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Table 2 Factors associated with the nurses’ and physicians’ CAESAR scores

From: Assessing physicians’ and nurses’ experience of dying and death in the ICU: development of the CAESAR-P and the CAESAR-N instruments

 

Score, median (IQR)

p value

Nurse scores

Conflict with physicians

0.02

  Yes

61 (58–65)

  No

63 (59–67)

Pain management

0.02

  By nurse

62 (59–66)

  By physician

63 (60–68)

Death disclosure to family

0.006

  By phone or upon arrival at the ICU

61 (58–65)

  At the bedside

63 (59–67)

Surgery

0.03

  Yes

60 (57–66)

  No

62 (59–66)

Chest tube

0.02

  Yes

61 (57–64)

  No

62 (59–67)

Bronchoscopy

0.02

  Yes

62 (58–65)

  No

62 (59–67)

Job strain: low decision control

0.002

  Yes

61 (58–65)

  No

63 (60–67)

Physician scores

McCabe

< 0.001

  1

66 (62–70)

  ≥ 2

63 (60–67)

Immunocompromised

0.003

  Yes

63 (60–67)

  No

65 (61–69)

Dementia

0.02

  Yes

59 (59–62)

  No

64 (61–68)

Liver failure

0.04

  Yes

63 (60–66)

  No

64 (61–68)

Hematological disease

0.005

  Yes

62 (58–64)

  No

65 (61–68)

Psychotropic medication

0.03

  Yes

63 (60–67)

  No

65 (61–69)

Decision to withdraw or withhold treatment

< 0.001

  Withdraw

66 (61–69)

  Withhold

63 (60–67)

  Neither

62 (60–66)

Cardiopulmonary resuscitation

< 0.001

  Yes

60 (58–63)

  No

65 (61–68)

Death disclosure to family

0.002

  By phone or upon arrival

64 (60–67)

  At bedside

65 (61–69)

Room dedicated to family information

 

0.005

  Yes

65 (61–69)

  No

62 (60–66)

Family information delivered together by nurse and physician

0.002

  Yes

65 (61–69)

  No

62 (60–66)

Systematic family information of an EOL decision

0.01

  Yes

65 (61–69)

  No

62 (60–66)

Implementation of decision

0.03

  By physician only

63 (60–67)

  By physician and nurse

65 (61–69)

24-h visiting in the ICU

0.007

  Yes

65 (61–70)

  No

64 (60–68)

  1. The distribution of CAESAR scores according to the following characteristics was summarized using median and interquartile range. Comparison of scores between characteristic modalities was performed using ANOVA test; a p value < 0.05 was considered statistically significant