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Table 2 Description of palliative care and EOLD during COVID-19 pandemic

From: Palliative care practice and moral distress during COVID-19 pandemic (PEOpLE-C19 study): a national, cross-sectional study in intensive care units in the Czech Republic

 

Results (N = 313)

Personnel involved in EOLD process*, n (%)

 Attending physician

293 (93.6)

 Head of the ICU

253 (80.8)

 Patient’s relatives

170 (54.3)

 Attending nurse

157 (50.2)

 Consultant physician

90 (28.8)

 Matron/Head nurse

77 (24.6)

 Palliative care physician

22 (7.0)

Form of EOLD communication with patient’s family*, n (%)

 Family meeting

269 (85.9)

 Telephone call

203 (64.9)

 Meeting with patient’s family was not performed

12 (3.8)

 Videocall

9 (2.9)

Involvement of the patient's family regarding EOLD, n (%)

 Family/relatives were just informed about the decision;

 Patient was in comfort care if family/relatives did not disagree with the decision

141 (45.0)

 Family/relatives were included in the process, i.e. shared decisions

81 (25.9)

 Cannot answer as I was not involved in the decision process

39 (12.5)

 Family/relatives were just informed about the decision;

 Patient was in comfort care despite family’s disagreement

33 (10.5)

 Family/relatives were not informed about the decision

10 (3.2)

 Family/relatives were fully responsible for the decision

7 (2.2)

Inappropriate care of patient*, n (%)

 Yes, organ support was too long

151 (48.2)

 Yes, organ support was too extensive

114 (36.4)

 No

100 (31.9)

 Yes, organ support was not extensive enough

40 (12.8)

 Yes, organ support was too short

36 (11.5)

Physician

Express opinion about inappropriate care, Yes, n (%)a

89 (92.7)

 Opinion respected, Yesb

71 (79.8)

Nurse

Express opinion about inappropriate care, Yes, n (%)a

87 (77.0)

 Opinion respected, Yesb

37 (42.5)

Resource scarcity situation experience, n (%)

 No

86 (27.5)

 Yes, occasionally

36 (11.5)

 Yes, repeatedly

10 (3.2)

 Did not answer

181 (57.8)

Practice of comfort care was different during/before COVID-19 pandemic

 Strongly agree

49 (15.7)

 Somewhat agree

104 (33.2)

 Do not know

34 (10.9)

 Somewhat disagree

90 (28.8)

 Strongly disagree

32 (10.2)

  1. COVID-19 Coronavirus disease, IQR interquartile range, EOLD end-of-life decision
  2. aPercentage based on number of physicians/nurses who considered care of patient as inappropriate
  3. bP < 0.001 between nurses and physicians regarding expressing their opinion regarding inappropriate care and respecting opinion
  4. *More than one answer possible