| Alliprandini and collaborators; 2019 14 (A1) |
“End-of-life management in intensive care units: a multicenter observational prospective cohort study”; Paraná, Brazil |
Observational cohort n=201 |
To evaluate which patients hospitalized in five ICUs in the city of Cascavel/PR are eligible for the performance and administration of PC. |
Among the patients who died during the period, proper PC criteria was performed in only 15%, with terminal extubation being one of the rarely performed procedures. |
| Irmak and collaborators; 2020 15 (A2) |
“The comparison of the survival rates of intensive and palliative care units”; Ankara, Turkey |
Observational study n=112 |
To compare survival rates in the intensive care unit and the palliative care unit. |
Long-term survival rates proved similar between the intensive care unit and the PC unit. |
| Hua and collaborators; 2020 16 (A3) |
“Association between the implementation of hospital-based palliative care and use of intensive care during terminal hospitalization”; New York, United States |
Observational cohort n=73,370 |
To determine whether the implementation of hospital-based palliative care was associated with decreased ICU use during terminal hospitalizations. |
A 10% reduction in the use of intensive care during terminal hospitalizations was identified in hospitals with PC programs in place. |
| Clara and collaborators; 2020 17 (A4) |
“The palliative care screening tool as an instrument for recommending palliative care for older adults”; Espírito Santo, Brazil |
Cross-sectional study n=594 |
To evaluate the use of the Palliative Care Screening Tool and its agreement with the Palliative Performance Scale, as well as describe the causes of hospitalization in older adults receiving palliative care and in the ICU. |
The Palliative Care Screening Tool proved to be of great importance in referring patients to PC due to its high sensitivity. |
| Reeve and collaborators; 2021 18 (A5) |
“Community implementation of the 3 Wishes Project: an observational study of a compassionate end-of-life care initiative for critically ill patients”; Ontario, Canada |
Observational and descriptive n=101 |
To evaluate the adaptability of the 3 Wishes Project to an intensive care unit and describe the patients treated with this palliative approach, as well as local implementation strategies. |
99.2% of terminal wishes were met at an average cost of US$5.39 per patient, and for 89.8% there was no cost. The program comforted patients and relatives. |
| Takaoka and collaborators; 2021 19 (A6) |
“Scale-up and sustainability of a personalized end-of-life care intervention: a longitudinal mixed-methods study”; Ontario, Canada |
Longitudinal n=369 |
To describe how the 3 Wishes Project, a personalized end-of-life intervention, was scaled up and maintained in an intensive care unit. |
The 3 Wishes Project began as a study and was integrated into clinical practice as an accessible and sustainable care approach. |
| Lacerda and collaborators; 2021 20 (A7) |
“Mechanical ventilation withdrawal as a palliative procedure in a Brazilian intensive care unit”; São Paulo, Brazil |
Retrospective cohort n=282 |
To describe characteristics and outcomes of patients undergoing withdrawal from mechanical ventilation and compare them to patients with mechanical ventilation and limitations of life support therapy (limited or withdrawn), but without removal of mechanical ventilation. |
The authors observed that there is no association between withdrawal of mechanical ventilation and increased hospital mortality. |
Palliative care in intensive care units: an integrative review
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Source: adapted from Page and collaborators
