Table 3.
Unadjusted analysis of clinical outcomes according to emergency department sedation depth.
| Outcome | Deep sedation (n= 171) |
Light sedation (n= 153) |
Unadjusted OR or Between-Group Difference (95% CI) |
p |
|---|---|---|---|---|
| Ventilator-free days | 18.1 (10.8) | 20.0 (9.8) | 1.9 (−0.40 to 4.13) | 0.107 |
| ICU-free days | 16.3 (10.5) | 17.9 (9.4) | 1.6 (−0.54 to 3.83) | 0.139 |
| Hospital-free days | 11.8 (9.6) | 14.1 (8.9) | 2.3 (0.26 to 4.32) | 0.027 |
| Mortality, n (%) | 36 (21.1) | 26 (17.0) | 1.30 (0.74 - 2.28) | 0.354 |
| Acute brain dysfunction, n (%) | 117 (68.4) | 85 (55.6) | 1.73 (1.10 - 2.73) | 0.017 |
| Delirium, n (%) | 106 (62.0) | 84 (54.9) | 1.34 (0.86 - 2.09) | 0.196 |
| Coma, n (%) | 16 (9.4) | 3 (2.0) | 5.12 (1.47 - 18.08) | 0.005 |
ICU=intensive care unit; OR: odds ratio; CI: confidence interval
Ventilator-, ICU-, and hospital-free days are indexed to study day 28. Mortality refers to all cause in-hospital mortality, censured at day 28. Acute brain dysfunction is a composite outcome comprised of delirium and coma, and was assessed over the first 48 hours in the ICU. Delirium was assessed with the Confusion Assessment Method for the ICU (CAM-ICU), and coma was defined as being unresponsive or responsive to only physical stimulus (i.e. RASS −4 or −5) with every measurement of sedation depth.