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Our work on #TemporalTrends & #SexDifferences in #EndOfLifeCare in #HeartFailure
Among 396,024
patients who died 2004-17
mean age 81.8(10.7), 51.5%
a majority of patients died in a hospital
trend in invasive care in last months of life
https://www.ahajournals.org/doi/10.1161/JAHA.120.018495
Among 396,024
patients who died 2004-17mean age 81.8(10.7), 51.5%a majority of patients died in a hospital trend in invasive care in last months of lifehttps://www.ahajournals.org/doi/10.1161/JAHA.120.018495
In last 6 mo, (vs 
)
spent fewer days in a hospital/ICU
received mechanical ventilation, hemodialysis, cardiac catheterization less commonly
received palliative care as commonly
had lower adjusted odds of dying in a hospital setting
https://www.ahajournals.org/doi/10.1161/JAHA.120.018495
(vs )spent fewer days in a hospital/ICUreceived mechanical ventilation, hemodialysis, cardiac catheterization less commonlyreceived palliative care as commonlyhad lower adjusted odds of dying in a hospital settinghttps://www.ahajournals.org/doi/10.1161/JAHA.120.018495
Most patients desire a supported death at home, yet majority of 394K pts w/ #HF died in 
Factors independently associated with dying in
male sex
younger age
no palliative care
more comorbidities
SES
hospital 
capacity
https://www.ahajournals.org/doi/10.1161/JAHA.120.018495
@HeartOTXHeartMD
Factors independently associated with dying in
male sexyounger ageno palliative care more comorbiditiesSEShospital capacityhttps://www.ahajournals.org/doi/10.1161/JAHA.120.018495
@HeartOTXHeartMD
#HealthcareCosts during last
6 mths of life in #HF:
have over time (adjusted for inflation)
are higher among those who die in a hospital vs home
Palliative care models to support home deaths can be patient centered + help contain healthcare costs
https://www.ahajournals.org/doi/10.1161/JAHA.120.018495
6 mths of life in #HF:
have over time (adjusted for inflation)are higher among those who die in a hospital vs home Palliative care models to support home deaths can be patient centered + help contain healthcare costs
https://www.ahajournals.org/doi/10.1161/JAHA.120.018495
