Skip to main content

Table 21 (abstract A528). Comparison of treatment limitations: ICU vs. wards

From: ESICM LIVES 2016: part two

 

ICU (N= 390)

Wards (N=536)

Logistic regression, (OR, 95% CI), p

Documented poor prognosis

90,7%

88.3%

1.3 (0.8;2.1), p=0.3

Death expected during current hospitalization (perception of the physician)

89,3%

84.6%

1.5 (1.01;2.3), p=0.044

Palliative care provided (perception of the physician)

41,9%

62.8%

0.5 (0.4;0.7), p<0.001

Documented treatment limitation

DNR: 88.4%; DNI: 47.6%; no RRT: 31.1%; no catecholamines: 25,8%

DNR: 72.9%; DNI: 56,8%; No ICU transfer 19.4%; No antibiotics 6.5%

2.8 (1.8;4.4), p<0.001; 0.7 (0.5;0.95), p=0.024; NA; NA

Limitation of treatment never discussed among staff

31,5%

36.6%

0.8 (0.6;1.05), p=0.112

CPR 24h prior death

13,8%

3,7%

3.9 (2.3;6.6), p<0.001

Nurse involved in decision 4.5

4,5%

3.2%

1.4 (0.6;3.1), p=0.385

Info about the treatment limit: − to the family - to the nurse - to the patient

76.3%; 98.3%; 40.0%

81.4%; 96.0%; 31.1%

0.7 (0.5;1.1), p=0.114; 2.4 (0.9;6.9), p=0.098; 1.5 (0.5;4.6), p=0.5

Family present at the moment of death

15,8%

10,7%

1.6 (1.06;2.3), p=0.024