Time Trends in Health Care UtilizationAll utilization decreased over time. The proportion of patients who died in the hospital decreased over time from 32.8% in 2003-06 to 22.4% in 2010-2012 (p trend=0.019). The rate of hospitalizations was 46% less for patients who died from 2010-2012 and 31% less for those who died from 2007-2009 compared with 2003-2006 (IRR 0.54 and 0.69, respectively, p for trend <0.001, Figure 3). Similarly, the rate of outpatient visits was 32% less for those who died in 2010-2012 compared with 2003-2006. Trends were similar in patients with preserved and reduced EF.
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