Reason for screen failure | Frequency prior to COVID N = 1474 | Frequency during COVID N = 1620 | p-value* |
---|---|---|---|
Hypotension outside eligibility parameters | 194 (13%) | 168 (10%) | 0.02* |
Paralysis/unable to use push-button device | 38 (3%) | 27 (2%) | 0.10 |
Acute stroke/seizures | 160 (11%) | 79 (5%) | < 0.0001* |
Cognitive impairment | 58 (4%) | 7 (0.5%) | < 0.0001* |
Coma | 2 (0.1%) | 0 (0%) | < 0.0001* |
Dementia | 39 (3%) | 2 (0.1%) | 0.23 |
RASS outside eligibility parameters | 374 (25%) | 256 (16%) | < 0.0001* |
Chronic ventilator support in residence | 13 (1%) | 19 (1%) | 0.5 |
Language barrier | 44 (3%) | 76 (5%) | 0.01* |
Chemical paralysis | 38 (3%) | 18 (1%) | 0.003* |
No sedation in previous 24 h | 23 (1.5%) | 32 (2%) | 0.41 |
Unable to follow simple commands | 41 (3%) | 178 (11%) | < 0.0001* |
Need for multiple sedative medications | 10 (0.7%) | 44 (3%) | < 0.0001* |
ECMO | 87 (6%) | 81 (5%) | 0.34 |
Alcohol withdrawal protocol requiring specific sedative medications | 21 (1.5%) | 7 (0.5%) | 0.004* |
Temporary pacemaker/severe bradycardia | 90 (6%) | 67 (4%) | 0.02* |
Procedure(s) requiring heavy sedation | 2 (0.1%) | 16 (1%) | 0.0015* |
Documented research opt-out | 47 (3%) | 12 (0.7%) | < 0.0001* |
COVID-19 positive | ––– | 331 (20%) | –– |