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    Rights statement: This is the author’s version of a work that was accepted for publication in Journal of Critical Care. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Critical Care, 71, 154115, 2022 DOI: 10.1016/j.jcrc.2022.154115

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Palliative and end-of-life care in intensive care units in low- and middle-income countries: A systematically constructed scoping review

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Palliative and end-of-life care in intensive care units in low- and middle-income countries: A systematically constructed scoping review. / Rao, Seema; Salins, Naveen; Joshi, Udita et al.
In: Journal of Critical Care, Vol. 71, 154115, 31.10.2022.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Rao S, Salins N, Joshi U, Patel J, Remawi B, Simha S et al. Palliative and end-of-life care in intensive care units in low- and middle-income countries: A systematically constructed scoping review. Journal of Critical Care. 2022 Oct 31;71:154115. Epub 2022 Jul 27. doi: 10.1016/j.jcrc.2022.154115

Author

Rao, Seema ; Salins, Naveen ; Joshi, Udita et al. / Palliative and end-of-life care in intensive care units in low- and middle-income countries : A systematically constructed scoping review. In: Journal of Critical Care. 2022 ; Vol. 71.

Bibtex

@article{f43d5d5ab34c4cddabaf1ed4d62edcae,
title = "Palliative and end-of-life care in intensive care units in low- and middle-income countries: A systematically constructed scoping review",
abstract = "PurposeDeath 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 countriesMaterials and methodsScoping 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.ResultsThirty 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.ConclusionsPalliative 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 = "Palliative care, Terminal care, End of life care, Intensive care units, Developing countries, Asia, Africa",
author = "Seema Rao and Naveen Salins and Udita Joshi and Jatin Patel and Bader Remawi and Srinagesh Simha and Nancy Preston and Catherine Walshe",
note = "This is the author{\textquoteright}s version of a work that was accepted for publication in Journal of Critical Care. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Critical Care, 71, 154115, 2022 DOI: 10.1016/j.jcrc.2022.154115",
year = "2022",
month = oct,
day = "31",
doi = "10.1016/j.jcrc.2022.154115",
language = "English",
volume = "71",
journal = "Journal of Critical Care",
issn = "0883-9441",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Palliative and end-of-life care in intensive care units in low- and middle-income countries

T2 - A systematically constructed scoping review

AU - Rao, Seema

AU - Salins, Naveen

AU - Joshi, Udita

AU - Patel, Jatin

AU - Remawi, Bader

AU - Simha, Srinagesh

AU - Preston, Nancy

AU - Walshe, Catherine

N1 - This is the author’s version of a work that was accepted for publication in Journal of Critical Care. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Critical Care, 71, 154115, 2022 DOI: 10.1016/j.jcrc.2022.154115

PY - 2022/10/31

Y1 - 2022/10/31

N2 - PurposeDeath 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 countriesMaterials and methodsScoping 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.ResultsThirty 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.ConclusionsPalliative 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.

AB - PurposeDeath 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 countriesMaterials and methodsScoping 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.ResultsThirty 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.ConclusionsPalliative 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.

KW - Palliative care

KW - Terminal care

KW - End of life care

KW - Intensive care units

KW - Developing countries

KW - Asia

KW - Africa

U2 - 10.1016/j.jcrc.2022.154115

DO - 10.1016/j.jcrc.2022.154115

M3 - Journal article

VL - 71

JO - Journal of Critical Care

JF - Journal of Critical Care

SN - 0883-9441

M1 - 154115

ER -