Table 2 Structure of palliative care provision in ICU
n = 413 | |||
|---|---|---|---|
n | % | (95% CI) | |
The degree of implementation of palliative care screening in ICUs | |||
Yes | 16 | 4 | (2–6) |
Which methods do you use to determine whether ICU patients are eligible for palliative care? (Multiple answers allowed) | |||
Prediction of prognosis by clinician’s experience | 224 | 54 | (50–59) |
Multidisciplinary conference on palliative care | 126 | 31 | (26–35) |
Acute prognosis prediction tools (APACHE II, SOFA score, etc.) | 85 | 21 | (17–25) |
End-of-life prognostic tools (PaP score, etc.) | 14 | 3 | (2–6) |
Your institution-specific palliative care screening tools | 7 | 2 | (1–3) |
Others | 6 | 1 | (1–3) |
No clear method was used | 129 | 31 | (27–36) |
How often multidisciplinary conferences on palliative care are held in a month? | |||
Not at all | 308 | 75 | (70–79) |
Once | 50 | 12 | (9–16) |
Twice | 10 | 2 | (1–4) |
Three times | 2 | 0 | (0–2) |
Four times | 24 | 6 | (4–9) |
Five or more times | 8 | 2 | (1–4) |
Do you have a standardized protocol for each of the following items to alleviate the suffering of terminally ill patients? (Multiple answers allowed) | |||
Analgesia | 112 | 27 | (23–32) |
Delirium | 110 | 27 | (23–31) |
Sedation | 108 | 26 | (22–31) |
Ventilator weaning for discontinuation of life-sustaining treatment | 17 | 4 | (3–6) |
Discontinuation of medications not necessary for palliation of end-stage symptoms (e.g., discontinuation of hypertensive agents) | 15 | 4 | (2–6) |
Extubation of tracheal tube for discontinuation of life-sustaining treatment | 14 | 3 | (2–6) |
Symptom relief for difficult-to-treat respiratory failure | 12 | 3 | (2–5) |
End-of-life infusion management | 9 | 2 | (1–4) |
Discontinuation of nutritional therapy | 7 | 2 | (1–3) |
Symptom relief after discontinuation of life-sustaining treatment | 4 | 1 | (0–2) |
Others | 24 | 6 | (4–9) |
Are you continuously assessing for each of the following symptoms? (Multiple answers allowed) | |||
Pain | 382 | 92 | (90–95) |
Delirium | 340 | 82 | (78–86) |
Dyspnea | 169 | 41 | (36–46) |
Insomnia | 164 | 40 | (35–45) |
Bowel movement (Constipation/Diarrhea)) | 142 | 34 | (30–39) |
Anxiety/Depression | 133 | 32 | (28–37) |
Nausea | 104 | 25 | (21–30) |
Fatigue | 37 | 9 | (7–12) |
Thirst | 29 | 7 | (5–10) |
Others | 8 | 2 | (1–4) |
Do you have a system of psychosocial support for the family? (e.g., interviews with a clinical psychologist, information on social resources provided by a social worker) | |||
Yesa | 230 | 56 | (51–60) |