{"id":"https://openalex.org/W7225413355","doi":"https://doi.org/10.1161/circoutcomes.126.014561","title":"Identifying Patients for Cardiovascular Evaluation Using Artificial Intelligence and Team-Based Care in Ghana: The H-TRIAGE Study","display_name":"Identifying Patients for Cardiovascular Evaluation Using Artificial Intelligence and Team-Based Care in Ghana: The H-TRIAGE Study","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225413355","doi":"https://doi.org/10.1161/circoutcomes.126.014561","pmid":"https://pubmed.ncbi.nlm.nih.gov/42993691"},"language":"en","primary_location":{"id":"doi:10.1161/circoutcomes.126.014561","doi":"https://doi.org/10.1161/circoutcomes.126.014561","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circoutcomes.126.014561","pdf_url":null,"source":{"id":"https://openalex.org/S5407055548","display_name":"Circulation Population Health and Outcomes","issn_l":"3068-563X","issn":["3068-563X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["medline"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Population Health and Outcomes","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5089252556","display_name":"Alexis K. Okoh","orcid":"https://orcid.org/0000-0001-8890-3332","observed_orcids":["https://orcid.org/0000-0001-8890-3332"]},"institutions":[{"id":"https://openalex.org/I101890099","display_name":"Northside Hospital","ror":"https://ror.org/01g63ab19","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I101890099"]},{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Alexis K. Okoh","raw_affiliation_strings":["Northside Hospital Heart Institute, Atlanta, GA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA; Global Access to Cardiovascular Therapeutics and Diagnostics (G-ACT) Foundation, USA/Ghana"],"raw_orcid":"https://orcid.org/0000-0001-8890-3332","affiliations":[{"raw_affiliation_string":"Northside Hospital Heart Institute, Atlanta, GA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA; Global Access to Cardiovascular Therapeutics and Diagnostics (G-ACT) Foundation, USA/Ghana","institution_ids":["https://openalex.org/I101890099","https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015379216","display_name":"Setri S. Fugar","orcid":"https://orcid.org/0000-0003-3007-9461","observed_orcids":["https://orcid.org/0000-0003-3007-9461"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]},{"id":"https://openalex.org/I4210147348","display_name":"Northwestern Medicine","ror":"https://ror.org/04fzwnh64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210147348"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Setri S. Fugar","raw_affiliation_strings":["Global Access to Cardiovascular Therapeutics and Diagnostics (G-ACT) Foundation, USA/Ghana; Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, IL"],"raw_orcid":"https://orcid.org/0000-0003-3007-9461","affiliations":[{"raw_affiliation_string":"Global Access to Cardiovascular Therapeutics and Diagnostics (G-ACT) Foundation, USA/Ghana; Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, IL","institution_ids":["https://openalex.org/I111979921","https://openalex.org/I4210147348"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081285347","display_name":"Michael Amponsah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802412784","display_name":"Banner Health","ror":"https://ror.org/039wwwz66","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802412784"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael K. Amponsah","raw_affiliation_strings":["Global Access to Cardiovascular Therapeutics and Diagnostics (G-ACT) Foundation, USA/Ghana; Cardiac Solutions, Peoria, Banner Healthcare AZ; Banner Health, Sun City, AZ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Global Access to Cardiovascular Therapeutics and Diagnostics (G-ACT) Foundation, USA/Ghana; Cardiac Solutions, Peoria, Banner Healthcare AZ; Banner Health, Sun City, AZ","institution_ids":["https://openalex.org/I2802412784"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046913301","display_name":"Ebru \u00d6zt\u00fcrk","orcid":"https://orcid.org/0000-0001-9206-6856","observed_orcids":["https://orcid.org/0000-0001-9206-6856"]},"institutions":[{"id":"https://openalex.org/I66514158","display_name":"Hacettepe University","ror":"https://ror.org/04kwvgz42","country_code":"TR","type":"education","lineage":["https://openalex.org/I66514158"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Ebru \u00d6zt\u00fcrk","raw_affiliation_strings":["Department of Biostatistics, Hacettepe University, Ankara, Turkey"],"raw_orcid":"https://orcid.org/0000-0001-9206-6856","affiliations":[{"raw_affiliation_string":"Department of Biostatistics, Hacettepe University, Ankara, Turkey","institution_ids":["https://openalex.org/I66514158"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014052148","display_name":"Alexander Adjei","orcid":"https://orcid.org/0009-0009-6987-1617","observed_orcids":["https://orcid.org/0009-0009-6987-1617"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alexander Adjei","raw_affiliation_strings":["Shai Osu Doku Regional Hospital, Dodowa, Eastern Region, Ghana"],"raw_orcid":"https://orcid.org/0009-0009-6987-1617","affiliations":[{"raw_affiliation_string":"Shai Osu Doku Regional Hospital, Dodowa, Eastern Region, Ghana","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161118584","display_name":"Fred Adomako Boateng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210159584","display_name":"Ghana Health Service","ror":"https://ror.org/052ss8w32","country_code":"GH","type":"government","lineage":["https://openalex.org/I111406484","https://openalex.org/I4210159584"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Fred Adomako Boateng","raw_affiliation_strings":["Ghana Health Service, Accra, Ghana; Ashanti Regional Health Directorate, Ghana Health Service, Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ghana Health Service, Accra, Ghana; Ashanti Regional Health Directorate, Ghana Health Service, Kumasi, Ghana","institution_ids":["https://openalex.org/I4210159584"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082689868","display_name":"Sameer A Hirji","orcid":"https://orcid.org/0000-0002-5032-675X","observed_orcids":["https://orcid.org/0000-0002-5032-675X"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sameer Hirji","raw_affiliation_strings":["Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI"],"raw_orcid":"https://orcid.org/0000-0002-5032-675X","affiliations":[{"raw_affiliation_string":"Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067978004","display_name":"Lambert Tetteh Appiah","orcid":"https://orcid.org/0000-0002-8895-2000","observed_orcids":["https://orcid.org/0000-0002-8895-2000"]},"institutions":[{"id":"https://openalex.org/I2799504885","display_name":"Komfo Anokye Teaching Hospital","ror":"https://ror.org/05ks08368","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2799504885"]},{"id":"https://openalex.org/I28046988","display_name":"Kwame Nkrumah University of Science and Technology","ror":"https://ror.org/00cb23x68","country_code":"GH","type":"education","lineage":["https://openalex.org/I28046988"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Lambert T. Appiah","raw_affiliation_strings":["Komfo Anokye Teaching Hospital, Kumasi, Ghana; Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Komfo Anokye Teaching Hospital, Kumasi, Ghana; Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana","institution_ids":["https://openalex.org/I2799504885","https://openalex.org/I28046988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076703292","display_name":"Fred Stephen Sarfo","orcid":"https://orcid.org/0000-0001-7274-5093","observed_orcids":["https://orcid.org/0000-0001-7274-5093"]},"institutions":[{"id":"https://openalex.org/I2799504885","display_name":"Komfo Anokye Teaching Hospital","ror":"https://ror.org/05ks08368","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2799504885"]},{"id":"https://openalex.org/I28046988","display_name":"Kwame Nkrumah University of Science and Technology","ror":"https://ror.org/00cb23x68","country_code":"GH","type":"education","lineage":["https://openalex.org/I28046988"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Fred Stephen Sarfo","raw_affiliation_strings":["Komfo Anokye Teaching Hospital, Kumasi, Ghana; Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"],"raw_orcid":"https://orcid.org/0000-0001-7274-5093","affiliations":[{"raw_affiliation_string":"Komfo Anokye Teaching Hospital, Kumasi, Ghana; Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana","institution_ids":["https://openalex.org/I2799504885","https://openalex.org/I28046988"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072100097","display_name":"Modele O. Ogunniyi","orcid":"https://orcid.org/0000-0001-9545-3675","observed_orcids":["https://orcid.org/0000-0001-9545-3675"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Modele O. Ogunniyi","raw_affiliation_strings":["Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA"],"raw_orcid":"https://orcid.org/0000-0001-9545-3675","affiliations":[{"raw_affiliation_string":"Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA","institution_ids":["https://openalex.org/I150468666"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":10,"corresponding_author_ids":["https://openalex.org/A5089252556"],"corresponding_institution_ids":["https://openalex.org/I101890099","https://openalex.org/I150468666"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11396","display_name":"Artificial Intelligence in Healthcare","score":0.5898000001907349,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11396","display_name":"Artificial Intelligence in Healthcare","score":0.5898000001907349,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":0.17659999430179596,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.06560000032186508,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cardiovascular-risk-stratification","display_name":"cardiovascular risk stratification","score":0.7509999871253967},{"id":"https://openalex.org/keywords/stethoscope","display_name":"stethoscope","score":0.5740000009536743},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.7419999837875366},{"id":"https://openalex.org/keywords/team-based-care","display_name":"team-based care","score":0.7260000109672546},{"id":"https://openalex.org/keywords/community-health-workers","display_name":"community health workers","score":0.8820000290870667},{"id":"https://openalex.org/keywords/frontline-nurses","display_name":"frontline nurses","score":0.7350000143051147},{"id":"https://openalex.org/keywords/cardiovascular-screening","display_name":"cardiovascular screening","score":0.3700000047683716},{"id":"https://openalex.org/keywords/external-validation","display_name":"external validation","score":0.6039999723434448},{"id":"https://openalex.org/keywords/ghana","display_name":"Ghana","score":0.45500001311302185},{"id":"https://openalex.org/keywords/ashanti-region","display_name":"Ashanti Region","score":0.8040000200271606},{"id":"https://openalex.org/keywords/eastern-region","display_name":"Eastern Region","score":0.6320000290870667},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.4880000054836273},{"id":"https://openalex.org/keywords/risk-prediction-model","display_name":"risk prediction model","score":0.375},{"id":"https://openalex.org/keywords/resource-allocation","display_name":"resource allocation","score":0.31299999356269836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8040000200271606},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.7669000029563904},{"id":"https://openalex.org/C3019719930","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value","level":2,"score":0.5375000238418579},{"id":"https://openalex.org/C2777324038","wikidata":"https://www.wikidata.org/wiki/Q779054","display_name":"Auscultation","level":2,"score":0.4560000002384186},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4438000023365021},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.4357999861240387},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4348999857902527},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.41370001435279846},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.4041999876499176},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.38909998536109924},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.3644999861717224},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.36010000109672546},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.3515999913215637},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.350600004196167},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.3398999869823456},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3294999897480011},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.3228999972343445},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.32100000977516174},{"id":"https://openalex.org/C2781381097","wikidata":"https://www.wikidata.org/wiki/Q5133843","display_name":"Clinical prediction rule","level":2,"score":0.3073999881744385},{"id":"https://openalex.org/C82157600","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic test","level":2,"score":0.3043999969959259},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2976999878883362},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.28999999165534973},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.2858999967575073},{"id":"https://openalex.org/C53789813","wikidata":"https://www.wikidata.org/wiki/Q3553769","display_name":"Positive predicative value","level":3,"score":0.28220000863075256},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.257099986076355},{"id":"https://openalex.org/C45804977","wikidata":"https://www.wikidata.org/wiki/Q7239673","display_name":"Predictive modelling","level":2,"score":0.2526000142097473}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1161/circoutcomes.126.014561","doi":"https://doi.org/10.1161/circoutcomes.126.014561","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circoutcomes.126.014561","pdf_url":null,"source":{"id":"https://openalex.org/S5407055548","display_name":"Circulation Population Health and Outcomes","issn_l":"3068-563X","issn":["3068-563X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["medline"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Population Health and Outcomes","raw_type":"journal-article"},{"id":"pmid:42993691","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42993691","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation. Population health and outcomes","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7140236993","https://openalex.org/W7171437691","https://openalex.org/W4410577834","https://openalex.org/W7172417549","https://openalex.org/W7164678897","https://openalex.org/W7214635825","https://openalex.org/W7125963968","https://openalex.org/W7223124120","https://openalex.org/W4309581789","https://openalex.org/W7225388912"],"abstract_inverted_index":{"Background:":[0],"Cardiovascular":[1],"diagnostic":[2,103,277],"capacity":[3,278],"is":[4],"limited":[5],"in":[6,42,128],"many":[7],"low-resource":[8],"settings.":[9],"We":[10],"evaluated":[11],"the":[12,119,133,187,280],"HeartLINK":[13],"Triage":[14],"for":[15,101,201,244],"Risk-Informed":[16],"Allocation":[17],"and":[18,29,57,67,142,156,197,205,218,233,254,267,276],"Guided":[19],"Evaluation":[20],"(H-TRIAGE)":[21],"index,":[22],"a":[23,50,89,99,125,129,137,259],"prespecified":[24],"strategy":[25],"combining":[26],"clinical":[27],"information":[28],"AI-enabled":[30],"digital":[31],"auscultation":[32],"to":[33,70,83,284],"prioritize":[34,240],"cardiovascular":[35],"evaluation.":[36,245],"Methods:":[37],"In":[38,136],"this":[39],"prospective":[40],"study":[41],"Ghana":[43],"(February\u2013July":[44],"2026),":[45],"consecutively":[46],"enrolled":[47],"adults":[48,250],"underwent":[49],"standardized":[51],"assessment":[52],"by":[53,264],"trained":[54],"frontline":[55,265],"nurses":[56,266],"community":[58,268],"health":[59,269],"workers.":[60],"H-TRIAGE":[61,185,247],"used":[62,124],"predefined":[63],"additive":[64],"symptom,":[65],"vital-sign,":[66],"AI-stethoscope":[68],"weights":[69],"assign":[71],"Low":[72],"(0\u20133),":[73],"Intermediate":[74],"(4\u20137),":[75],"or":[76,107],"High":[77],"(\u22658)":[78],"Risk.":[79],"Four":[80],"cardiologists,":[81],"blinded":[82],"H-TRIAGE,":[84],"independently":[85],"reviewed":[86],"all":[87],"participants;":[88],"fifth":[90],"adjudicated":[91,182],"disagreements.":[92],"The":[93,109],"reference":[94],"standard":[95],"(adjudicated":[96],"indication)":[97],"was":[98,192],"recommendation":[100],"further":[102],"testing,":[104],"cardiologist-led":[105],"evaluation,":[106,253],"both.":[108],"primary":[110],"cohort":[111],"comprised":[112],"5":[113],"facilities":[114],"across":[115],"3":[116],"districts":[117],"of":[118,132,242,290],"Ashanti":[120],"Region;":[121],"external":[122,167],"validation":[123],"held-out":[126],"facility":[127],"separate":[130],"district":[131],"Eastern":[134],"Region.":[135],"modeled":[138],"allocation":[139],"analysis,":[140],"Intermediate-":[141,204],"High-Risk":[143,206],"participants":[144,164,207,243],"were":[145],"considered":[146],"prioritized;":[147],"we":[148],"calculated":[149],"sensitivity,":[150,222],"specificity,":[151,227],"positive":[152],"predictive":[153,158],"value":[154,159],"(PPV),":[155],"negative":[157],"(NPV).":[160],"Results:":[161],"Among":[162],"3,800":[163],"(primary,":[165],"n=3,123;":[166],"validation,":[168],"n=677;":[169],"median":[170],"age,":[171],"52":[172],"years":[173],"[IQR,":[174],"39\u201364];":[175],"77.7%":[176],"women),":[177],"1,707":[178],"(44.9%)":[179],"had":[180],"an":[181,190],"indication.":[183],"By":[184],"category,":[186],"proportion":[188],"with":[189],"indication":[191],"2.5%":[193],"(Low),":[194],"87.9%":[195],"(Intermediate),":[196],"100%":[198],"(High)":[199],"(P":[200],"trend<0.001).":[202],"Prioritizing":[203],"yielded":[208],"1,656":[209],"true":[210,216],"positives,":[211,214],"142":[212],"false":[213,220],"1,951":[215],"negatives,":[217],"51":[219],"negatives:":[221],"97.0%":[223],"(95%":[224],"CI,":[225],"96.1%\u201397.8%);":[226],"93.2%":[228],"(92.1%\u201394.3%);":[229],"PPV,":[230],"92.1%":[231],"(90.8%\u201393.3%);":[232],"NPV,":[234],"97.5%":[235],"(96.7%\u201398.1%).":[236],"This":[237],"approach":[238],"would":[239],"47.3%":[241],"Conclusions:":[246],"accurately":[248],"identified":[249],"needing":[251],"cardiologist-adjudicated":[252],"sensitivity":[255],"remained":[256],"high":[257],"at":[258],"geographically":[260],"distinct":[261],"site.":[262],"Applied":[263],"workers,":[270],"it":[271],"could":[272],"focus":[273],"scarce":[274],"specialist":[275],"on":[279],"patients":[281],"most":[282],"likely":[283],"need":[285],"it,":[286],"deferring":[287],"roughly":[288],"half":[289],"those":[291],"assessed.":[292]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}
