Reason for screen failure | Frequency prior to COVID N = 1502 | Frequency during COVID N = 2292 | p-value* |
---|---|---|---|
Hypotension outside eligibility parameters | 167 (11%) | 154 (7%) | < 0.0001* |
Paralysis/unable to use push-button device | 35 (2.5%) | 49 (2%) | 0.78 |
Acute stroke/seizures | 83 (6%) | 53 (2%) | < 0.0001* |
Cognitive impairment | 44 (3% | 20 (1%) | < 0.0001* |
Coma | 21 (1.5%) | 3 (0.1%) | < 0.0001* |
Dementia | 36 (2.5%) | 45 (2%) | 0.4 |
RASS outside eligibility parameters | 402 (27%) | 734 (32%) | 0.0006* |
Chronic ventilator support in residence | 32 (2%) | 28 (1%) | 0.3 |
Language barrier | 60 (4%) | 108 (5%) | 0.33 |
Chemical paralysis | 22 (2%) | 23 (1%) | 0.22 |
No sedation in previous 24 h | 127 (9%) | 120 (5%) | 0.0001* |
Unable to follow simple commands | 139 (9%) | 148 (7%) | 0.00017* |
Need for multiple sedative medications | 33 (2%) | 13 (0.6%) | < (0.0001* |
ECMO COVID patients in CV (ICU) | 2 (0.1%) | 0 (0%) | 0.16 |
Alcohol withdrawal protocol requiring specific sedative medications | 71 (5%) | 45 (2%) | < (0.0001* |
Temporary pacemaker/severe bradycardia | 0 (0%) | 0 (0%) | –– |
Procedure(s) requiring heavy sedation | 56 (4%) | 34 (2%) | < (0.0001* |
Documented research opt-out | 0 (0%) | 1 (0%) | –– |
COVID-19 positive | ––– | 524 (23%) | –– |