We also evaluated the predictors of the combined endpoint of hospitalizations and outpatient visits at the EOL. The findings were similar to the predictors of hospitalizations, with higher rates of care utilization seen in patients who were younger at death, married, cared for in a SNF, had more comorbidities, and died in an earlier year (data not shown). There was a trend toward higher rates of hospitalization and outpatient visits in patients with preserved EF (IRR 1.13, 95% CI 0.99-1.28, p=0.065).