Age- and sex-adjusted all-cause and cardiovascular-related¹ one-year mortality (from incident diagnosis) by cardiovascular disease, per 100 persons, in the Métis and general Ontario population, April 1 2006 to March 31 2012.

<p>CI: Confidence Interval</p><p>¹ ICD 9/10 diagnostic codes to define cardiovascular-related mortality were obtained from: Statistics Canada. Comparability of ICD-10 and ICD-9 for Mortality Statistics in Canada. Ottawa ON, 2005. ICD-9 codes: 390–448. ICD-10 codes: I00-I78.</p><p>Age- and sex-adjusted all-cause and cardiovascular-related^{<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0121779#t004fn002" target="_blank">1</a>} one-year mortality (from incident diagnosis) by cardiovascular disease, per 100 persons, in the Métis and general Ontario population, April 1 2006 to March 31 2012.</p

Cardiovascular disease types and corresponding definitions in province-wide health administrative databases.

<p>ICD: International Classification of Diseases, version 9 or 10; OHIP: Ontario Health Insurance Plan; DAD: Discharge Abstract Database; NACRS: National Ambulatory Care Reporting System; PPV: Positive predictive value; MRD: most responsible diagnosis; N/A: Not available</p><p>¹ A similar validated algorithm published (using [OHIP + DAD claim] in place of [NACRS + 2^nd NACRS (2 claims in any study year)]: Schultz SE, Rothwell DM, Chen Z, Tu K. Identifying cases of congestive heart failure from administrative data: a validation study using primary care patient records. Chronic Dis Inj Can 2013; 33(3): 160–6.</p><p>² Single NACRS I480 main diagnosis: Atzema CL, Austin PC, Miller E, Chong AC, Yun L, Dorian P. A population-based description of atrial fibrillation in the emergency department, 2002–2010. Ann Emerg Med 2013;62(6):570–7</p><p>³ Validated algorithm published at: Tu K, Campbell NR, Chen Z, Cauch-Dudek K, McAlister FA. Accuracy of administrative databases in identifying patients with hypertension. Open Med 2007; 1(1): 18–26.</p><p>Cardiovascular disease types and corresponding definitions in province-wide health administrative databases.</p

Quality of care measures after incident cardiovascular disease diagnosis in the Métis and the rest of the Ontario population, April 1 2006 to March 31 2011.

<p>CI: Confidence Interval</p><p>¹ Defined as frequency of beta-blocker use within 3 months after incident diagnosis in persons aged 65+</p><p>² Defined as frequency of outpatient echocardiogram within 6 months of incident diagnosis</p><p>³ Defined as age- and sex-adjusted rate ratio of emergency department visits in the year after incident diagnosis</p><p>* p<0.05</p><p>Quality of care measures after incident cardiovascular disease diagnosis in the Métis and the rest of the Ontario population, April 1 2006 to March 31 2011.</p

Age- and sex-adjusted rate ratios of one-year disease-specific hospitalizations (from incident diagnosis) by cardiovascular disease, in the Métis and general Ontario population, April 1 2006 to March 31 2012.

<p>CI: Confidence Interval</p><p>* p <0.05</p><p>Age- and sex-adjusted rate ratios of one-year disease-specific hospitalizations (from incident diagnosis) by cardiovascular disease, in the Métis and general Ontario population, April 1 2006 to March 31 2012.</p

Demographic characteristics of the Métis and the general Ontario population as of April 1, 2006.

<p>IQR: Interquartile Range</p><p>¹Income quintile was determined from postal codes obtained from the Registered Persons Database and neighbourhood-level median household income from Statistics Canada census data. Quintiles range from poorest (Q1) to wealthiest (Q5).</p><p>Demographic characteristics of the Métis and the general Ontario population as of April 1, 2006.</p

Study flow diagram of Métis and the general Ontario population.

<p>Study flow diagram of Métis and the general Ontario population.</p

Age- and sex-adjusted prevalence and incidence of cardiovascular diseases, per 100 persons, in the Métis and the general Ontario population, April 1 2006 to March 31 2011.

<p>CI: Confidence Interval; IQR: Interquartile Range</p><p>* p <0.05</p><p>Age- and sex-adjusted prevalence and incidence of cardiovascular diseases, per 100 persons, in the Métis and the general Ontario population, April 1 2006 to March 31 2011.</p