ArticleJournal of the American Heart Association2021
Temporal Trends and Sex Differences in Intensity of Healthcare at the End of Life in Adults With Heart Failure.
Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 25 citations in OpenAlex.
- Long-term clinical outcomes and healthcare resource utilization in male and female patients following hospitalization for heart failure.European journal of heart failure · 2025Trial
- Sex and Racial/Ethnic Differences in End-of-Life Care in Texan Medicare Colorectal Cancer Decedents.The American journal of hospice & palliative care · 2026Article
- Worsening heart failure-based hierarchical endpoints beyond HF hospitalization: expert opinion paper.ESC heart failure · 2026Review
- Terminal heart failure care for women: better or more of the same?Internal medicine journal · 2025Article
- Patterns of Health Care Delivery Among Adults With Heart Failure in the Last Year of Life: A Retrospective Population-Based Study.Journal of the American Heart Association · 2025Article
- Trends in palliative care utilization among older adult decedents with and without cancer in Taiwan: a population-based comparative study.The Lancet regional health. Western Pacific · 2025Article
- From Hospital to Home: Evidence-Based Care for Worsening Heart Failure.JACC. Advances · 2024Review
- Racial Differences in Treatment Intensity at the End of Life Among Older Adults with Heart Failure: Evidence from the Health and Retirement Study.Journal of palliative medicine · 2024Article
- Interventions to enhance digital health equity in cardiovascular care.Nature medicine · 2024Article
- The determinants of actual place of death among noncancer patients with end-stage chronic health conditions: a scoping review.Palliative care and social practice · 2024Article
- Review
- Review
- Temporal Trends and Sex Differences in Intensity of Healthcare at the End of Life in Adults With Heart Failure.Journal of the American Heart Association · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
Background Patients with chronic disease prefer an adequately supported death at home, but often die in the hospital. We assessed temporal trends and sex differences in healthcare intensity and location of death among decedents with heart failure. Methods and Results This was a retrospective cohort study of adults with heart failure who died between April 1, 2004 and March 31, 2017 in Ontario, Canada. We used population-based administrative databases to assess healthcare utilization during the last 6 months of life and applied multilevel multivariable logistic regression to assess whether sex was independently associated with location of death. Among 396 024 decedents with heart failure, mean (SD) age was 81.8 (10.7) years, 51.5% were women, and 53.4% had in-hospital deaths. From 2004 to 2016, there was an increase in patients receiving mechanical ventilation (15.1%-19.6%), hemodialysis (5.2%-6.8%), and cardiac revascularization (1.7%-2.3%). Relative to men, women spent fewer days in a hospital (mean, 16.4 versus 18.3; mean difference, 1.9; 95% CI, 1.7-2.0;
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