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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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
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 -