Reason for screen failure | Frequency prior to COVID N = 2976 | Frequency during COVID N = 3912 | p-value* |
---|---|---|---|
Hypotension outside eligibility parameters | 361 (12%) | 322 (8%) | < 0.0001* |
Paralysis/unable to use push-button device | 73 (2.5%) | 76 (2%) | 0.18 |
Acute stroke/seizures | 243 (8%) | 132 (3%) | < 0.0001* |
Cognitive impairment | 102 (3%) | 27 (1%) | < 0.0001* |
Coma | 23 (1%) | 3 (0.1%) | < 0.0001* |
Dementia | 75 (3%) | 47 (1%) | < 0.0001* |
RASS outside eligibility parameters | 776 (26%) | 990 (25%) | 0.64 |
Chronic ventilator support in residence | 45 (2%) | 47 (1%) | 0.3 |
Language barrier | 104 (3%) | 184 (5%) | 0.01* |
Chemical paralysis | 60 (2%) | 41 (1%) | 0.002* |
No sedation in previous 24 h | 150 (5%) | 152 (4%) | 0.02* |
Unable to follow simple commands | 180 (6%) | 326 (8%) | 0.0002* |
Need for multiple sedative medications | 43 (1.5% | 57 (1.5%) | 1.0 |
ECMO | 89 (3%) | 81 (2%) | 0.02* |
Alcohol withdrawal protocol requiring specific sedative medications | 92 (3%) | 52 (1%) | < 0.0001* |
Temporary pacemaker/severe bradycardia | 90 (3%) | 67 (2%) | 0.004* |
Procedure(s) requiring heavy sedation | 58 (2%) | 50 (1%) | 0.03* |
Documented research opt-out | 47 (1.5%) | 13 (0.3%) | < 0.0001* |
COVID-19 positive | ––– | 855 (22%) | –– |