As of 2024, Node.js is a leading backend technology due to its event-driven architecture, scalability, and rich ecosystem, making it suitable for real-time applications and cloud integration. Key trends impacting Node.js include the rise of serverless architecture, enhanced microservices, and increased adoption of TypeScript, while it also integrates well with technologies like GraphQL and supports machine learning applications. Overall, Node.js continues to thrive as a favored choice for efficient and innovative web development.