Table 3.
Dexmedetomidine | Haloperidol | P | |
Primary | |||
Time to extubation, hours: median (IQR) | 19.9 (7.3 to 24.0) | 42.2 (23.2 to 117.8) | 0.016 |
Secondary | |||
Time to ICU discharge after randomisation, days: median (IQR) | 1.5 (1 to 3) | 6.5 (4 to 9) | 0.0039 |
Total ICU length of stay, days: median (IQR) | 4.5 (2 to 7) | 8.0 (7.0 to 11.0) | 0.0093 |
Time taken to achieve a satisfactory RASS agitation score (-2 to 1), hours: median (IQR) | 4 (0 to 7) | 18 (9 to 22) | 0.071 |
Time taken to achieve a satisfactory ICDSC score (< 4), hours: median (IQR) | 0 (0 to 2) | 0 (0 to 2) | 0.509 |
Proportion of time with a satisfactory RASS agitation score (-2 to 1), %: median (IQR) | 50.5 (20 to 78) | 26.5 (13 to 42) | 0.256 |
Proportion of time with a satisfactory ICDSC score (< 4) when assessable, %: median (IQR) | 95.5 (51 to 100) | 31.5 (17 to 97) | 0.122 |
Proportion of time with a desirable ICDSC score (< 1) when assessable, %: median (IQR) | 61.0 (0.0 to 100.0) | 0.0 (0.0 to 0.0) | 0.134 |
Required restraint at any time while on study drug, % | 90 | 80 | 0.53 |
Of patients requiring restraint at any time while on study drug, time to first not requiring restraint for > 4 hours, hours: median (IQR) | 18 (7.3 to 38.5) | 38 (26.3 to 49.8) | 0.03 |
Need for supplemental sedative or analgesic medication, % | |||
Propofol | 60 | 80 | 0.33 |
Midazolam | 20 | 10 | 0.53 |
Morphine | 30 | 40 | 0.64 |
Of patients requiring supplemental sedative or analgesic medication, dose rate: mean (95% CI) | |||
Propofol, mg/hour | 87.7 (15.5 to 160.0) | 123.4 (30.4 to 216.3) | 0.504 |
Midazolam, mg/hour | 1.0 (1.0 to 1.0) | 2.4 (N/A) | N/A |
Morphine, mg/hour | 1.0 (0.5 to 1.5) | 1.6 (0.3 to 2.8) | 0.28 |
Of patients requiring supplemental sedative or analgesic medication, % time this was required: mean (95% CI) | |||
Propofol | 41.2 (0 to 88.2) | 79.5 (61.8 to 97.2) | 0.05 |
Midazolam | 0 (0 to 0) | 0 (N/A) | N/A |
Morphine | 0 (0 to 0) | 32.9 (0 to 100) | 0.29 |
Required tracheostomy | 0 | 3 | 0.06 |
CI = confidence interval; ICDSC = Intensive Care Delirium Screening Checklist; ICU = intensive care unit; IQR = interquartile range; RASS = Richmond Agitation Sedation Scale.