Cardiomyopathy: Evaluating Disparities in Place of Death in the United States Using the CDC Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) Database Over 22 Years
Abstract
Background: The human experience involves the inevitable end of life, whether sudden or expected. Ensuring a dignified end-of-life encounter necessitates understanding influential factors.
Cardiomyopathy, a group of heart muscle diseases, has varying mortality implications, including heart failure and arrhythmias. Disparities in place of death (hospital, home, or hospice) can significantly alter the end-of-life care for a patient.
Methods: The aim of this study is to identify variations in death locations for U.S. cardiomyopathy patients between 1999 and 2020, based on age, gender, race, and census region, utilizing the CDC WONDER ( CDC Wide-Ranging Online Data for Epidemiologic Research) database, which contains a wide array of public health information. Data were categorized by age, gender, race, and location, and further subcategorized according to place of death.
Statistical analysis was done via R programming software. Result: The aggregate data of 528,401 cardiomyopathy-related deaths from 1990 to 2020 were obtained.
Findings revealed age, gender, and regional disparities in death location. Notably, cardiomyopathy is found to be prevalent in the 75+ years age group, male gender, and people belonging to Caucasian descent, and maximal in the Southern census area.
The study's logistic regression analysis unveiled a significant association between demographic factors and death locations. Conclusion: This research underscores the significance of understanding disparities in the place of death for cardiomyopathy patients, shedding light on demographic influences and paving the way for patient-centered end-of-life care approaches.