National trends and disparities in place of death of heart failure-related mortality among older adults in the United States, 1999 to 2022

Authors

Ali Bin Abdul Jabbar, Creighton University School of Medicine
Taha Mansoor, Western Michigan University Homer Stryker
Zain Ul Abidin, Aga Khan UniversityFollow
Muhammad Abdullah Javed, Baylor College of Medicine
Mahmoud Ismayl, Mayo Clinic, Rochester
Mason Klisares, Creighton University School of Medicine
Kyle Gilkeson, Creighton University School of Medicine
Ahmed Aboeata, Creighton University School of Medicine

Document Type

Article

Department

Medicine

Abstract

Background: The purpose of this study is to analyze trends and disparities in the place of death of older adults with heart failure (HF) across the United States (US) from 1999 to 2022.
Methods: We used the US multiple cause-of-death files from CDC Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) to access HF-related deaths among individuals aged ≥ 65 from 1999 to 2022. Deaths were categorized at home/hospice facilities, medical facilities, and nursing homes, and stratified into different demographic and geographic groups. Statistically significant trends in mortality over time were identified using Joinpoint regression model.
Results: From 1999 to 2022, there were 6,767,325 HF-related deaths. Of these, 2,124,398 (30.04 %) deaths occurred in home/hospice facilities, 2,627,426 (37.15 %) deaths occurred in medical facilities, and 2,015,501 (28.50 %) deaths occurred in nursing homes. The proportion of HF deaths increased in home/hospice facilities (AAPC 3.93*, CI: 3.76 - 4.14) while decreasing in medical facilities (AAPC -1.70*, CI: -1.79 to -1.61) and nursing homes (AAPC -2.07*, CI: -2.33 to -1.88) in all race/ethnic groups, US census regions and rural-urban areas. Hispanics had the highest proportion of deaths in home/hospice, while NH African Americans had the lowest. West and South regions continued to have high mortality in home/hospice, while the Midwest continued to have the highest mortality in nursing homes.
Conclusions: A significant shift was seen in the place of death amongst older adults with HF, with an increase in the proportion of HF deaths occurring in home/hospice facilities and a decrease at medical facilities and nursing homes.

Comments

Volume and issue number is not provided by the author/pblihser.

AKU Student

no

Publication (Name of Journal)

Journal of the National Medical Association

DOI

10.1016/j.jnma.2025.12.001

Recommended Citation

Jabbar, A. A., Mansoor, T., Abidin, Z. U., Javed, M. A., Ismayl, M., Klisares, M., Gilkeson, K., Aboeata, A. (2025). National trends and disparities in place of death of heart failure-related mortality among older adults in the United States, 1999 to 2022. Journal of the National Medical Association, 1-17.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_med_med/748