(HealthDay News) — From 2003 to 2017, the proportion of cardiovascular disease (CVD) deaths that occurred in the hospital decreased, while CVD deaths at home increased, according to a study published in the Journal of the American College of Cardiology.
Sarah H. Cross, MPH, from Duke University in Durham, North Carolina, and colleagues examined trends and factors associated with the location of death among CVD patients in the United States using the Mortality Multiple Cause-of-Death Public Use Record from 2003 to 2017.
The researchers found that 12.3 million deaths were attributed primarily to CVD between 2003 and 2017. In 2003, 36.5% of the deaths occurred in the hospital and decreased to 27.3% in 2017; there was also a reduction in nursing facility deaths from 25.1 to 20.6%. During the same period, there was an increase in deaths at home (from 21.3 to 30.9%) and in hospice (to 6% in 2017). These trends were seen across most CVD diagnoses. The greatest increases in home deaths occurred among deaths due to ischemic heart disease or hypertensive disorders, while the proportion of patients dying in the hospital decreased for all CVD subtypes except conduction disorders.
“Home has become the most common place of death for CVD patients, reinforcing the need for more information about the experiences of these patients,” the authors write.
Several authors disclosed financial ties to the pharmaceutical industry.