Table 4. Changes in rate of high-risk prescribing to participants in SPACE versus control practices at 6 and 12 months.
| Baseline | 6-month n/N (%) | 12-month n/N (%) | OR (6 months) a(95% CI) | P value | OR (12 months)a (95% CI) | P value | ||||
|---|---|---|---|---|---|---|---|---|---|---|
| SPACE | Control | SPACE | Control | SPACE | Control | |||||
| Primary outcome | ||||||||||
| Combined risk factorb | 828/11 658 (7.1%) | 651/10 209 (6.4%) | 638/11 005 (5.8%) | 537/9644 (5.6%) | 538/9453 (5.7%) | 419/9199 (4.6%) | 0.99 (0.87–1.13) | 0.9 | 1.29(1.11–1.49) | 0.001 |
| Secondary outcomes | ||||||||||
| Gastrointestinal | 427/8711 (4.9%) | 334/7465 (4.5%) | 313/7894 (4.0%) | 301/6782 (4.4%) | 232/5046 (4.6%) | 208/4489 (4.6%) | 0.81 (0.68–0.96) | 0.02 | 0.91(0.74–1.11) | 0.4 |
| Renal | 503/6268 (8.0%) | 372/5588 (6.7%) | 365/5124 (7.1%) | 262/4477 (5.9%) | 314/4318 (7.3%) | 208/3988 (5.2%) | 1.16 (0.96–1.39) | 0.1 | 1.35(1.10–1.65) | 0.004 |
| Heart failure | 21/613 (3.4%) | 29/627 (4.6%) | 19/557 (3.4%) | 14/558 (2.5%) | 17/441 (3.9%) | 20/508 (3.9%) | 1.84 (0.87–3.89) | 0.1 | 0.89(0.44–1.78) | 0.7 |
aAdjusted for clustering by practice. bGastrointestinal, renal, or cardiac ‘high-risk’ prescribing of NSAIDs and/or anticoagulant medication. OR = odds ratio. SPACE = Safer Prescribing and Care for the Elderly.