Table 1

Key characteristics of cases within the trajectories

Trajectory 1 cases (n=10)Trajectory 2 cases (n=8)
Age (median, range)79.5 (47–94) yearsAge (median, range)83 (53–96) years
Gender6 female; 4 maleGender1 female; 7 male
CACI* Comorbidity Score (median, range)5.5 (4–10)CACI Comorbidity Score (median, range)6.5 (2–9)
Social historyCare/nursing home resident or respite2Social historyCare/nursing home resident or respite1
Home carers1Home carers2
Length of admission (median, range)3 (1–16†) daysLength of admission (median, range)7.5 (2–19) days
Primary reason for
admission
Cerebrovascular accident3Primary reason for
admission
Respiratory (infective)3
Gastrointestinal2Ischaemic/arrhythmic cardiac disease2
Sepsis3Fall1
Ischaemic cardiac disease1Fracture1
Peripheral vascular disease1Cellulitis1
Triggers for recognition
of irreversibility/
unsurvivable event
Some cases has more than
one trigger*
Imaging results3Ongoing care management/
treatment issues
All cases had multiple
issues*
Fluid balance (cardiorenal failure)4
Clinically observable diagnosis4Acute (on chronic) kidney injury2
Consultant review1Ischaemic/arrhythmic cardiac disease5
Reduced consciousness3Respiratory tract infection8
Urinary tract infection1
Diabetic control2
Pulmonary embolism1
Respiratory failure4
Received CCO/ITU‡ review1Received CCO/ITU review1
Received HDU/ITU§ careIntensive care unit1Received HDU/ITU careHDU1
ICU1
CPR¶ attempted and
unsuccessful
5
Reasons for no de-escalation
Some cases had more
than one reason*
Awaiting transfer/discharge3
Patient preference/limited or no family involvement2
Young/normally fit and well/few comorbidities3
Post (curative intent) intervention1
Input from multiple specialist teams2