Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada
Abstract Objectives This retrospective cohort study compared rates of emergency department (ED) visits after a diagnosis of chronic obstructive pulmonary disease (COPD) in the three Aboriginal groups (Registered First Nations, Métis and Inuit) relative to a non-Aboriginal cohort. Methods We linked e...
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crspringernat:10.1017/cem.2016.328 2023-05-15T16:16:00+02:00 Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada Ospina, Maria B. Rowe, Brian H. Voaklander, Donald Senthilselvan, Ambikaipakan Stickland, Michael K. King, Malcolm 2016 http://dx.doi.org/10.1017/cem.2016.328 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1481803516003286 en eng Springer Science and Business Media LLC https://www.cambridge.org/core/terms CJEM volume 18, issue 6, page 420-428 ISSN 1481-8035 1481-8043 Emergency Medicine journal-article 2016 crspringernat https://doi.org/10.1017/cem.2016.328 2022-01-04T15:24:33Z Abstract Objectives This retrospective cohort study compared rates of emergency department (ED) visits after a diagnosis of chronic obstructive pulmonary disease (COPD) in the three Aboriginal groups (Registered First Nations, Métis and Inuit) relative to a non-Aboriginal cohort. Methods We linked eight years of administrative health data from Alberta and calculated age- and sex-standardized ED visit rates in cohorts of Aboriginal and non-Aboriginal individuals diagnosed with COPD. Rate ratios (RR) with 95% confidence intervals (CIs) were calculated in a Poisson regression model that adjusted for important sociodemographic factors and comorbidities. Differences in ED length of stay (LOS) and disposition status were also evaluated. Results A total of 2,274 Aboriginal people and 1,611 non-Aboriginals were newly diagnosed with COPD during the study period. After adjusting for important sociodemographic and clinical factors, the rate of all-cause ED visits in all Aboriginal people (RR=1.72, 95% CI: 1.67, 1.77), particularly among Registered First Nations people (RR=2.02; 95% CI: 1.97, 2.08) and Inuit (RR=1.28; 95% CI: 1.22, 1.35), were significantly higher than that in non-Aboriginals, while ED visit rates were significantly lower in the Métis (RR=0.94; 95% CI: 0.90, 0.98). The ED LOS in all Aboriginal groups were significantly lower than that of the non-Aboriginal group. Conclusions Aboriginal people with COPD use almost twice the amount of ED services compared to their non-Aboriginal counterparts. There are also important variations in patterns of ED services use among different Aboriginal groups with COPD in Alberta. Article in Journal/Newspaper First Nations inuit Springer Nature (via Crossref) Canada CJEM 18 6 420 428 |
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Emergency Medicine |
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Emergency Medicine Ospina, Maria B. Rowe, Brian H. Voaklander, Donald Senthilselvan, Ambikaipakan Stickland, Michael K. King, Malcolm Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada |
topic_facet |
Emergency Medicine |
description |
Abstract Objectives This retrospective cohort study compared rates of emergency department (ED) visits after a diagnosis of chronic obstructive pulmonary disease (COPD) in the three Aboriginal groups (Registered First Nations, Métis and Inuit) relative to a non-Aboriginal cohort. Methods We linked eight years of administrative health data from Alberta and calculated age- and sex-standardized ED visit rates in cohorts of Aboriginal and non-Aboriginal individuals diagnosed with COPD. Rate ratios (RR) with 95% confidence intervals (CIs) were calculated in a Poisson regression model that adjusted for important sociodemographic factors and comorbidities. Differences in ED length of stay (LOS) and disposition status were also evaluated. Results A total of 2,274 Aboriginal people and 1,611 non-Aboriginals were newly diagnosed with COPD during the study period. After adjusting for important sociodemographic and clinical factors, the rate of all-cause ED visits in all Aboriginal people (RR=1.72, 95% CI: 1.67, 1.77), particularly among Registered First Nations people (RR=2.02; 95% CI: 1.97, 2.08) and Inuit (RR=1.28; 95% CI: 1.22, 1.35), were significantly higher than that in non-Aboriginals, while ED visit rates were significantly lower in the Métis (RR=0.94; 95% CI: 0.90, 0.98). The ED LOS in all Aboriginal groups were significantly lower than that of the non-Aboriginal group. Conclusions Aboriginal people with COPD use almost twice the amount of ED services compared to their non-Aboriginal counterparts. There are also important variations in patterns of ED services use among different Aboriginal groups with COPD in Alberta. |
format |
Article in Journal/Newspaper |
author |
Ospina, Maria B. Rowe, Brian H. Voaklander, Donald Senthilselvan, Ambikaipakan Stickland, Michael K. King, Malcolm |
author_facet |
Ospina, Maria B. Rowe, Brian H. Voaklander, Donald Senthilselvan, Ambikaipakan Stickland, Michael K. King, Malcolm |
author_sort |
Ospina, Maria B. |
title |
Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada |
title_short |
Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada |
title_full |
Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada |
title_fullStr |
Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada |
title_full_unstemmed |
Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada |
title_sort |
emergency department visits after diagnosed chronic obstructive pulmonary disease in aboriginal people in alberta, canada |
publisher |
Springer Science and Business Media LLC |
publishDate |
2016 |
url |
http://dx.doi.org/10.1017/cem.2016.328 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1481803516003286 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
CJEM volume 18, issue 6, page 420-428 ISSN 1481-8035 1481-8043 |
op_rights |
https://www.cambridge.org/core/terms |
op_doi |
https://doi.org/10.1017/cem.2016.328 |
container_title |
CJEM |
container_volume |
18 |
container_issue |
6 |
container_start_page |
420 |
op_container_end_page |
428 |
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1766001864105525248 |