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Table 5 Measures of components of end of life care of hospitalised residential aged care residents

From: Residential aged care residents and components of end of life care in an Australian hospital

Measures

Total

Advanced Dementia (AD)

Without Advanced Dementia (WAD)

AD vs WAD

 

Number (+/− %)

Mean (SD, Range)

Number (+/− %)

Mean (SD, Range)

Number (+/− %)

Mean (SD, Range)

p value

For Admitted under SPC

14

 

1

 

13

  

 PCU Length of Stay

 

6.7 (8.4, 1.3–33.1)

 

2.2 (N/A)

 

7.0 (8.6, 1.3–33.1)

 

For Admitted under Non SPC

87

 

21

 

66

  

 SPC Advice Only

4 (5)

 

0 (0)

 

4 (6)

 

p = 0.568

 SPC Consult Referral

38 (44)

 

10 (48)

 

28 (42)

 

p = 0.676

 Patient Seen by SPC

33 (38)

 

10 (48)

 

23 (35)

  

 Patient Died Before Seen

5 (6)

 

0 (0)

 

5 (8)

  

 Any SPC Involvement

42 (49)

 

10 (48)

 

32 (48)

 

p = 0.945

For SPC Consult

 Days to be Seen

 

0.6 (1.1, 0–3)

 

0.6 (1, 0–3)

 

0.6 (1.1, 0–3)

 

 SPC Take Over

18 (21)

 

4 (19)

 

13 (20)

 

p = 1.00

For PCU

 Transfer to PCU

32 (37)

 

8 (38)

 

24 (36)

 

p = 0.886

 PCU Length of Stay

 

2.4 (2.6, 0–11.4)

 

3.0 (1.4, 1.6–5.3)

 

2.3 (2.9, 0–11.4)

 

For All Patients (including Not Admitted)

 Number of Family/Caregiver Goals of Care Discussions

 

1.7 (1.0, 0–5)

 

1.5 (0.5, 1–2)

 

1.7 (1.1, 0–5)

p = 0.581

End of Life Medications in Last Three Days

 Opioid Charted

95 (87)

 

20 (80)

 

75 (89)

  

 Opioid Dose(s) per Day

 

2.5 (1.9, 0–8.7)

 

2.4 (1.5, 0–5)

 

2.6 (1.9, 0–8.7)

 

 Antipsychotic Charted

47 (43)

 

9 (36)

 

38 (45)

  

 Antipsychotic Dose(s) per Day

 

0.4 (0.7, 0–3)

 

0.1 (0.2, 0–0.7)

 

0.4 (0.7, 0–3)

 

 Pure Antiemetic Charted

51 (47)

 

8 (32)

 

43 (51)

  

 Pure Antiemetic Dose(s) per Day

 

0.3 (0.6, 0–3)

 

0.5 (1.1, 0–3)

 

0.3 (0.5, 0–2)

 

 Benzodiazepine Charted

80 (73)

 

16 (70)

 

63 (75)

  

 Benzodiazepine Dose(s) per Day

 

1.4 (1.5, 0–6.3)

 

1.6 (1.3, 0–4)

 

1.4 (1.6, 0–6.3)

 

 Antisecretory Charted

77 (71)

 

17 (68)

 

58 (69)

  

 Antisecretory Dose(s) per Day

 

1.0 (1.2, 0–5)

 

1.1 (1.4, 0–4.3)

 

0.9 (1.2, 0–5)

 

 Total Doses per Day

 

4.2 (3.5, 0–18)

 

4.0 (3.3, 0–11.3)

 

4.2 (3.6, 0–18)

p = 0.867

 CSCI Commenced

38 (35)

 

8 (32)

 

30 (36)

 

p = 0.732

  1. SD Standard Deviation, SPC Specialist Palliative Care, PCU Palliative Care Unit, CSCI Continuous Subcutaneous Infusion