All n = 78 | Hospital n = 23 | PCU n = 19 | Hospice n = 36 | p value | |
---|---|---|---|---|---|
Primary reason to start PS | |||||
Dyspnea | 17 (22%) | 7 (30%) | 3 (16%) | 7 (19%) | 0.4b |
Delirium | 14 (18%) | 9 (39%) | 1 (5%) | 4 (11%) | 0.01b |
Exhaustion | 13 (17%) | 2 (9%) | 4 (21%) | 7 (19%) | 0.5b |
Existential suffering | 9 (12%) | 1 (4%) | 3 (16%) | 5 (14%) | 0.4b |
Anxiety | 7 (9%) | 0 | 1 (5%) | 6 (17%) | 0.07b |
Pain | 5 (6%) | 2 (9%) | 1 (5%) | 2 (6%) | 0.9b |
Nausea/vomiting | 4 (5%) | 0 | 3 (16%) | 1 (3%) | 0.05b |
Other | 7 (9%) | 1 (4%) | 3 (16%) | 3 (8%) | 0.5b |
Missing | 2 (3%) | 1 (4%) | 0 | 1 (3%) | |
No. of symptoms at start PS | |||||
1 | 15 (19%) | 8 (35%) | 2 (11%) | 5 (14%) | 0.08b |
2 | 31 (40%) | 8 (35%) | 7 (37%) | 16 (44%) | 0.7b |
3 or more | 32 (41%) | 7 (30%) | 10 (53%) | 15 (42%) | 0.3b |
Form of PS | |||||
Continuous sedation | 73 (94%) | 22 (96%) | 18 (95%) | 33 (92%) | 0.8b |
Intermittent sedation | 3 (4%) | 0 | 1 (5%) | 2 (6%) | 0.5b |
Started intermittent- changed in continuous sedation | 2 (3%) | 1 (4%) | 0 | 1 (3%) | 0.6b |
Sedative medication used | |||||
Midazolam only | 50 (64%) | 17 (74%) | 8 (42%) | 25 (69%) | 0.07b |
Midazolam and other medicationc | 26 (33%) | 6 (26%) | 9 (47%) | 11 (31%) | 0.3b |
Midazolam changed in phenobarbital | 2 (3%) | 0 | 2 (11%) | 0 | 0.04b |
Recalculated midazolam dosages (mg/h), median [IQR] | 2.3 [1.5–3.1] | 2.0 [1.2–3.1] | 3.1 [2.5–5.1] | 2.3 [1.7–2.8] | 0.01a |
Administration of opioids(sc/iv) during PS, yes (n, %)d | 74 (95%) | 21 (91%) | 17 (89%) | 36 (100%) | 0.2b |
Duration PS (in hours), median [IQR] | 38.1 [16.2–87.5] | 41.6 [18.6–80.5] | 37.0 [27.0–97.8] | 31.4 [15.6–72.7] | 0.8a |