Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec
Introduction: Canadian Indigenous populations have a high incidence of poisoning; it has been suggested that care provided to the population living in remote areas is suboptimal. Our study aims to compare the continuum of care of poisoned people in Indigenous communities with those in non-Indigenous...
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ftdoajarticles:oai:doaj.org/article:1e1c6e39c9814fcfb9ce7219901d5347 2023-07-02T03:32:17+02:00 Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec Ella Diendéré Alexis F. Turgeon Katherine Gagnon-Labelle Amélie Couture Xavier Neveu Maude St-Onge 2023-06-01T00:00:00Z https://doi.org/10.1177/21501319231178654 https://doaj.org/article/1e1c6e39c9814fcfb9ce7219901d5347 EN eng SAGE Publishing https://doi.org/10.1177/21501319231178654 https://doaj.org/toc/2150-1327 2150-1327 doi:10.1177/21501319231178654 https://doaj.org/article/1e1c6e39c9814fcfb9ce7219901d5347 Journal of Primary Care & Community Health, Vol 14 (2023) Computer applications to medicine. Medical informatics R858-859.7 Public aspects of medicine RA1-1270 article 2023 ftdoajarticles https://doi.org/10.1177/21501319231178654 2023-06-11T00:35:27Z Introduction: Canadian Indigenous populations have a high incidence of poisoning; it has been suggested that care provided to the population living in remote areas is suboptimal. Our study aims to compare the continuum of care of poisoned people in Indigenous communities with those in non-Indigenous communities located in rural regions in the province of Québec. Methods: We conducted a multicenter retrospective cohort study using data from the Center Antipoison du Québec (CAPQ) over a 2-year period (2016-2017). We evaluated the care trajectory of Indigenous patients suffering of poisoning as compared to non-Indigenous patients living in rural areas. Our primary outcome was the duration of CAPQ involvement in case management. Our secondary outcome was the symptoms severity at the end of case management. Results: Among 491 identified poisoned patients (238 Indigenous/253 non-Indigenous), the duration of CAPQ involvement in case management was 9.4 h [2.9-21.3] for Indigenous patients versus 5.5 h [0.1-14.4] for non-Indigenous patients. No statistically significant difference was found between groups (geometric means ratio (GMR) adjusted = 1.08; [0.84; 1.38]). Results were consistent by age and sex groups. Most patients, in both Indigenous and non-Indigenous, showed mild to moderate symptoms at follow-up (59% vs 54%). One death was registered in each group. The CAPQ received a limited number of calls from the non-conventioned First Nations during the study period. Conclusions: We did not observe differences on the duration in case management. Perceptions of suboptimal care provided to rural Indigenous population are likely to be related to geographical remoteness rather than ethnicity. Further research is needed to better identify potential factors involved in the continuity of care provided in emergency situations. Another study will be carried out to describe the Indigenous realities and to better understand the results of this study. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Journal of Primary Care & Community Health 14 215013192311786 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Computer applications to medicine. Medical informatics R858-859.7 Public aspects of medicine RA1-1270 |
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Computer applications to medicine. Medical informatics R858-859.7 Public aspects of medicine RA1-1270 Ella Diendéré Alexis F. Turgeon Katherine Gagnon-Labelle Amélie Couture Xavier Neveu Maude St-Onge Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec |
topic_facet |
Computer applications to medicine. Medical informatics R858-859.7 Public aspects of medicine RA1-1270 |
description |
Introduction: Canadian Indigenous populations have a high incidence of poisoning; it has been suggested that care provided to the population living in remote areas is suboptimal. Our study aims to compare the continuum of care of poisoned people in Indigenous communities with those in non-Indigenous communities located in rural regions in the province of Québec. Methods: We conducted a multicenter retrospective cohort study using data from the Center Antipoison du Québec (CAPQ) over a 2-year period (2016-2017). We evaluated the care trajectory of Indigenous patients suffering of poisoning as compared to non-Indigenous patients living in rural areas. Our primary outcome was the duration of CAPQ involvement in case management. Our secondary outcome was the symptoms severity at the end of case management. Results: Among 491 identified poisoned patients (238 Indigenous/253 non-Indigenous), the duration of CAPQ involvement in case management was 9.4 h [2.9-21.3] for Indigenous patients versus 5.5 h [0.1-14.4] for non-Indigenous patients. No statistically significant difference was found between groups (geometric means ratio (GMR) adjusted = 1.08; [0.84; 1.38]). Results were consistent by age and sex groups. Most patients, in both Indigenous and non-Indigenous, showed mild to moderate symptoms at follow-up (59% vs 54%). One death was registered in each group. The CAPQ received a limited number of calls from the non-conventioned First Nations during the study period. Conclusions: We did not observe differences on the duration in case management. Perceptions of suboptimal care provided to rural Indigenous population are likely to be related to geographical remoteness rather than ethnicity. Further research is needed to better identify potential factors involved in the continuity of care provided in emergency situations. Another study will be carried out to describe the Indigenous realities and to better understand the results of this study. |
format |
Article in Journal/Newspaper |
author |
Ella Diendéré Alexis F. Turgeon Katherine Gagnon-Labelle Amélie Couture Xavier Neveu Maude St-Onge |
author_facet |
Ella Diendéré Alexis F. Turgeon Katherine Gagnon-Labelle Amélie Couture Xavier Neveu Maude St-Onge |
author_sort |
Ella Diendéré |
title |
Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec |
title_short |
Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec |
title_full |
Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec |
title_fullStr |
Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec |
title_full_unstemmed |
Clinical Outcomes of Indigenous Versus Non-Indigenous Patients: A Multicenter Retrospective Cohort Study in the Province of Quebec |
title_sort |
clinical outcomes of indigenous versus non-indigenous patients: a multicenter retrospective cohort study in the province of quebec |
publisher |
SAGE Publishing |
publishDate |
2023 |
url |
https://doi.org/10.1177/21501319231178654 https://doaj.org/article/1e1c6e39c9814fcfb9ce7219901d5347 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Journal of Primary Care & Community Health, Vol 14 (2023) |
op_relation |
https://doi.org/10.1177/21501319231178654 https://doaj.org/toc/2150-1327 2150-1327 doi:10.1177/21501319231178654 https://doaj.org/article/1e1c6e39c9814fcfb9ce7219901d5347 |
op_doi |
https://doi.org/10.1177/21501319231178654 |
container_title |
Journal of Primary Care & Community Health |
container_volume |
14 |
container_start_page |
215013192311786 |
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1770271818586783744 |