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Table 4 Seven most frequently reported reasons for referral and problems identified by PCCT, by subgroup of decedents patients referred more than 30 days or less than 7 days before death

From: Integration and activity of hospital-based palliative care consultation teams: the INSIGHT multicentric cohort study

Patients referred < 7 days before death (n = 198)

Patients vu > 30 days before death (n = 171)

Reasons for referral

 

n

(%)

 

n

(%)

Pain

79

(39,9)

Pain

97

(56,7)

Dyspnea/cough/sputum

53

(26,8)

Early encounter

52

(30,4)

Decision to withhold or withdraw treatments

45

(22,7)

Choice of drug/change in the drug dosage or the route of administration

25

(14,6)

Decision for place of care

44

(22,2)

Dyspnea/cough/sputum

19

(11,1)

Choice of drug/change in the drug dosage or the route of administration

33

(16,7)

Decision for place of care

18

(10,5)

Early encounter

31

(15,7)

Decision to withhold or withdraw treatments

17

(9,9)

Anxiety/depression/emotional burden/grief, as a family issue

24

(12,1)

Anxiety/depression/emotional distress

15

(8,8)

Problems identified by PCCT

 Pain

104

(52,5)

Pain

94

(55,0)

 Dyspnea/cough/sputum

87

(43,9)

Fatigue

68

(39,8)

 Decision to withhold or withdraw treatments

59

(29,8)

Early encounter

59

(34,5)

 Choice of drug/change in the drug dosage or the route of administration

59

(29,8)

Anxiety/depression/emotional distress

51

(29,8)

 Anxiety/depression/emotional burden/grief, as a family issue

56

(28,3)

Appetite loss / difficulty of oral intake

49

(28,7)

 Fatigue

54

(27,3)

Choice of drug/change in the drug dosage or the route of administration

43

(25,1)

 Anxiety/depression/emotional distress

50

(25,3)

Anxiety/depression/emotional burden/grief, as a family issue

38

(22,2