Palliative sedation, terminal sedation
Conditions
Interventions
None listed
Sponsors
Osaka Rosai Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Hospitalized patients in eligible wards (general wards or palliative care units) at participating institutions. Patients in whom palliative sedation is initiated for the relief of refractory suffering at the end of life. Eligibility is based on the concept of Intent plus Maintenance: sedation must be intentionally initiated for symptom relief and maintained in a sustained or repetitive manner for a certain period. Intermittent nighttime continuous midazolam may be included when it is considered sedation with maintenance. Consecutively enrolled cases during the study period at each participating site.
Exclusion criteria
Exclusion criteria: Sedation primarily administered for intensive or high-dependency care management in the ICU or HCU. Cases receiving only temporary or single-episode procedure-related or episodic sedation for tests, procedures, or interventions. Sedation not intended for palliative symptom relief. Cases lacking the minimum essential baseline information required for the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Whether a numeric Richmond Agitation-Sedation Scale (RASS) score is explicitly documented in the medical record from 30 to 60 minutes after the initiation of palliative sedation. | — |
Countries
Japan
Contacts
Public ContactNoriyuki Kawabata
Osaka Rosai Hospital Department of Palliative Care
Outcome results
None listed