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Table 2 Structure of palliative care provision in ICU

From: Current status of palliative care delivery and self-reported practice in ICUs in Japan: a nationwide cross-sectional survey of physician directors

  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)
  1. Percentages do not add up to 100% due to missing values or duplicate responses
  2. ICU, intensive care unit
  3. CI, confidence interval
  4. The number and percentage who answered ‘always’ on a 5-point Likert scale for the question was described
  5. APACHE II, Acute Physiology and Chronic Health Evaluation
  6. SOFA score, Sequential Organ Failure Assessment score
  7. PAP score, Palliative Prognosis Score
  8. aThe number and percentage who answered ‘yes’