First Nations Pneumonia Admissions: Different Patients or Different Attitudes?
In this issue of the Canadian Respiratory Journal, Marrie et al (pages 336-342) present a database study of hospital admissions among First Nation Aboriginals (FNAs) in Alberta that is fascinating, at least to me. They captured all hospital admissions for "status" FNAs from 1997 to 1999, a...
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Canadian Respiratory Journal
2004
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fthindawi:oai:hindawi.com:10.1155/2004/862874 2023-05-15T16:16:37+02:00 First Nations Pneumonia Admissions: Different Patients or Different Attitudes? NR Anthonisen 2004 https://doi.org/10.1155/2004/862874 en eng Canadian Respiratory Journal https://doi.org/10.1155/2004/862874 Copyright © 2004 Hindawi Publishing Corporation. Editor’s Page 2004 fthindawi https://doi.org/10.1155/2004/862874 2019-05-26T07:08:44Z In this issue of the Canadian Respiratory Journal, Marrie et al (pages 336-342) present a database study of hospital admissions among First Nation Aboriginals (FNAs) in Alberta that is fascinating, at least to me. They captured all hospital admissions for "status" FNAs from 1997 to 1999, along with data on where and how long they were hospitalized, the severity of the pneumonia, the number of comorbidities present, whether they were readmitted and the costs involved. They compared these finding with a group of age- and sex-matched non-FNAs who were also hospitalized for pneumonia. There are, of course, weaknesses in the study that commonly occur in most exercises using administrative databases. Pneumonia is a hospital record diagnosis (there is no information about chest x-rays, sputum cultures, etc). Pneumonia severity assessment relies on information regarding hospital transfers, intensive care unit admissions and events such as shock, artificial ventilation and death (there is no information available to apply an accepted grading system) (1). Further, "status" FNAs were probably not entirely representative of FNAs in general; indeed, some nonstatus FNAs may well have been included in the control group. However, I strongly doubt that these or similar objections are substantial enough to greatly influence the findings of Marrie et al. Other/Unknown Material First Nations Hindawi Publishing Corporation Canadian Respiratory Journal 11 5 328 329 |
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Hindawi Publishing Corporation |
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fthindawi |
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English |
description |
In this issue of the Canadian Respiratory Journal, Marrie et al (pages 336-342) present a database study of hospital admissions among First Nation Aboriginals (FNAs) in Alberta that is fascinating, at least to me. They captured all hospital admissions for "status" FNAs from 1997 to 1999, along with data on where and how long they were hospitalized, the severity of the pneumonia, the number of comorbidities present, whether they were readmitted and the costs involved. They compared these finding with a group of age- and sex-matched non-FNAs who were also hospitalized for pneumonia. There are, of course, weaknesses in the study that commonly occur in most exercises using administrative databases. Pneumonia is a hospital record diagnosis (there is no information about chest x-rays, sputum cultures, etc). Pneumonia severity assessment relies on information regarding hospital transfers, intensive care unit admissions and events such as shock, artificial ventilation and death (there is no information available to apply an accepted grading system) (1). Further, "status" FNAs were probably not entirely representative of FNAs in general; indeed, some nonstatus FNAs may well have been included in the control group. However, I strongly doubt that these or similar objections are substantial enough to greatly influence the findings of Marrie et al. |
format |
Other/Unknown Material |
author |
NR Anthonisen |
spellingShingle |
NR Anthonisen First Nations Pneumonia Admissions: Different Patients or Different Attitudes? |
author_facet |
NR Anthonisen |
author_sort |
NR Anthonisen |
title |
First Nations Pneumonia Admissions: Different Patients or Different Attitudes? |
title_short |
First Nations Pneumonia Admissions: Different Patients or Different Attitudes? |
title_full |
First Nations Pneumonia Admissions: Different Patients or Different Attitudes? |
title_fullStr |
First Nations Pneumonia Admissions: Different Patients or Different Attitudes? |
title_full_unstemmed |
First Nations Pneumonia Admissions: Different Patients or Different Attitudes? |
title_sort |
first nations pneumonia admissions: different patients or different attitudes? |
publisher |
Canadian Respiratory Journal |
publishDate |
2004 |
url |
https://doi.org/10.1155/2004/862874 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
https://doi.org/10.1155/2004/862874 |
op_rights |
Copyright © 2004 Hindawi Publishing Corporation. |
op_doi |
https://doi.org/10.1155/2004/862874 |
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Canadian Respiratory Journal |
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11 |
container_issue |
5 |
container_start_page |
328 |
op_container_end_page |
329 |
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1766002463230394368 |