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Table 4 Process and outcome indicators at baseline and 1-year follow-up

From: Evaluation and pilot implementation of essential interventions for the management of hypertension and prevention of cardiovascular diseases in primary health care in the Republic of Tajikistan

Process and outcome indicators

Baseline

Follow-up

Baseline vs. Follow-up Differencea

Interactionb

Ā 

% (n/N)

% (n/N)

OR (95ā€‰% CI)

P-value

P-value

Intervention

Ā Ā Process indicators

Ā Ā Ā Ā Smoking status recorded

61.5 (160/260)

90.4 (338/374)

14.397 (7.987ā€“25.886)

<ā€‰0.001

<ā€‰0.001

Ā Ā Ā Ā BP measured regularly

25.0 (65/260)

71.4 (267/374)

10.013 (6.642ā€“15.094)

<ā€‰0.001

<ā€‰0.001

Ā Ā Ā Ā Fasting glucose tested

13.1 (34/260)

16.3 (61/374)

1.393 (0.860ā€“2.255)

0.178

0.800

Ā Ā Ā Ā Total cholesterol tested

8.1 (21/260)

12.3 (46/374)

1.781 (1.002ā€“3.165)

0.049

0.423

Ā Ā Ā Ā WHO/ISH risk score documented

0.0 (0/259)

79.7 (295/370)

-

-

-

Ā Ā Ā Ā WHO/ISH risk score calculatable

96.1 (249/259)

99.7 (369/370)

13.805 (1.692-112.649)

0.014

0.004

Ā Ā Ā Ā High-risk patients

26.5 (69/260)

15.0 (56/374)

0.491 (0.311ā€“0.775)

0.002

0.216

Ā Ā Ā Ā BP lowering drug prescribed

96.5 (251/260)

97.1 (363/374)

1.568 (0.596ā€“4.124)

0.362

0.910

Ā Ā Ā Ā Statin prescribed for high-risk patients

23.2 (16/69)

78.6 (44/56)

12.640 (4.365ā€“36.599)

<ā€‰0.001

0.001

Ā Ā Ā Ā Aspirin prescribed for high-risk patients

85.5 (59/69)

87.5 (49/56)

0.368 (0.091ā€“1.493)

0.162

0.213

Ā Ā Ā Ā Triple therapy prescribed for high-risk patients

23.2 (16/69)

76.8 (43/56)

11.699 (3.947ā€“34.679)

<ā€‰0.001

0.001

Ā  Outcome indicators

Ā Ā Ā Ā BP at normal range

14.8 (34/229)

32.5 (118/363)

3.556 (2.219ā€“5.696)

<ā€‰0.001

<ā€‰0.001

Ā Ā Ā Ā High-risk patients with BP at normal range

15.8 (9/57)

20.4 (11/54)

1.717 (0.572ā€“5.158)

0.335

0.133

Ā Ā Ā Ā Low-risk patients with BP at normal range

14.5 (25/172)

34.6 (107/309)

4.235 (2.438ā€“7.358)

<ā€‰0.001

0.002

Control

Ā  Process indicators

Ā Ā Ā Ā Smoking status recorded

73.4 (152/207)

68.0 (166/244)

0.395 (0.210ā€“0.743)

0.004

Ā 

Ā Ā Ā Ā BP measured regularly

62.3 (129/207)

68.9 (168/244)

1.319 (0.849ā€“2.049)

0.218

Ā 

Ā Ā Ā Ā Fasting glucose tested

22.7 (47/207)

30.7 (75/244)

1.554 (0.959ā€“2.519)

0.074

Ā 

Ā Ā Ā Ā Total cholesterol tested

12.1 (25/207)

15.2 (37/244)

1.257 (0.681ā€“2.321)

0.464

Ā 

Ā Ā Ā Ā WHO/ISH risk score documented

0.0 (0/203)

0.4 (1/242)

-

-

Ā 

Ā Ā Ā Ā WHO/ISH risk score calculatable

99.5 (202/203)

98.3 (238/242)

0.185 (0.015ā€“2.328)

0.192

Ā 

Ā Ā Ā Ā High-risk patients

46.9 (97/207)

41.8 (102/244)

0.720 (0.479ā€“1.082)

0.114

Ā 

Ā Ā Ā Ā BP lowering drug prescribed

94.7 (196/207)

95.9 (234/244)

1.458 (0.586ā€“3.628)

0.418

Ā 

Ā Ā Ā Ā Statin prescribed for high-risk patients

13.4 (13/97)

15.7 (16/102)

1.610 (0.529ā€“4.903)

0.402

Ā 

Ā Ā Ā Ā Aspirin prescribed for high-risk patients

89.7 (87/97)

92.2 (94/102)

1.437 (0.421ā€“4.903)

0.562

Ā 

Ā Ā Ā Ā Triple therapy prescribed for high-risk patients

13.4 (13/97)

15.7 (16/102)

1.610 (0.529ā€“4.903)

0.402

Ā 

Ā  Outcome indicators

Ā Ā Ā Ā BP at normal range

17.8 (36/202)

13.2 (31/234)

0.644 (0.370ā€“1.121)

0.120

Ā 

Ā Ā Ā Ā High-risk patients with BP at normal range

22.1 (21/95)

13.0 (13/100)

0.571 (0.235ā€“1.389)

0.216

Ā 

Ā Ā Ā Ā Low-risk patients with BP at normal range

14.2 (15/107)

13.4 (18/134)

0.877 (0.399ā€“1.926)

0.744

Ā 
  1. BP blood pressure, WHO/ISH risk score World Health Organization/International Society of Hypertension cardiovascular risk score; ORĀ odds ratio; CIĀ confidence interval.
  2. a Adjusted for age, gender, and clinic
  3. b Interaction for intervention and control clinics adjusted for age, gender, and clinic