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Table 5 Palliative care aspects, analyzed per answering group on the DSQ

From: Screening with the double surprise question to predict deterioration and death: an explorative study

 

Group 1

(n = 122)a

Group 2

(n = 129)b

Group 3

(n = 21)c

Dimensions discussedd; n (%)

 - Somatic

115 (94%)

127 (98%)

21 (100%)

 - Social

32 (26%)

49 (38%)

8 (38%)

 - Psychological

45 (37%)

59 (46%)

12 (57%)

-  Existential

22 (18%)

41 (32%)

12 (57%)

 Total number of dimensions; median (IQR)

2 (1)

2 (2)

3 (1)

 ACP directivese; median (IQR)

0 (0)

0 (0)

0 (2)

ACP aspectsd; n (%)

 - Discussing end-of-life wishes

12 (10%)

17 (13%)

3 (14%)

 - Discussing dying scenarios

0 (0%)

2 (2%)

3 (14%)

 - Discussing preferred place of death

0 (0%)

4 (3%)

4 (19%)

 - Assignment for out of hours GP care

5 (4%)

16 (12%)

5 (24%)

 Total number of ACP aspects and directives; median (IQR)

0 (0)

0 (1)

1 (3)

 At least one ACP aspect or directive

24 (20%)

44 (34%)

11 (52%)

 At least one ACP aspects or directive discussed before May 2016

41 (34%)

75 (58%)

17 (81%)

 At least one ACP aspects or directive, over all time

53 (43%)

91 (71%)

19 (90%)

Other palliative care aspectsa; n (%)

 - Discussing personal aspects of quality of life

0 (0%)

3 (2%)

0 (0%)

 - Discussing personal goals

2 (2%)

4 (3%)

3 (14%)

 - Discussing preferences for treatment

18 (15%)

42 (33%)

5 (24%)

 - Involving family and loved-ones in planning care

18 (15%)

42 (33%)

11 (52%)

 - Providing care for family and loved-ones

2 (2%)

10 (8%)

3 (14%)

  1. aGroup 1: SQ1 = yes
  2. bGroup 2: SQ1 = no, SQ2 = no
  3. cGroup 3: SQ1 = no, SQ2 = yes
  4. dDimensions, ACP aspects and palliative care aspects: when at least once discussed and documented
  5. eDirectives include: CPR, hospital admissions, mechanical ventilation, antibiotics and artificial feeding and liquid administration