National mortality statistics in this report were based on death-certificate information from all 50 states and the District of Columbia (DC) that was reported to CDC. Demographic data (eg, race/ethnicity, sex, and age) and place of death on death certificates were provided by funeral directors or family members. The death certificate item on where death was pronounced was used as a proxy source of information for place of death. Stroke-related deaths were defined as those for which the underlying cause reported on the death certificate by a physician, medical examiner, or coroner was classified according to International Classification of Diseases, Tenth Revision (ICD-10) codes I60–I69. These include hemorrhagic (I60–I62), cerebral infarction (I63), unspecified (I64), occlusion and stenosis (I65–I66), other cerebrovascular deaths (I67–I68), and deaths with cerebrovascular sequelae (I69). Place of death was defined as pre-transport death (death pronounced in a nursing home or at home or other place), post-transport death (death pronounced in the ED or hospital), DOA, or unknown. The distribution of place of death among stroke decedents in the United States was assessed during 1999-2002 and the percentage change was assessed from 1999 to 2002.