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. 2021 Jul 29;80(1):1946324. doi: 10.1080/22423982.2021.1946324
Poling (2014, Can J of rural medicine) (108)
  • Ontario

  • Retrospective

Pneumonia
Hospitalisation
  • First Nations people (87%)

  • Non-Indigenous people

  • All ages

  • F/M

% of death resulting from pneumonia
Mean length of stay (days)
3%
5.32
15/22
Rosychuk (2010, Pediatr Pulm) (99)
  • Alberta

  • Prospective

Croup
ED visits
  • Indigenous people (Gr 1)

  • Alberta’s population (Gr 2)

  • ≤ 2 y.o.

  • F/M

ED visit rates/1000 infants for croup (95% CI) 1999-2000:
Gr 1: 28.1 (23.7-32.4); Gr 2: 43.4 (41.8-44.9)
2004-2005:
Gr 1: 29.7 (24.9-34.5); Gr 2: 34.1 (32.8-35.4)
17/22
Rosychuk (2010, Pediatr Pulm) (94)
  • Alberta

  • Prospective

Asthma
ED visits
  • Indigenous people (Gr 1)

  • Alberta’s population (Gr 2)

  • <18 y.o.

  • F/M

Directly standardised rates per 1000 for ED visits for asthma (95% CI) 1999-2000:
Gr 1: 28.1 (26.0-30.2); Gr 2: 21.1 (20.5-21.6)
2004-2005:
Gr 1: 29.7 (27.5-31.9); Gr 2: 19.8 (19.3-20.2)
17/22
Rowe (2009, Chest) (95)
  • Alberta

  • Retrospective

Asthma
ED visits
  • Indigenous people (Gr 1)

  • Alberta’s population (Gr 2)

  • ≥ 18 y.o.

  • F/M

ED visits rates (95% CI) Gr 1: 14.9 (13.2-16.5); Gr 2: 6.8 (6.6-6.9) 16/22
Senthilselvan (1995, J Clin Epidemiol) (56)
  • Saskatchewan

  • Retrospective

Asthma
Hospitalisation
  • Indigenous people (Gr 1)

  • Saskatchewan population (Gr 2)

  • <65 y.o.

  • F/M

Hospitalisation risk ratios for Gr 1 for 1985-1989 (95% CI)
Hospitalisation rates/1000 for Gr 1 in 1989
Average length of stay
0-4 y.o.: 2.97 (2.75-3.20); 5-14 y.o.: 0.78 (0.67-0.92)
15-34 y.o.: 0.99 (0.81-1.21); 35-64 y.o.: 2.83 (2.42-3.33)
0-4 y.o.:
Asthma: 21.73; Bronchitis: 53.47; LRTI: 4.11
35-64 y.o.:
Asthma:3.43; Bronchitis: 5.24; LRTI: 3.24
Greater for Indigenous children under 14 years of age
15/22
Sin (2002, Chest) (96)
  • Alberta

  • Retrospective

Asthma, COPD
ED visits
  • Indigenous people (Gr 1)

  • Non-Indigenous people (Gr 2)

  • All ages

  • F/M

Risk ratio for ED visits for Gr 1 (95% CI)
Quality of care
2.10 (2.01-2.19)
Indigenous 55% less likely to see a specialist and 66% less likely to undergo spirometry
13/22
Sin (2004, Arch Pediat Adol Med) (97)
  • Alberta

  • Retrospective

Asthma
ED visits
  • Indigenous people (Gr 1)

  • Non-Indigenous people (Gr 2)

  • 0-10 y.o.

  • F/M

Risk ratio for ED visits for Gr 1 (95% CI) 1.20 (1.11-1.29) 17/22
Wang (1995, J Pediatr) (55)
  • Nova Scotia, Quebec, Ontario, Manitoba, British Columbia

  • Prospective

LRTI
ICU admission
  • Indigenous people (Gr 1)

  • Non-Indigenous people (Gr 2)

  • <2 y.o.

  • F/M

Odds ratio for ICU admission (95% CI)
95% CI odds ratio for ventilation
Prolonged hospitalisation in days
Gr 1: 3.1 (1.0-9.2)
Gr 1: 0.3-2.3
Gr 1 1.2 (1.1-1.4)
17/22