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

Rao, Seema and Salins, Naveen and Joshi, Udita and Patel, Jatin and Remawi, Bader and Simha, Srinagesh and Preston, Nancy and Walshe, Catherine (2022) 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, 71: 154115. ISSN 0883-9441

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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 and methods 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.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Critical Care
Additional Information:
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
Uncontrolled Keywords:
?? palliative careterminal careend of life careintensive care unitsdeveloping countriesasiaafricacritical care and intensive care medicine ??
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Deposited On:
20 Jul 2022 10:05
Last Modified:
28 Jun 2024 02:13