TABLE 3.
Patient | Outcome | Interval from first agreement to death, days | Age, years | Diagnosis at time of death |
Length of stay, days
|
APACHE II | Predicted risk of death from APACHE II | |
---|---|---|---|---|---|---|---|---|
Hospital | ICU | |||||||
1 | Death | 2 | 65 | Prehospital VF arrest with MVC, anoxia, hypothermia | 6 | 5.3 | 29 | 0.75 |
2 | Death | 6 | 66 | Gangrenous foot, AKA, sepsis and cardiac complications Comorbidities COPD |
25 | 7.8 | 34 | 0.83 |
3 | Death | 0 | 68 | Prehospital cardiac arrest, hypothermia | 3 | 2.2 | 46 | 0.97 |
4 | Death | 0 | 69 | Ischemic arm, embolectomy, complicated by MODS | 5 | 3.8 | 35 | 0.67 |
5 | Death | 2 | 80 | Respiratory distress with pleural effusion; adenocarcinoma lung, brain metastasis | 5 | 4.6 | 16 | 0.43 |
6 | Death | 1 | 74 | Post OP recurrent resection, CA floor of mouth | 20 | 11.0 | 23 | 0.43 |
7 | Death | 0 | 64 | CO poisoning (intentional), bowel cancer, CAD | 2 | 1.0 | 46 | 0.91 |
8 | Death | 0 | 70 | VSA arrests with hypothermia | 3 | 1.7 | 38 | 0.92 |
9 | Death | 1 | 73 | Fall, TBI, SDH, SAH, IPH | 8 | 6.5 | 27 | 0.48 |
10 | Death | 0 | 47 | Status asthmaticus, failed ECMO | 6 | 4.8 | 28 | 0.18 |
11 | Death | 0 | 83 | Food aspiration, shock | 2 | 0.7 | 41 | 0.91 |
12 | Death | 0 | 84 | Large hemorrhagic stroke | 3 | 2.5 | 33 | 0.63 |
13 | Death | 7 | 87 | Esophageal perforation | 62 | 56.0 | 27 | 0.72 |
14 | Death | 1 | 65 | Perforated duodenal ulcer, septic shock, metastatic CA breast | 13 | 9.2 | 40 | 0.92 |
15 | Home | n/a* | 72 | COPD exacerbation, CAD | 20 | 11.6 | 34 | 0.75 |
16 | Death | 0 | 76 | Prehospital VSA, hypothermia | 2 | 1.8 | 44 | 0.39 |
17 | Death | 10 | 86 | Septic shock, arm cellulitis, complicated by CVA and MODS | 14 | 12.9 | 42 | 0.94 |
18 | Death | 0 | 64 | Septic shock, ascending cholangitis, admitted from other unit | 38 | 37.3 | 40 | 0.92 |
19 | Death | 1† | 72 | Bilateral PE, stage 4 ovarian CA, from another hospital | 18 | 17.5 | 33 | 0.61 |
Median | 0.5 | |||||||
Maximum | 10 | |||||||
Minimum | 0 | |||||||
n <2 days | 15 |
Eight days in intensive care unit (ICU) after agreement, died eight months post ICU discharge;
Consensus on question 5 occurred on day before withdrawal of life support (WLS). AKA Above knee amputation; APACHE II Acute Physiology and Chronic Health Evaluation; CA Cancer; CAD Coronary artery disease; CO Carbon monoxide; COPD Chronic obstructive pulmonary disease; CVA Cerebrovascular accident; ECMO Extracorporeal membrane oxygenation; ICU Intensive care unit; IPH Idiopathic pulmonary hypertension; n/a Not applicable; MODS Multiple organ dysfunction syndrome; MVC Multiple vehicle crash; OP Operative; PE Pulmonary embolism; SAH Subarachnoid hemorrhage; SDH Subdural hemorrhage; TBI Traumatic brain injury; VF Ventricular fibrillation; VSA Vital signs absent