Why the study?
Risk-stratified heart failure screening demonstrates clinical value for early intervention, but its global implementation remains limited.
Does a community-based, multi-stakeholder collaborative screening framework effectively identify older adults at risk for heart failure in primary care settings?
Observational (n=8,022)
Yes
Does a community-based, multi-stakeholder collaborative screening framework effectively identify older adults at risk for heart failure in primary care settings?
A community-based, multi-stakeholder heart failure screening program in primary care successfully identified older adults at early risk of heart failure at a low cost of $12.25 per person.
May support low-cost community HF screening in primary care; leaves open generalizability of socioeconomic effects on follow-up.
BACKGROUND: While risk-stratified heart failure screening demonstrates clinical value in enabling early intervention, current implementation remains limited globally. This study aims to develop and validate a multi-stakeholder collaborative screening framework based on primary healthcare system. METHODS: We conducted the Pudong Heart Failure Screening Project (PHSP) in the medical consortium in Shanghai. The PHSP was delivered via five phases: (a) investigation, (b) screening, (c) individual invitation, (d) consultation in primary health care and (e) management in secondary health care. Data were collected by electronic data capture (EDC) system, office administrators and GPs. Univariate and multivariate logistic regression analysis was used to examine the relationship between the outcomes and factors. RESULTS: A total of 8022 individuals took part in the PHSP and 2473 participants (30.83%) were initially defined positive in the screening. Among the 2473 positive participants, 1553 responded to the invitation call, and 664 individuals accepted the invitation to visit the Cardiologist-driven GP joint clinic. Notably, house price was identified as a significant factor influencing their decision to accept the invitation (OR = 7.598, 95%CI (1.717-33.621), p < 0.05). Finally, a total of 563 patients visited the clinic and 307 positive individuals visited the secondary care institution. The use of an AI-assisted referral system significantly increased attendance at secondary care (OR = 11.4). The cost of the screening program was 12.25 US per individual screened and 39.73 US per positive individual identified. CONCLUSIONS: PHSP identified older adults at early risk of heart failure through low-cost community screening. The collaboration of multiple parties ensured the full implementation of the screening project and it was a typical practice case in the realm of implementation science worthy of promotion in more regions. TRIAL REGISTRATION: The study was retrospectively registered in https://www. CLINICALTRIALS: gov/ , trial registration number: NCT06673615, and data of registration: September 23, 2024.
No takes yet. Share an insight, caveat, or question.
Gong et al. (2025) conducted an observational in Heart Failure (n=8,022). Community-based heart failure screening (Pudong Heart Failure Screening Project) was evaluated on Decision to accept the invitation to visit the Cardiologist-driven GP joint clinic (OR 7.598, 95% CI 1.717-33.621, p=<0.05).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: