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. 2013 May 16;108(10):1942–1948. doi: 10.1038/bjc.2013.203

Table 2. Symptom control: comparison of bereaved relatives' views in the hospice as opposed to the hospitala.

  Hospice (1), (n=109)
Hospital+LCP (2), (n=78)
Hospital−LCP (3), (n=68)
 
  n % 95% CI n % 95% CI n % 95% CI P-valueb
In your opinion, during the last 2 days, did she/he appear to be in pain? (missing n=2, 0.8%)
Yes, all of the time 9 8.3 4.2–14.5 6 7.7 3.3–15.2 10 14.7 7.8–24.5 NS
Yes, some of the time 44 40.4 31.5–49.7 41 52.6 41.6–63.4 26 38.2 27.4–50.1  
No, she/he did not appear to be in pain
54
49.5
40.3–58.8
31
39.7
29.4–50.8
32
41.7
35.5–58.8
 
In your view, did the doctors and nurses do enough to help relieve the pain? (missing n=5, 2.0%)
Yes, all of the time 78 72.2 62.6–79.4* 46 59.0 47.9–69.4** 23 33.8 23.4–45.6 <0.0001
Yes, some of the time 8 7.4 3.5–13.4* 13 16.7 9.7–26.1 18 26.5 17.1–37.8  
No, not at all 0 0.0 0.0–2.3* 3 3.8 1.1–9.9 7 10.3 4.7–19.2  
Not applicable, she/he was not in pain
21
19.4
12.7–27.4
14
17.9
10.7–27.6
19
27.9
18.4–39.4
 
In your opinion, during the last 2 days, did she/he appear restless? (missing n=5, 2.0%)
Yes, all of the time 8 7.3 3.5–13.4* 7 9.0 4.1–16.8 17 25.0 15.9–36.2 <0.0001
Yes, some of the time 52 47.7 38.5–57.0 35 44.9 34.2–55.9 38 55.9 44.0–67.2  
No, she/he did not appear to be restless
46
42.2
33.2–51.6*
35
44.9
34.2–55.9**
12
17.6
10.0–28.0
 
In your view, should more have been done by the doctors and nurses to help relieve his/her restlessness? (missing n=14, 5.5%)
Yes 11 10.2 5.5–16.8* 15 19.5 11.7–29.0 27 39.7 28.7–51.6 <0.0001
No 50 46.3 36.7–55.2 30 39.0 28.2–49.5 26 38.2 27.4–50.1  
Not applicable, she/he was not restless
42
38.9
29.8–47.9
29
37.7
27.1–48.2**
11
16.2
8.9–26.3
 
In your opinion, during the last 2 days, did she/he appear to have a ‘noisy rattle' to his/her breathing? (missing n=10, 3.9%)
Yes, all of the time 22 20.2 13.5–28.4* 10 12.8 6.8–21.6 2 2.9 0.6–9.1 NS
Yes, some of the time 41 37.6 28.9–46.9 30 38.5 28.2–49.5 33 48.5 36.9–60.3  
No, she/he did not appear to have a ‘noisy rattle' to the breathing
43
39.4
30.7–48.8
35
44.8
34.2–55.9
29
42.6
31.4–54.5
 
Should more have been done to relieve the ‘noisy rattle'? (missing n=27, 10.6%)
Yes 18 16.5 10.5–24.3 12 15.4 8.7–24.6 11 16.2 8.9–26.3 NS
No 42 38.5 29.8–47.9 23 29.5 20.3–40.1 19 27.9 18.4–39.4  
Not applicable, there was no ‘noisy rattle' to his/her breathing
39
35.8
27.3–45.1
35
44.9
34.2–55.9
29
42.6
31.4–54.5
 
In your opinion, during the last 2 days, did she/he appear breathlessness? (missing n=8, 3.1%)
Yes, all of the time 16 14.7 9.0–22.2 11 14.1 7.7–23.1 21 30.9 20.9–42.5 0.0006
Yes, some of the time 35 32.1 23.9–41.3 24 30.8 21.4–41.6 28 41.2 30.1–53.0  
No, she/he did not appear breathless
54
49.5
40.3–58.8*
40
51.3
40.3–62.2**
18
26.5
17.1–37.8
 
In your view, should more have been done to help relieve the breathlessness? (missing n=27, 10.6%)
Yes 6 5.6 2.3–11.0* 11 14.1 7.7–23.1 16 23.5 14.7–34.6 <0.0001
No 35 32.4 23.9–41.3 20 25.6 17.0–36.1 28 41.2 30.1–53.0  
Not applicable, she/he was not breathless 55 50.9 41.2–59.7 40 51.3 40.3–62.2** 17 25.0 15.9–36.2  

Abbreviations: CI=confidence interval; LCP=Liverpool Care Pathway for the Dying Patient.

a

Confidence intervals with * indicate significant differences between columns 1 and 3; confidence intervals with ** indicate significant differences between columns 2 and 3; percentages do not always add up to 100% due to missing responses (total number of missing responses stated within table).

b

Comparisons between groups were conducted using χ2 testing and additional testing using the Cochran–Mantel–Haenszel test if question had ordinal response options. Bold values indicate the statistically significant results.