The effect of a community-based programme for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: A cluster randomised controlled trial

Society for Education Action and Research in Community Health SEARCH0 个研究点目标入组 0 人开始时间: 待定最近更新: 2021年11月24日

试验速览

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•Cluster level:
•The village
•1.should belong to the field practice area of SEARCH in Gadchiroli district
•2.should have population >400
•Individual level:
•The individual should -
•1.be a resident of the village
•2.be 50 years of age or older
•3.provide written, informed consent to receive the intervention
•and with ANY of the conditions listed below to receive treatment and follow up under the intervention
•4.with a mean systolic blood pressure of 140 mm Hg or above and mean diastolic blood pressure of 90 mm Hg or above (based on 2 separate readings taken 5 minutes apart) or with a diagnosis of hypertension and on antihypertensive medications,
•5.with glycosuria detected using urine dipsticks during screening and random capillary blood glucose of 200 mg/dl or above; or those with outside records showing fasting plasma glucose 126 mg/dL or above or single random plasma blood glucose value of 200 mg/dL or above ; or previous diagnosis of diabetes and taking treatment for diabetes
•6.with diagnosis of stroke defined using the World Health Organizationâ??s definition as a focal (or at times global) neurological impairment of sudden onset, and lasting > 24 hours (or leading to death), and of presumed vascular origin.

•Cluster level:
•1.villages within 5 km distance from Gadchiroli town (district place)
•Individual level:
•1.terminally ill patients
•2.patients with cardiovascular or kidney disease that can not be managed in primary care setting

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