusion\n\nQuality of heart failure care at the medical wards upon discharge is acceptable for pharmacologic quality indicators and post-discharge appointments. However, referrals to specialized heart failure services and cardiac rehabilitation remain suboptimal and represent opportunities for quality improvement.",
  "abstract_shown": true,
  "affiliations": [
    "Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sherry Mae C Mondido"
    },
    {
      "affs": [
        0
      ],
      "name": "Felix Eduardo R Punzalan"
    },
    {
      "affs": [
        0
      ],
      "name": "Kevin Paul D A Enriquez"
    },
    {
      "affs": [
        0
      ],
      "name": "Ronald Allan B Roderos"
    },
    {
      "affs": [
        0
      ],
      "name": "Nigel Jeronimo C Santos"
    },
    {
      "affs": [
        0
      ],
      "name": "Tam Adrian P Aya-Ay"
    },
    {
      "affs": [
        0
      ],
      "name": "Mark John D Sabando"
    },
    {
      "affs": [
        0
      ],
      "name": "Bai Sitti Ameerah Asleah B Tago"
    },
    {
      "affs": [
        0
      ],
      "name": "Zane Oliver M Nelson"
    },
    {
      "affs": [
        0
      ],
      "name": "Marie Kirk Patrich A Maramara"
    },
    {
      "affs": [
        0
      ],
      "name": "Lauren Kay M Evangelista"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/431meb1191hrz.bib",
  "cited_by": 0,
  "doi": "10.47895/amp.v60i15.13102",
  "fulltext_url": "https://europepmc.org/articles/PMC13689039",
  "id": "431meb1191hrz",
  "issns": [
    "0001-6071",
    "2094-9278"
  ],
  "landing_url": "https://europepmc.org/article/MED/42923567",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2705|Heart Failure Treatment and Management"
    ]
  ],
  "openalex": "W7203678253",
  "pdf_url": "https://europepmc.org/articles/PMC13689039?pdf=render",
  "pmcid": "PMC13689039",
  "pmid": "42923567",
  "published": "2026-08-15",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/431meb1191hrz.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:02Z",
      "native_id": "MED:42923567",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42923567"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Heart Failure Treatment and Management",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Quality of Care of Patients with Stable and Stabilized Heart Failure with Reduced Ejection Fraction at the Medical Wards of a Tertiary Center in the Philippines: A Retrospective Cross-sectional Study.",
  "title_text": "Quality of Care of Patients with Stable and Stabilized Heart Failure with Reduced Ejection Fraction at the Medical Wards of a Tertiary Center in the Philippines: A Retrospective Cross-sectional Study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:02Z",
  "url": "https://research.draconitic.com/paper/431meb1191hrz",
  "venue": "Acta medica Philippina",
  "versions": []
}