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Table 4 Adverse effects

From: Continuous subcutaneous infusion for pain control in dying patients: experiences from a tertiary palliative care center

 

Total cohort

Main study group,3 days of survival

Total

Methadone in CSCI

No methadone in CSCI

 

n = 93

n = 47

n = 13

n = 34

 

Day 0

Day 0

Day 3

Day 0

Day 3

Day 0

Day 3

Alertnessa

 Mean (SD)

−0.5 (1.2)

−0.2 (1)

−1.2 (1,7)***

0.4 (0.9)

−0.9 (1.7)*

− 0.4 (1)

−1.3 (1.7)*

 Median (IQR)

0 (1)

0 (2)

−1 (2)

0 (1)

0 (2)

−0.5 (1)

−1 (2)

Deliriumb

 Prevalence n (%)

27 (29)

14 (30)

15 (32)

4 (31)

5 (39)

10 (29)

10 (29)

 Prev. < 75 years

12 (32)

7 (33)

9 (43)

4 (31)

5 (39)

8 (32)

7 (28)

 Prev. ≥  75 years

15 (27)

7 (27)

6 (23)

3 (30)

2 (20)

12 (27)

4 (9)

Anxiety c

 median (IQR)

3 (1)

3 (1)

2 (2)

3 (1)

2 (1.8)

3 (1.5)

2 (2)

  1. aOrdinal scale from + 4 (combative) to −5 (unarousable)
  2. bPrevalence of confusion/delirium (Yes/No)
  3. cOrdinal scale from 0 (not at all) to 4 (always)
  4. Significance of differences from day 0 to day 3:*p < 0.05; ***p ≤ 0.001
  5. In this table, the status of all 93 patients regarding alertness, prevalence of delirium and anxiety on the day of initiation, day 0, of continuous subcutaneous infusion (CSCI) is reported under total cohort. The main study group is the 47 patients who survived at least 3 days. The changes from day 0 to day 3 in adverse effects is shown for the total group and also for the 13 patients who received methadone in CSCI and the 34 patients who did not.
  6. (n number of patients, SD standard deviation, IQR inter quartile range)