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Research Letter
August 19, 2019

Trends in Location of Death for Individuals With Cerebrovascular Disease in the United States

Author Affiliations
  • 1Sanford School of Public Policy, Duke University, Durham, North Carolina
  • 2Margolis Center for Health Policy, Duke University, Durham, North Carolina
  • 3Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
  • 4Department of Medicine, Cardiology Section, Veterans Affairs Boston Healthcare System, Boston, Massachusetts
JAMA Neurol. Published online August 19, 2019. doi:10.1001/jamaneurol.2019.2566

Advances in treatments have improved survival in patients with cerebrovascular disease, although little is known about the end-of-life experience of these patients.1 A critical patient-centric aspect of the end-of-life experience is location of death, with most patients preferring to die at home.2 However, the prevalence of locations of death and the factors determining location of death and hospice use in patients who died of stroke are unknown. We analyzed a national database to assess location of death for all patients who died from cerebrovascular disease in the United States from 2003 to 2017.