Factors associated with non-compliance with the procedures for decisions to withhold or withdraw treatment
| Compliance (n=172) | Non-compliance (n=258) | P value | |
| City | 0.002 | ||
| Clermont-Ferrand | 123 (71.5) | 147 (57.0) | |
| Lyon | 49 (28.5) | 111 (43.0) | |
| Age (years) | 72.9±13.6 | 73.8±15.4 | 0.53 |
| Male sex | 95 (55.2) | 152 (58.9) | 0.45 |
| Reasons for admission | |||
| Infection (including sepsis and septic shock) | 83 (48.3) | 122 (47.3) | 0.84 |
| Acute respiratory symptoms | 79 (45.9) | 121 (46.9) | 0.84 |
| Hepato-digestive symptoms | 30 (17.4) | 57 (22.1) | 0.24 |
| Cardiac symptoms | 31 (18.0) | 31 (12.0) | 0.08 |
| Uro-nephrotic symptoms | 10 (5.8) | 13 (5.0) | 0.73 |
| Metabolic disorders | 6 (3.5) | 12 (4.7) | 0.56 |
| Neurological symptoms | 23 (13.4) | 33 (12.8) | 0.86 |
| Traumatology | 8 (4.7) | 11 (4.3) | 0.85 |
| Other | 23 (13.4) | 48 (18.6) | 0.15 |
| Organ failure | 160 (93.0) | 234 (90.7) | 0.39 |
| COVID-19 infection | 35 (20.3) | 41 (15.9) | 0.24 |
| Comorbidities | 161 (93.6) | 242 (93.8) | 0.94 |
| Diabetes | 34 (19.8) | 49 (19.0) | 0.84 |
| High blood pressure | 82 (47.7) | 111 (43.0) | 0.34 |
| Heart failure | 31 (18.0) | 37 (14.3) | 0.31 |
| Chronic renal failure | 24 (14.0) | 29 (11.2) | 0.40 |
| Respiratory failure | 14 (8.1) | 30 (11.6) | 0.24 |
| Cirrhosis | 13 (7.6) | 19 (7.4) | 0.94 |
| Immunosuppression | 68 (39.5) | 133 (51.6) | 0.01 |
| Other | 38 (22.1) | 43 (16.7) | 0.16 |
| Dependancy | 0.40 | ||
| Total | 16 (9.3) | 30 (11.6) | |
| Partial | 74 (43.0) | 95 (36.8) | |
| No | 82 (47.7) | 133 (51.6) | |
| Hospitalisation in ICU | 111 (64.5) | 126 (48.8) | 0.001 |
| Hospital stay (days) | 7 (3; 13) | 6 (2; 13) | 0.55 |
| Visits | 154 (89.5) | 208 (80.6) | 0.01 |
| Surrogate | 77 (44.8) | 129 (50.0) | 0.29 |
| Intervention of MPCT | 11 (6.4) | 18 (7.0) | 0.81 |
Data are presented as the number of patients (percentages), mean ±SD or median (25th; 75th percentiles).
ICU, intensive care unit; MPCT, mobile palliative care team.