Palliative care interventions in intensive care unit patients - a systematic review protocol.

Humans Intensive Care Units Palliative Care / methods Resource Allocation Treatment Outcome Systematic Reviews as Topic
End-of-life care Intensive care Palliative care

Journal

Systematic reviews
ISSN: 2046-4053
Titre abrégé: Syst Rev
Pays: England
ID NLM: 101580575

Informations de publication

Date de publication:
22 Jun 2019
Historique:
received: 27 08 2018
accepted: 05 06 2019
entrez: 24 6 2019
pubmed: 24 6 2019
medline: 28 7 2020
Statut: epublish

Résumé

Even though data suggest that palliative care (PC) improves patient quality of life, caregiver burden, cost, and intensive care unit (ICU) length of stay, integration of PC in the ICU is far from being universally accepted. Poor understanding of what PC provides is one of the barriers to the widespread implementation of their services in ICU. Evidence suggests that the availability of specialist PC is lacking in most European countries and provided differently depending on geographical location. The aim of this systematic review is to compare the numbers and types of PC interventions and gauge their impact on stakeholder outcomes and ICU resource utilisation. We will undertake a systematic review of the published peer-reviewed journal articles; our search will be carried out MEDLINE, Embase, Cochrane, CINAHL, and PsycINFO. The search strategy will include variations in the term 'palliative care' and 'intensive care'. All studies with patient populations undergoing palliative care interventions will be selected. Only full-text articles will be considered, and conference abstracts excluded. There will be no date restrictions on the year of publications or on language. The primary aim of the present study is to compare the numbers and types of PC interventions in ICU and their impact on stakeholder (patient, family, clinician, other) outcomes. Reporting of findings will follow the Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This review will provide insight into the implementation of palliative care in ICU, elucidate differences between countries and health systems, reveal most effective models, and contribute to identifying research priorities to improve outcomes. International Prospective Register of Systematic reviews PROSPERO ( CRD42018094315 ).

Sections du résumé

BACKGROUND
Even though data suggest that palliative care (PC) improves patient quality of life, caregiver burden, cost, and intensive care unit (ICU) length of stay, integration of PC in the ICU is far from being universally accepted. Poor understanding of what PC provides is one of the barriers to the widespread implementation of their services in ICU. Evidence suggests that the availability of specialist PC is lacking in most European countries and provided differently depending on geographical location. The aim of this systematic review is to compare the numbers and types of PC interventions and gauge their impact on stakeholder outcomes and ICU resource utilisation.
METHODS
We will undertake a systematic review of the published peer-reviewed journal articles; our search will be carried out MEDLINE, Embase, Cochrane, CINAHL, and PsycINFO. The search strategy will include variations in the term 'palliative care' and 'intensive care'. All studies with patient populations undergoing palliative care interventions will be selected. Only full-text articles will be considered, and conference abstracts excluded. There will be no date restrictions on the year of publications or on language. The primary aim of the present study is to compare the numbers and types of PC interventions in ICU and their impact on stakeholder (patient, family, clinician, other) outcomes. Reporting of findings will follow the Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
DISCUSSION
This review will provide insight into the implementation of palliative care in ICU, elucidate differences between countries and health systems, reveal most effective models, and contribute to identifying research priorities to improve outcomes.
SYSTEMATIC REVIEW REGISTRATION
International Prospective Register of Systematic reviews PROSPERO ( CRD42018094315 ).

Identifiants

DOI: 10.1186/s13643-019-1064-y PMID: 31228954 PMC: PMC6588840
pubmed: 31228954
doi: 10.1186/s13643-019-1064-y
pii: 10.1186/s13643-019-1064-y
pmc: PMC6588840
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

148

Références

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pubmed: 29432858
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pubmed: 20636149
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
J Palliat Med. 2012 Feb;15(2):168-74
pubmed: 22280492
Crit Care Med. 2014 Nov;42(11):2418-28
pubmed: 25167087
J Palliat Med. 2014 Feb;17(2):219-35
pubmed: 24517300
Ann Intern Med. 2015 Jun 2;162(11):777-84
pubmed: 26030634
Palliat Med. 2014 Sep;28(8):1000-25
pubmed: 24651708
Crit Care Med. 2012 Feb;40(2):502-9
pubmed: 21946660
Crit Care Med. 2015 May;43(5):1102-11
pubmed: 25574794
BMJ. 2011 Oct 18;343:d5928
pubmed: 22008217
N Engl J Med. 2015 Aug 20;373(8):747-55
pubmed: 26287850
JAMA. 2016 Jan 19;315(3):272-83
pubmed: 26784775
Crit Care Med. 2006 Nov;34(11 Suppl):S404-11
pubmed: 17057606
Clin Chest Med. 2015 Sep;36(3):441-8
pubmed: 26304281

Auteurs

Victoria Metaxa (V)

King's College Hospital, London, SE5 9RS, UK. victoria.metaxa@nhs.net.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium. victoria.metaxa@nhs.net.

Despina Anagnostou (D)

Human Health Sciences, School of Medicine, Kyoto University, Kyoto, Japan.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Savvas Vlachos (S)

King's College Hospital, London, SE5 9RS, UK.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Nishkantha Arulkumaran (N)

Bloomsbury Institute of Intensive Care Medicine, University College London, London, UK.
Systematic Reviews Group, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Ingeborg van Dusseldorp (I)

Medical Information Specialist, Medical Centre Leeuwarden, MCL Academy, Leeuwarden, Netherlands.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Sherihane Bensemmane (S)

European Society of Intensive Care Medicine, Rue Belliard 19, 1040, Bruxelles, Belgium.
Systematic Reviews Group, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Rebecca Aslakson (R)

Department of Medicine, Division of Primary Care and Population Health, Palliative Care Section, Stanford University, Stanford, CA, 94305, USA.
Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University, Stanford, CA, 94305, USA.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Judy E Davidson (JE)

Department of Nursing, University of California San Diego Health, San Diego, USA.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Rik Gerritsen (R)

Centrum voor Intensive care, Medisch Centrum Leeuwarden, PO Box 888, 8901BR, Leeuwarden, Netherlands.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Christiane Hartog (C)

Department for Anesthesiology and Intensive Care, Jena University Hospital, Jena, Germany.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

Randall Curtis (R)

Cambia Palliative Care Center of Excellence at UW Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359762, Seattle, WA, 98104, USA.
Ethics Section, European Society of Intensive Care Medicine (ESICM), Brussels, Belgium.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Palliative care interventions in intensive...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Palliative care interventions in intensive...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins palliatifs › Palliative care interventions in intensive...
questionsmedicales.fr › Sciences sociales › Allocation des ressources › Palliative care interventions in intensive...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Palliative care interventions in intensive...
questionsmedicales.fr › Sciences de l'information › Sources d'information › Moyens de communication › Publications › Littérature de revue comme sujet › Revues systématiques comme sujet › Palliative care interventions in intensive...