Symptom | Hospital N=1252 | LTC N=449 | Hospice N=1086 | |||
First 4 hours episode after start CPD | Last 4 hours episode prior death | First 4 hours episode after start CPD | Last 4 hours episode prior death | First 4 hours episode after start CPD | Last 4 hours episode prior death | |
Patient has no pain | 262 (20.9) | 140 (11.2) p<0.001 | 67 (14.9) | 42 (9.4) p<0.001 | 143 (13.2) | 79 (7.3) p=0.005 |
Patient is not restless | 274 (21.9) | 179 (14.3) p<0.001 | 66 (14.7) | 53 (11.8) p=0.198 | 187 (17.2) | 101 (9.3) p<0.001 |
Patient has no obstruction of breath by respiratory tract secretions | 103 (8.2) | 97 (7.8) p=0.679 | 21 (4.7) | 44 (9.8) p<0.001 | 53 (4.9) | 56 (5.2) p=0.826 |
Patient has no nausea | 49 (3.9) | 14 (1.1) p<0.001 | 15 (3.3) | 6 (1.3) p=0.049 | 14 (1.3) | 5 (0.5) p=0.022 |
Patient is not vomiting | 31 (2.5) | 16 (1.3) p=0.014 | 8 (1.8) | 4 (0.9) p=0.344 | 13 (1.2) | 10 (0.9) p=0.629 |
Patient is not short of breath | 236 (18.9) | 134 (10.7) p<0.001 | 24 (5.3) | 14 (3.1) p=0.064 | 59 (5.4) | 26 (2.4) p<0.001 |
At least one of these goals was not achieved | 536 (42.8) | 337 (26.9) p<0.001 | 137 (30.5) | 112 (24.9) p=0.040 | 310 (28.5) | 190 (17.5) p<0.001 |
All p values are derived from McNemar test to assess the statistical significance of differences between the first and last 4 hours episode.
Differences between settings were considered statistically significant with p≤0.005.
CPD, Care Programme for the Dying.