End-of-Life Disparities in Chronic Rheumatic Heart Disease
Author Information
Author(s): Muacevic Alexander, Adler John R, Khanal Anuva, Rao Nidhi Laxminarayan, Rajaravichandran Anubama, Pathil Alen Antony, Majumder Kaustav, Rodriguez Jairon
Hypothesis
This research examines mortality patterns and the place of death in individuals with chronic rheumatic heart disease in the United States, aiming to identify demographic predictors for home or hospice death.
Conclusion
The findings emphasize the importance of considering patients' preferences and ensuring equitable access to end-of-life care services, regardless of their demographic background.
Supporting Evidence
- 73,673 deaths were analyzed from 1999 to 2020.
- Age was found to be a significant predictor of place of death.
- Individuals residing in the West were more likely to die at home or in hospice compared to other regions.
- White individuals had a higher likelihood of dying at home or in hospice compared to other racial groups.
Takeaway
This study looked at where people with chronic rheumatic heart disease die and found that older people and certain racial groups are more likely to die at home or in hospice care.
Methodology
The study utilized data from the CDC-WONDER database, spanning 22 years, and analyzed it by age, gender, race, and region using the ARIMA model for statistical analysis.
Potential Biases
The study relies solely on data from CDC-WONDER, which may contain inaccuracies or inconsistencies in completion.
Limitations
The study does not account for socioeconomic factors such as income, education, or access to healthcare, which are significant contributors to disparities in end-of-life care.
Participant Demographics
The study included individuals aged 25 and older, with a focus on demographic factors such as age, gender, race, and census region.
Statistical Information
P-Value
<0.05
Confidence Interval
95% Confidence Interval
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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