Cardiovascular disease rates, outcomes, and quality of care in Ontario Métis: a population-based cohort study

The burden of cardiovascular disease in the Métis, Canada's fastest growing Aboriginal group, is not well studied. We determined rates of five cardiovascular diseases and associated outcomes in Ontario Métis, compared to the general Ontario population. Métis persons were identified using the Mé...

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Bibliographic Details
Published in:PloS one 2015-03, Vol.10 (3), p.e0121779-e0121779
Main Authors: Atzema, Clare L, Khan, Saba, Lu, Hong, Allard, Yvon E, Russell, Storm J, Gravelle, Mario R, Klein-Geltink, Julie, Austin, Peter C
Format: Article
Language:English
Subjects:
Adult
Atrial fibrillation
Cardiac arrhythmia
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - mortality
Care and treatment
Citizenship
Cohort analysis
Cohort Studies
Collaboration
Comparative analysis
Congestive heart failure
Coronary artery disease
Coronary heart disease
Demography
Diabetes
Diagnosis
Emergency medical services
Ethnic Groups - statistics & numerical data
Female
Fibrillation
Health risk assessment
Health sciences
Heart attacks
Heart failure
Hospitalization
Humans
Hypertension
Identification methods
Incidence
Inuit
Male
Medical care
Medical diagnosis
Middle Aged
Mortality
Native North Americans
Online databases
Ontario - epidemiology
Patients
Personal health
Population
Population studies
Population-based studies
Prevalence
Quality
Quality management
Quality of Health Care
Stroke
Stroke (Disease)
Treatment Outcome
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Summary:The burden of cardiovascular disease in the Métis, Canada's fastest growing Aboriginal group, is not well studied. We determined rates of five cardiovascular diseases and associated outcomes in Ontario Métis, compared to the general Ontario population. Métis persons were identified using the Métis Nation of Ontario Citizenship Registry. Métis citizens aged 20-105 were linked to Ontario health databases for the period of April 2006 to March 2011. Age- and sex-standardized prevalence and incidence of acute coronary syndromes (ACS), congestive heart failure (CHF), cerebrovascular disease (stroke), atrial fibrillation, and hypertension were compared between the Métis and the general population. Secondary outcome measures included one-year hospitalizations and mortality following the incident cardiovascular diagnosis, as well as quality-of-care measures. There were 12,550 eligible Métis persons and 10,144,002 in the general population. The adjusted prevalence of each disease was higher (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0121779