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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

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  • Medientyp: E-Artikel
  • Titel: Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada
  • Beteiligte: Ospina, Maria B.; Rowe, Brian H.; Voaklander, Donald; Senthilselvan, Ambikaipakan; Stickland, Michael K.; King, Malcolm
  • Erschienen: Springer Science and Business Media LLC, 2016
  • Erschienen in: CJEM
  • Sprache: Englisch
  • DOI: 10.1017/cem.2016.328
  • ISSN: 1481-8035; 1481-8043
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec id="S1481803516003286_abs1" sec-type="objectives"><jats:title>Objectives</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec id="S1481803516003286_abs2" sec-type="methods"><jats:title>Methods</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec id="S1481803516003286_abs3" sec-type="results"><jats:title>Results</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec id="S1481803516003286_abs4" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>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.</jats:p></jats:sec>
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