Table 1.
Baseline characteristics | |
Age in years at death, mean (SD) | 67.1 (15.9) |
Female, n (%) | 23 (46.0) |
Race, n (%) | |
White | 44 (88.0) |
Non-white | 6 (12.0) |
APACHE II score, mean (SD) | 29.6 (9.3) |
Location prior to ICU, n (%) | |
Hospital ward | 21 (42.0) |
Emergency room | 16 (32.0) |
Operating room | 1 (2.0) |
Other hospital—any ward | 11 (22.0) |
Other (dialysis unit) | 1 (2.0) |
ICU admitting diagnosis, n (%) | |
Cardiovascular/vascular | 19 (38.0) |
Respiratory | 14 (28.00 |
GI | 6 (12.0) |
Neurological | 4 (8.0) |
Sepsis | 6 (12.0) |
Renal | 1 (2.0) |
Admission type, n (%) | |
Medical | 49 (98.0) |
Surgical | 1 (2.0) |
On dialysis pre-ICU, n (%) | 10 (20.0) |
Spiritual belief, n (%) | |
Catholic | 15 (30.0) |
Muslim | 2 (4.0) |
Lutheran | 1 (2.0) |
Baptist | 4 (8.0) |
Anglican | 5 (10.0) |
Agnostic | 7 (14.0) |
Greek Orthodox | 1 (2.0) |
Protestant | 2 (4.0) |
United | 1 (2.0) |
None | 7 (14.0) |
Unknown | 5 (10.0) |
ICU stay | |
Code status documented on ICU admission, n (%) | |
Full code | 40 (80.0) |
No code | 10 (20.0) |
Advanced life supports administered at any time in ICU, n (%) | |
Mechanical ventilation | 50 (100.0) |
Inotropes | 34 (68.0) |
Dialysis | 21 (42.0) |
Advanced life supports withdrawn just before death, n (%) | |
Mechanical ventilation | 33 (66.0) |
Inotropes | 10 (20.0) |
Dialysis | 3 (6.0) |
Advanced life supports withheld, n (%) | |
Mechanical ventilation | 5 (10.0) |
Inotropes | 2 (4.0) |
Dialysis | 10 (20.0) |
Patient had an explicit wish to die, n (%) | 4 (8.0) |
Spiritual care consult in ICU, n (%) | 38 (76.0) |
Palliative care consult in ICU, n (%) | 17 (34.0) |
Location of death | |
ICU | 48 (96.0) |
Emergency room | 1 (2.0) |
Ward | 1 (2.0) |
Length of stay | |
Days from hospital admission to ICU admission, median (IQR) | 0 (0–7) Total range 0–201 |
Days from ICU admission to death, median (IQR) | 6 (4–13) Total range 0–66 |
Days from hospital admission to death, median (IQR) | 8 (4–28) Total range 0–209 |
Days from ICU admission to enrolment in 3 Wishes Program, median (IQR) | 4.5 (2–8) Total range 0–61 |
Days from enrolment in 3 Wishes Program to death, median (IQR) | 1 (0–2) Total range 0–23 |
Advanced life support | |
On mechanical ventilation at any time in ICU, n (%) | 50 (100.0) |
Duration of mechanical ventilation, median days (IQR) | 6 (5–14) n=50 |
Received inotropes at any time in ICU, n (%) | 34 (68.0) |
Duration of receipt of inotropes, median days (IQR) | 4 (2–6) n=34 |
Patients newly receiving dialysis in ICU (of those who did not receive it prior to ICU), n (%) | 11/40 (27.5) |
Duration of dialysis in ICU in those newly receiving dialysis in ICU, median days (IQR) | 5 (1–23) n=11 |
In this table, we describe the characteristics of 50 patients enrolled in the 3 Wishes Project cared for by the 33 residents we interviewed.
n=50 patients.
GI, gastrointestinal; ICU, intensive care unit.