Palliative and end-of-life care in intensive care units in low- and middle-income countries: A systematically constructed scoping review.
J Crit Care
; 71: 154115, 2022 10.
Article
in English
| MEDLINE | ID: covidwho-2015608
ABSTRACT
PURPOSE:
Death is common in intensive care units, and integrating palliative care enhances outcomes. Most research has been conducted in high-income countries. The aim is to understand what is known about the type and topics of research on the provision of palliative care within intensive care units in low- and middle-income countries MATERIALS ANDMETHODS:
Scoping review with nine databases systematically searched for literature published in English on palliative care in intensive care units in low- and middle- income settings (01/01/1990 to 31/05/2021). Two reviewers independently checked search results and extracted textual data, which were analyzed and represented as themes.RESULTS:
Thirty papers reported 19 empirical studies, two clinical case reports and six discussion papers. Papers originated from Asia and Africa, primarily using observational designs and qualitative approaches, with no trials or other robust evaluative or comparative studies. No studies directly sought data from patients or families. Five areas of research focus were identified withholding and withdrawing treatment; professional knowledge and skills; patient and family views; culture and context; and costs of care.CONCLUSIONS:
Palliative care in intensive care units in low-and middle-income countries is understudied. Research focused on the specific needs of intensive care in low- and middle-income countries is required to ensure optimal patient outcomes.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Terminal Care
/
Hospice and Palliative Care Nursing
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Reviews
Limits:
Humans
Language:
English
Journal:
J Crit Care
Journal subject:
Critical Care
Year:
2022
Document Type:
Article
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