Joundi RA, Smith EE, Yu AYX, et al. - Between 2003 and 2017, the use of life-sustaining care following an acute stroke rose. Women and individuals over the age of 65 had decreased risks of requiring intensive care, albeit the disparities narrowed over time.

• During the study period, 137,358 patients were hospitalized for acute ischemic stroke or intracerebral hemorrhage.

• There was an increase in the proportion of people requiring intensive care unit care (12.4% to 17.7%) and mechanical ventilation (4.4% to 6.6%) between 2003 and 2017.

• There was a little increase in craniotomy/craniectomy, a decrease in the use of percutaneous feeding tubes, and no change in tracheostomy.

• Trends were fairly similar across stroke types and remained after adjusting for comorbid conditions, stroke‐center type, and estimated stroke severity.

• Women and individuals over the age of 80 had a reduced likelihood of receiving all life-sustaining care after adjustment, while the discrepancies in intensive care unit admission narrowed over time.