Heart failure & cardiomyopathies
Where Adults With Heart Failure Die: Insights From the CDC-WONDER Database
Authors' conclusion
This study underscores the shifting trends in the locations of death among patients with HF, with a ≈2-fold increase in HF-related deaths occurring at home over the past 2 decades. The recent decline in hospice/nursing home deaths, following a period of steady growth, calls for an in-depth examination of contributing barriers. Further research is essential to understand the sociodemographic factors driving disparities in HF-related death locations.
Study context
- Population
- Individuals aged ≥20 years with heart failure (HF) listed as the cause of death in the United States, 1999–2023
- Exposure
- Associations between demographic factors and death location
- Outcome
- HF-related mortality rates
- Follow-up
- 1999 to 2023
Methodological detailsCDC-WONDER database, multinomial logistic regression
- CDC-WONDER database
- Multinomial logistic regression
Main finding
As reported in the abstract
1999
3.60% and 143.6 age-adjusted mortality rate
2010
3.47% and 123.1 age-adjusted mortality rate
2023
5.18% and 168.1 age-adjusted mortality rate
Observational data: associations, not effects.
Further findings
Deaths at home · 1999 to 2023
- 1999
- 18.41% (50 648 of 275 132)
- 2023
- 33.47% (132 470 of 395 826)
Hospice/nursing home deaths · 1999 to 2023
- 1999
- 30.95% (85 144 of 275 132)
- 2017
- 34.71% (116 634 of 336 014)
- 2023
- 29.54% (116 931 of 395 826)
Inpatient deaths by age
- Young adults (20-34 years) had the highest proportion of inpatient deaths
Predictors of death location
- Sex, ethnicity, and urbanization were significant predictors of death location, with men, White individuals, and those in large metropolitan areas more likely to die in medical facilities
Original publication
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