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

PloS One
Clare L AtzemaPeter C Austin

Abstract

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<0.05) among the Métis compared to the general population: ACS 5.3% vs. 3.0%; CHF 5.1% vs. 3.9%; stroke 1.4% vs. 1.1%; atrial fibrillation 2.1% vs. 1.4%; hypertension 34.9% vs. 29.8%. Incident ACS, stroke, and atrial fibrillation were also higher (p...Continue Reading

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Citations

Apr 9, 2020·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Fariba KolahdoozSangita Sharma
May 12, 2017·Canadian Journal of Kidney Health and Disease·Jade S HaywardAmit X Garg
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Nov 3, 2020·Heart, Lung & Circulation·Simon RocheleauChristopher X Wong
Jul 30, 2021·International Journal of Circumpolar Health·Laura-Philippe VigneaultMaude St-Onge

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