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.
- 1Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila.
Abstract
Background
Heart 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
The 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
A 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
A 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
Quality 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.
Related
- Association of hypertension, diabetes mellitus, and coronary artery disease with left ventricular ejection fraction and serum creatinine in patients with heart failure: An exploratory retrospective cross-sectional study
- Identifying Iron Deficiency and Opportunities for IV Iron Supplementation in Patients with Heart Failure with Reduced Ejection Fraction: A Retrospective Cohort Study
- Predictors of 90-day Readmission After Hospitalization in Heart Failure with Reduced Ejection Fraction Patients: A Single-Centre Analytical Cohort Retrospective Study
- A retrospective study on the associations of serum 25-hydroxyvitamin D with N-terminal pro-B-type natriuretic peptide and left ventricular ejection fraction in patients with type 2 diabetes mellitus
- Roussouly classification of sagittal spinopelvic alignment in patients with lumbar disc herniation: a retrospective cross-sectional study of 234 patients
BibTeX
@article{mondido2026quality,
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.}},
author = {Sherry Mae C Mondido and Felix Eduardo R Punzalan and Kevin Paul D A Enriquez and Ronald Allan B Roderos and Nigel Jeronimo C Santos and Tam Adrian P Aya-Ay and Mark John D Sabando and Bai Sitti Ameerah Asleah B Tago and Zane Oliver M Nelson and Marie Kirk Patrich A Maramara and Lauren Kay M Evangelista},
journal = {Acta medica Philippina},
year = {2026},
month = aug,
doi = {10.47895/amp.v60i15.13102},
url = {https://europepmc.org/article/MED/42923567},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - 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.
AU - Sherry Mae C Mondido
AU - Felix Eduardo R Punzalan
AU - Kevin Paul D A Enriquez
AU - Ronald Allan B Roderos
AU - Nigel Jeronimo C Santos
AU - Tam Adrian P Aya-Ay
AU - Mark John D Sabando
AU - Bai Sitti Ameerah Asleah B Tago
AU - Zane Oliver M Nelson
AU - Marie Kirk Patrich A Maramara
AU - Lauren Kay M Evangelista
PY - 2026
DA - 2026/08/15
JO - Acta medica Philippina
DO - 10.47895/amp.v60i15.13102
UR - https://europepmc.org/article/MED/42923567
AB - Background Heart 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 The 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 A 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 A 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 Quality 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.
SN - 0001-6071
SN - 2094-9278
ER -