TABLE 2.
Predictors of Not Being Triageda for Severe Illness at Diagnosis Among Adultsb With TB Without Known Drug-Resistant Disease That Were Notified by Public Facilities, Tamil Nadu, India, April–June 2022c
| Total, No. (%) d |
PR (95% CI) |
aPRf (95% CI) |
||
|---|---|---|---|---|
| Total | 14,961 (100) | 3,362 (22.5) | ||
| Age, years | ||||
| 15–24 | 1,508 (10.1) | 345 (22.9) | 0.99 (0.88, 1.11) | 0.93 (0.83, 1.04) |
| 25–34 | 1,798 (12.0) | 405 (22.5) | 0.97 (0.87, 1.08) | 0.91 (0.82, 1.02) |
| 35–44 | 2,786 (18.6) | 646 (23.2) | Ref | Ref |
| 45–54 | 3,683 (24.6) | 851 (23.1) | 1.00 (0.91, 1.09) | 1.02 (0.93, 1.11) |
| 55–64 | 3,215 (21.5) | 714 (22.2) | 0.96 (0.87, 1.05) | 1.00 (0.91, 1.10) |
| ≥65 | 1,971 (13.2) | 401 (20.4) | 0.88 (0.79, 0.98) | 0.90 (0.81, 1.00) |
| Gender | ||||
| Men | 10,715 (71.6) | 2,352 (22.0) | Ref | Ref |
| Women | 4,241 (28.4) | 1,009 (23.8) | 1.08 (1.02, 1.16) | 1.03 (0.96, 1.10) |
| Transgender | 5 (0.03) | 1 (20.0) | -- | |
| Test used for diagnosis | ||||
| Rapid molecular tests | 2,778 (18.6) | 840 (30.2) | 1.67 (1.55, 1.79) | 1.47 (1.36, 1.59)g |
| Microscopy/culture | 8,015 (53.6) | 1,455 (18.2) |
Ref |
Ref |
| Chest radiograph | 1,546 (10.3) | 412 (26.7) | 1.47 (1.34, 1.61) | 1.24 (1.04, 1.47)g |
| Others | 2,622 (17.5) | 655 (25.0) | 1.38 (1.27, 1.49) | 0.98 (0.81, 1.19) |
| Microbiological confirmation | ||||
| Yes | 11,333 (75.8) | 2,406 (21.2) | Ref | Ref |
| No | 3,628 (24.3) | 956 (26.4) | 1.24 (1.16, 1.32) | 1.19 (0.99, 1.42) |
| Site of TB | ||||
| Pulmonary | 12,046 (80.5) | 2,361 (19.6) | Ref | Ref |
| Extrapulmonary | 2,389 (16.0) | 640 (26.8) | 1.37 (1.27, 1.47) | 1.21 (1.09, 1.36)g |
| Missing | 526 (3.5) | 361 (68.6) | 3.50 (3.27, 3.75) | 2.60 (2.36, 2.87)g |
| Previous treatment | ||||
| Yes | 1,606 (10.7) | 351 (21.9) | 0.97 (0.88, 1.07) | N/Ah |
| No | 13,355 (89.3) | 3,011 (22.6) | Ref | |
| HIV | ||||
| Positive | 673 (4.5) | 194 (28.8) | 1.32 (1.17, 1.49) | 1.06 (0.93, 1.20) |
| Negative | 14,161 (94.7) | 3,088 (21.8) | Ref | Ref |
| Unknown | 127 (0.9) | 80 (63.0) | 2.89 (2.52, 3.31) | 1.03 (0.86, 1.23) |
| DM | ||||
| Positive | 3,823 (25.6) | 745 (19.5) | 0.88 (0.82, 0.95) | 0.94 (0.87, 1.91) |
| Negative | 10,710 (71.6) | 2,374 (22.2) |
Ref |
Ref |
| Unknown | 38 (0.3) | 17 (44.7) | 2.02 (1.41, 2.88) | 1.28 (0.86, 1.91) |
| Missing | 390 (2.6) | 226 (58.0) | 1.42 (1.23, 1.63)g | |
| Peripheral health institute—notification facility | ||||
| Primary | 2,372 (15.9) | 414 (17.5) | Ref | Ref |
| Secondary | 5,970 (39.9) | 1,168 (19.6) | 1.12 (1.01, 1.24) | 0.98 (0.88, 1.08) |
| Tertiary | 6,449 (43.1) | 1,710 (26.5) | 1.52 (1.38, 1.67) | 1.11 (1.01, 1.23)g |
| Missing | 170 (1.1) | 70 (41.2) | 2.36 (1.93, 2.88) | 2.21 (1.83, 2.68)g |
| Treatment started | ||||
| Yes | 14,435 (96.5) | 3,001 (20.8) |
Ref |
N/Ai |
| No | 526 (3.5) | 361 (68.6) | 3.30 (3.09, 3.53) | |
| Transferred out of district | ||||
| Yes | 1,987 (13.3) | 670 (33.7) | 1.63 (1.51, 1.74) | 1.50 (1.40, 1.61)g |
| No | 12,974 (86.7) | 2,692 (20.8) |
Ref |
Ref |
Abbreviations: aPR, adjusted prevalence ratio; CI, confidence interval; DM, diabetes mellitus; PR, crude prevalence ratio; SeWA, Severe TB Web Application.
Triaged defined as collecting and syncing of severity details in a mobile application irrespective of the extent of missing data.
Aged 15 years and older.
Source is the routinely collected baseline data in NIKSHAY and data updated in TB SeWA as of July 29, 2022.
Column percentage.
Row percentage.
Modified Poisson regression with robust variance estimation; results have been adjusted for district.
P<.05.
Variables with crude P value ≥.05 (Chi square test) were not included in the adjusted analysis.
Excluded because of variance inflation factor >10.