临终讨论和姑息治疗的范围界定综述:对美国拉美裔神经重症监护的影响。

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES Lancet Regional Health-Americas Pub Date : 2024-08-24 DOI:10.1016/j.lana.2024.100873
Monica M. Diaz , Lesley A. Guareña , Bettsie Garcia , Christoper A. Alarcon-Ruiz , Stella M. Seal , Clio Rubinos , Dulce M. Cruz-Oliver , J. Ricardo Carhuapoma
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引用次数: 0

摘要

护理目标(Goals-of-care)讨论和姑息治疗(PC)对于提供全面的医疗保健服务至关重要,尤其是对于需要入住神经重症监护病房的急性神经系统疾病患者。我们发现了文献中的空白,并阐述了对患有急性神经系统疾病的美国拉美裔患者进行临终关怀讨论和姑息治疗的未来研究前景。我们检索了 10 个数据库,包括同行评议的摘要和手稿,内容涉及患有急性神经病和非神经病的住院美国拉美裔患者。我们收录了 3231 篇出版物中的 44 篇,并确定了多个主题:在住院的拉美裔患者中,PC 的使用率、护理目标讨论中预先确定的预嘱、护理目标讨论的结果、气管造口术或经皮胃造瘘管置入率。我们的综述强调,与非拉美裔白人相比,拉美裔人的姑息关怀利用率似乎较低,而且可能不太可能预先建立预先指示,更有可能置入胃造瘘管或气管造瘘管,也不太可能具有 "拒绝复苏 "状态。
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A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S.

Goals of care (Goals-of-care) discussions and palliative care (PC) are crucial to providing comprehensive healthcare, particularly for acute neurological conditions requiring admission to a neurological intensive care unit. We identified gaps in the literature and describe insight for future research on end-of-life discussions and PC for U.S. Latinos with acute neurological conditions. We searched 10 databases including peer-reviewed abstracts and manuscripts of hospitalized U.S. Latinos with acute neurological and non-neurological conditions. We included 44 of 3231 publications and identified various themes: PC utilization, pre-established advanced directives in Goals-of-care discussions, Goals-of-care discussion outcomes, tracheostomy or percutaneous gastrostomy tube placement rates among hospitalized Latinos. Our review highlights that Latinos appear to have lower palliative care utilization compared with non-Latino Whites and may be less likely to have pre-established advanced directives, more likely to have gastrostomy or tracheostomy placement and less likely to have do-not-resuscitate status.

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来源期刊
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期刊介绍: The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.
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