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Updated: Jan 8, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

上海、中国における地域ベースの心不全スクリーニングのプライマリケア設定での実施：人口ベースのパイロットスタディ

Xin Gong¹, Jie Xu¹, Min Wang²

¹Department of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, No. 150 Ji Mo Rd, Shanghai, 200120, China.

BMC primary care

|December 18, 2025

要旨

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.

キーワード:

連携スクリーニングモデル心不全スクリーニング実施科学プライマリヘルスケア

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