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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