Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in context
Summary: Background: Heart Failure (HF) quality of care (QoC) is associated with clinical outcomes. Therefore, we investigated differences in HF QoC across worldwide regions (with differing national income) and the association of quality indicators with outcomes. Methods: We examined the quality of...
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Elsevier
2025-02-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589537024006102 |
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| author | Wan Ting Tay Tiew-Hwa Katherine Teng Wouter Ouwerkerk Christiane E. Angermann Kenneth Dickstein John G.F. Cleland Ulf Dahlstrom Georg Ertl Mahmoud Hassanein Sergio V. Perrone Mathieu Ghadanfar Anja Schweizer Achim Obergfell Sean P. Collins Gerasimos Filippatos Carolyn S.P. Lam Jasper Tromp |
| author_facet | Wan Ting Tay Tiew-Hwa Katherine Teng Wouter Ouwerkerk Christiane E. Angermann Kenneth Dickstein John G.F. Cleland Ulf Dahlstrom Georg Ertl Mahmoud Hassanein Sergio V. Perrone Mathieu Ghadanfar Anja Schweizer Achim Obergfell Sean P. Collins Gerasimos Filippatos Carolyn S.P. Lam Jasper Tromp |
| author_sort | Wan Ting Tay |
| collection | DOAJ |
| description | Summary: Background: Heart Failure (HF) quality of care (QoC) is associated with clinical outcomes. Therefore, we investigated differences in HF QoC across worldwide regions (with differing national income) and the association of quality indicators with outcomes. Methods: We examined the quality of care (QoC) in acute heart failure (HF) patients across different regions using quality indicators (QIs) from the European Society of Cardiology (ESC) and the American Heart Association (AHA) to evaluate QoC. The analysis included 17,632 patients enrolled from 358 medical centres in 44 countries between 23 July 2014 and 24 March 2017, all part of the prospective REPORT-HF cohort study. We investigated how QoC varied by region and its relationship with mortality rates at 30 days and 1 year after hospital discharge. For each QI, percentage attainment of QI among eligible patients was calculated and compared across regions. Findings: Among 17,632 patients (median age: 67 years; 61% women) followed up for a median of two years, we assessed 16 QIs. QIs that were least often achieved included measurement of natriuretic peptides, performance of echocardiography, treatment with guideline medical therapy, and a scheduled follow-up consultation after discharge. QI achievement was significantly lower in lower-than higher-income countries. Higher (≥50% vs. <50%) achievement of cumulative QIs was associated with lower 30-day (hazard ratio [HR] 0.58, 95% Confidence Interval [CI] 0.40–0.83; p < 0.001), and 1-year mortality (HR 0.58, 95% CI 0.50–0.68; p < 0.001). Interpretation: QoC is lower in lower-than higher-income countries and lower QoC is associated with worse outcomes. Improving QoC by addressing structural barriers and quality improvement programs may improve the outcomes of patients with HF. Funding: Novartis. |
| format | Article |
| id | doaj-art-18edffd8afca4b4882469bdbb97cd579 |
| institution | Kabale University |
| issn | 2589-5370 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EClinicalMedicine |
| spelling | doaj-art-18edffd8afca4b4882469bdbb97cd5792025-01-11T06:41:50ZengElsevierEClinicalMedicine2589-53702025-02-0180103031Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in contextWan Ting Tay0Tiew-Hwa Katherine Teng1Wouter Ouwerkerk2Christiane E. Angermann3Kenneth Dickstein4John G.F. Cleland5Ulf Dahlstrom6Georg Ertl7Mahmoud Hassanein8Sergio V. Perrone9Mathieu Ghadanfar10Anja Schweizer11Achim Obergfell12Sean P. Collins13Gerasimos Filippatos14Carolyn S.P. Lam15Jasper Tromp16National Heart Centre Singapore, SingaporeNational Heart Centre Singapore, SingaporeNational Heart Centre Singapore, Singapore; Department of Dermatology, University of Amsterdam Medical Centre, Amsterdam, the NetherlandsComprehensive Heart Failure Center Würzburg, University and University Hospital Würzburg, and Department of Medicine 1, University Hospital Würzburg, Würzburg, GermanyUniversity of Bergen, Stavanger University Hospital, NorwayRobertson Centre for Biostatistics and Clinical Trials, Institute of Health & Well-Being, University of Glasgow and National Heart & Lung Institute, Imperial College, LondonDepartment of Cardiology and Department of Health, Medicine and Caring Sciences, Linkoping University, Linkoping, SwedenComprehensive Heart Failure Center Würzburg, University and University Hospital Würzburg, and Department of Medicine 1, University Hospital Würzburg, Würzburg, GermanyAlexandria University, Faculty of Medicine, Cardiology Department Alexandria, EgyptFLENI Institute, Argentine Institute of Diagnosis and Treatment, Hospital El Cruce de Florencio Barela, Universidad Catolica Argentina, Buenos Aires, ArgentinaM-Ghadanfar Consulting (Life Sciences), Basel, SwitzerlandNovartis Pharma AG, Basel, SwitzerlandNovartis Pharma AG, Basel, SwitzerlandVanderbilt University Medical Center, Department of Emergency Medicine, Nashville, TN, USA; Veterans Affairs Tennessee Valley Healthcare System, Geriatric Research, Education and Clinical Center, Nashville, TN, USAUniversity of Cyprus, School of Medicine & National and Kapodistrian University of Athens, School of Medicine, Department of Cardiology, Attikon University Hospital, Athens, GreeceNational Heart Centre Singapore, Singapore; Duke-National University of Singapore Medical School, Singapore; University Medical Centre Groningen, University of Groningen Department of Cardiology, Groningen, the Netherlands; Corresponding author. National Heart Centre Singapore, 5 Hospital Drive, Singapore, 169609.National Heart Centre Singapore, Singapore; Duke-National University of Singapore Medical School, Singapore; University Medical Centre Groningen, University of Groningen Department of Cardiology, Groningen, the Netherlands; Saw Swee Hock School of Public Health, National University of Singapore and the National University Health System, Singapore; Corresponding author. Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, 12 Science Drive 2, 10-01, Singapore, 117549.Summary: Background: Heart Failure (HF) quality of care (QoC) is associated with clinical outcomes. Therefore, we investigated differences in HF QoC across worldwide regions (with differing national income) and the association of quality indicators with outcomes. Methods: We examined the quality of care (QoC) in acute heart failure (HF) patients across different regions using quality indicators (QIs) from the European Society of Cardiology (ESC) and the American Heart Association (AHA) to evaluate QoC. The analysis included 17,632 patients enrolled from 358 medical centres in 44 countries between 23 July 2014 and 24 March 2017, all part of the prospective REPORT-HF cohort study. We investigated how QoC varied by region and its relationship with mortality rates at 30 days and 1 year after hospital discharge. For each QI, percentage attainment of QI among eligible patients was calculated and compared across regions. Findings: Among 17,632 patients (median age: 67 years; 61% women) followed up for a median of two years, we assessed 16 QIs. QIs that were least often achieved included measurement of natriuretic peptides, performance of echocardiography, treatment with guideline medical therapy, and a scheduled follow-up consultation after discharge. QI achievement was significantly lower in lower-than higher-income countries. Higher (≥50% vs. <50%) achievement of cumulative QIs was associated with lower 30-day (hazard ratio [HR] 0.58, 95% Confidence Interval [CI] 0.40–0.83; p < 0.001), and 1-year mortality (HR 0.58, 95% CI 0.50–0.68; p < 0.001). Interpretation: QoC is lower in lower-than higher-income countries and lower QoC is associated with worse outcomes. Improving QoC by addressing structural barriers and quality improvement programs may improve the outcomes of patients with HF. Funding: Novartis.http://www.sciencedirect.com/science/article/pii/S2589537024006102Quality of careQuality improvementQuality indicatorsHeart failureMortalityImplementation |
| spellingShingle | Wan Ting Tay Tiew-Hwa Katherine Teng Wouter Ouwerkerk Christiane E. Angermann Kenneth Dickstein John G.F. Cleland Ulf Dahlstrom Georg Ertl Mahmoud Hassanein Sergio V. Perrone Mathieu Ghadanfar Anja Schweizer Achim Obergfell Sean P. Collins Gerasimos Filippatos Carolyn S.P. Lam Jasper Tromp Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in context EClinicalMedicine Quality of care Quality improvement Quality indicators Heart failure Mortality Implementation |
| title | Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in context |
| title_full | Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in context |
| title_fullStr | Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in context |
| title_full_unstemmed | Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in context |
| title_short | Quality of care delivery in patients with acute heart failure: insights from the international REPORT-HF registryResearch in context |
| title_sort | quality of care delivery in patients with acute heart failure insights from the international report hf registryresearch in context |
| topic | Quality of care Quality improvement Quality indicators Heart failure Mortality Implementation |
| url | http://www.sciencedirect.com/science/article/pii/S2589537024006102 |
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