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. 2021 Jul 29;80(1):1946324. doi: 10.1080/22423982.2021.1946324
INJURIES AND POISONINGS (n = 16)
Author (year, journal) Setting Topic Populations’ characteristics Outcomes Main results STROBE
Alaghehbandan (2010, Int J Circumpol Heal) (57)
  • Newfoundland and Labrador

  • Retrospective

Unintentional injuries
Hospitalisation
  • Indigenous people (Gr 1)

  • Innu (Gr 2)

  • Inuit (Gr 3)

  • Metis (Gr 4)

  • Non-Indigenous people (Gr 5)

  • ≤ 19 y.o.

  • F/M

Hospitalisation rates/100,000 (95% CI)
Risk ratio for hospitalisation for Aboriginals (95% CI)
Mortality/100,000 (p <0.001)
Gr 2: 1329.2 (1008.3-1650.2); Gr 3: 972.1 (731.3-1212.9); Gr 4: 1142.3 (857.3-1427.4); Gr 5: 614.2 (597.1-631.3)
0-4 y.o.: 1.78 (1.30-2.45); 5-9 y.o.: 1.62 (1.18-2.22); 10-14 y.o.: 1.83 (1.38-2.42); 15-19 y.o.: 2.28 (1.76-2.95)
Gr 1: 84.3; Gr 5: 10.2
18/22
Alaghehbandan (2012, Burns) (58)
  • Newfoundland and Labrador

  • Retrospective

Burns
Hospitalisation
  • Low % of Indigenous people areas (Gr 1)

  • High % of Indigenous people areas (Gr 2)

  • ≤ 16 y.o.

  • F/M

Hospitalisation rates/100,000
Median length of stay (days)
Total: (p <0.001)) Gr 1: 20.3/ Gr 2: 51.4
Gr 1: 5.0; Gr 2: 3.0
16/22
Anne George (2013, Int J Circumpol Heal) (59)
  • British Columbia

  • Retrospective

Injuries
Hospitalisation
Primary care visits
  • First Nations people (Gr 1)

  • Non-First Nations people (Gr 2)

  • All ages

  • F/M

Standardised risk ratio to be hospitalised
Standardised risk ratio to visit primary care
Gr 1: 1.3-3.7; Gr 2: 0.6-1.9
* RR varies with health service delivery areas
Gr 1: 1.2-2.1; Gr 2: 0.8-1.3
13/22
Bell (2011, Inj Prev) (60)
  • British Columbia

  • Retrospective

Injuries
Hospitalisation
  • First Nations people on reserve (Gr 1)

  • People off reserve (Gr 2)

  • <17 y.o.

  • F/M

Hospitalisation rates/100,000 for
Mortality rates/100,000
* p ≤ 0.05
Unintentional injuries: Gr 1: 622.2*; Gr 2 322.1
Intentional self harm: Gr 1: 7.5; Gr 2: 8.3
Injuries involving third party: Gr 1: 67.5*; Gr 2: 32.4
Unintentional injuries: Gr 1: 368.1*; Gr 2: 240.4
Intentional self harm: Gr 1: 168.7*; Gr 2: 97.7
Injuries involving third party: Gr 1: 23.0; Gr 2: 14.7
18/22
Boeckx (1977, Paediatrics) (109)
  • Manitoba

  • Case report

Gasoline sniffing and tetraethyl lead poisoning
Hospitalisation
  • Indigenous people

  • 14 and 16 y.o.

  • F/M

Mortality
Type of treatment
1 death/ 2 cases
CASE 1: 24h of EDTA and Dimercaprol. Then treatment with penicillamine. Discharge after 4 weeks with continued penicillamine. Returned 3 times to the hospital. The third time: treatment with Phenobarbital and Dilantin failed. He was diagnosed with aspiration pneumonia treated with Cloxacillin and Gentamicin. He died 72h after admission.
CASE 2: Multivitamins, IV fluids and glucose. Then 5 days of EDTA twice. Then penicillamine for 4 weeks. He was readmitted and treated again because of gasoline sniffing 6 months later.
7/13
Bougie (2014, Health Rep) (65)
  • All provinces except Quebec

  • Retrospective

Unintentional injuries
Hospitalisation
  • Areas with a high % of First Nations people (Gr 1)

  • Areas with a low % of Indigenous people (Gr 2)

  • All ages

  • F/M

Rate ratios for unintentional injury hospitalisations Gr 1: Females: 1.25; Males: 1.20
Gr 2: Females: 1.20; Males: 1.23
17/22
Brussoni (2014, Prev Sci) (66)
  • British Columbia

  • Retrospective

Injuries
Hospitalisation
  • Indigenous people (Gr 1)

    North American Indians (Gr 2)

  • Non-Indigenous people (Gr 5)

  • All ages

  • F/M

Standard relative risk of injury hospitalisation (95% CI) Gr 1: 1.049 (0.994-1.107)
Gr 2: 1.040 (0.984-1.098)
14/22
Brussoni (2016, BMC Public Health) (62)
  • British Columbia

  • Retrospective

Injuries
Hospitalisation
  • Indigenous people (Gr 1)

    On-reserve metropolitan (Gr 2)

  • On-reserve non-metropolitan (Gr 3)

  • Off-reserve metropolitan (Gr 4)

  • Off-reserve non-metropolitan (Gr 5)

  • British Columbia (Gr 6)

  • All ages

  • F/M

Standard relative risk of hospitalisation (95% CI) Gr 1: 2.61 (2.58-2.64)
Gr 2: 2.44 (2.34-2.54)
Gr 3: 3.04 (2.98-3.10)
Gr 4 1.99 (1.93-2.04)
Gr 5: 2.51 (2.46-2.56)
Gr 6: 1.0
18/22
Brussoni (2018, PLoS One) (63)
  • British Columbia

  • Retrospective

Unintentional transport injuries
Hospitalisation
  • Indigenous people (Gr 1)

  • British Columbia population (Gr 2)

  • All ages

  • F/M

Standardised rate ratios (95% CI) Gr 1, Females: 2.13 (2.03-2.24)
Gr 1. Males: 1.69 (1.63-1.75)
15/22
Callegari (1989, Burns Incl Therm Inj) (116)
  • Alberta

  • Retrospective

Burns
Hospitalisation
  • Indigenous people (Treaty Indians and Metis) (Gr 1)

  • Non-Indigenous people (Gr 2)

  • All ages

  • F/M

Deaths %
Treatment: Gr 1/ Gr 2 (p <0.05)
Number of days in hospital (p <0.05)
Gr 1: 4.8%; Gr 2: 4.3%
Non operative: 34.4%/ 46.9%
Surgical with healing: 60.85%/48.85%
Surgical with death: 3.2%/1.8%
Palliation: 1.6%/2.4%
Gr 1: 42.3 days; Gr 2: 25.4 days
16/22
Finès (2013, Chron Dis Inj Can) (61)
  • All provinces except Quebec

  • Retrospective

Unintentional injuries
Hospitalisation
  • High % First Nations people areas (Gr 1)

  • High % Inuit areas (Gr 2)

  • High % Metis areas (Gr 3)

  • Low % Indigenous people areas (Gr 4)

  • All ages

  • F/M

Age-standardised hospitalisation rate for injuries/10,000 person-years (95% CI) Males/Females Gr 1: 145.94 (144.13-147.77)/ 103.47 (101.95-105.02)
Gr 2: 100.47 (95.14-106.09)/ 86.87 (81.77-92.28)
Gr 3: 111.76 (107.71-115.97)/ 73.63 (70.51-76.87)
Gr 4: 54.53 (54.36-54.70)/ 37.13 (37.04-37.29)
16/22
Myers (2007, BMC Public Health (68)
  • Alberta

  • Retrospective

Acetaminophen overdose
Hospitalisation
  • Indigenous people (Gr 1)

  • Alberta’s general population (Gr 2)

  • All ages

  • F/M

Risk ratio for hospitalisation for acetaminophen overdose for Gr 1 RR = 4.04 (p < 0.0005) 16/22
Myers (2007, CJEM) (69)
  • Alberta

  • Retrospective

Acetaminophen overdose
Hospitalisation
  • Indigenous people (Gr 1)

  • Alberta’s general population (Gr 2)

  • All ages

  • F/M

Risk ratio for hospitalisation for Gr 1 (95% CI) RR = 4.78 (4.24-5.39) 17/22
Newton, 2015 (CJEM) (106)
  • Alberta

  • Retrospective

Self harm
ED visits
  • First Nations people (Gr 1)

  • Alberta’s general population (Gr 2)

  • <18 y.o.

  • F/M

Standardised visit rates/100,000 (95% CI)
% of follow up visits for children at 30 days
2002-2003:
Gr 1: 243.5 (194.8-292.1); Gr 2: 101.2 (93.2-109.1)
2010-2011:
Gr 1: 201.5 (156.5-246.4); Gr 2: 70.8 (64.4-77.2)
Gr 1: 11.6%
Families receiving no subsidy: 65.3%
Families receiving human services program subsidy: 6.2%
Families receiving government-sponsored program subsidy: 16.9%
17/22
Oliver (2012, Health rep) (64)
  • All provinces except Quebec

  • Retrospective

Unintentional injuries
Hospitalisation
  • High % First Nation people areas (Gr 1)

  • High % Metis areas (Gr 2)

  • High % Inuit areas (Gr 3)

  • Low % Indigenous areas (Gr 4)

  • 0-19 y.o.

  • F/M

Hospitalisation risk ratio (95% CI) Gr 1: 2.3 (2.3-2.4); Gr 2: 2.4 (2.2-2.6); Gr 3: 2.2 (2.1-2.4)
* RR are higher for Indigenous people for all types of injuries: fall, transportation, struck, poisoning, cut/pierce, fire, environmental, drowning, suffocation.
16/22
Oliver (2014, Chron Dis Inj Can) (67)
  • All provinces except Quebec

  • Retrospective

Intentional injuries
Hospitalisation
  • High % First Nation people areas (Gr 1)

  • High % Metis areas (Gr 2)

  • High % Inuit areas (Gr 3)

  • Low % Indigenous people areas (Gr 4)

  • All ages

  • F/M

Age-standardised hospitalisation rates per 10,000 person-years for females (95% CI)
Age-standardised hospitalisation rates per 10,000 person-years for males (95% CI)
Total self-inflicted:
Gr 1: 28.44 (27.53-29.39); Gr 2: 19.14 (17.37-21.09);
Gr 3: 44.04 (40.46-47.95); Gr 4: 6.25 (6.19-6.31)
Total self-inflicted:
Gr 1: 14.39 (13.75-15.06); Gr 2: 9.56 (8.33-10.96);
Gr 3: 21.50 (19.07-24.23); Gr 4: 3.77 (3.73-3.82)
17/22