Evidence map›Paper›PMID 25644909›Full record

ReviewChest2015

Integration of palliative care in the context of rapid response: a report from the Improving Palliative Care in the ICU advisory board.

Judith E Nelson, Kusum S Mathews, David E Weissman, Karen J Brasel, Margaret Campbell, J Randall Curtis, Jennifer A Frontera, Michelle Gabriel, Ross M Hays, Anne C Mosenthal and 7 more

Abstract readReview
In one paragraph

Review in Chest, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Rapid response systems.Resuscitation · 2018
    Review
  12. Observational
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Judith E NelsonIcahn School of Medicine at Mount Sinai, New York, NY.
Kusum S MathewsIcahn School of Medicine at Mount Sinai, New York, NY. Electronic address: kusum.mathews@mssm.edu.
David E WeissmanMedical College of Wisconsin, Milwaukee, WI.
Karen J BraselMedical College of Wisconsin, Milwaukee, WI.
Margaret CampbellWayne State University, Detroit, MI.
J Randall CurtisUniversity of Washington School of Medicine, Seattle, WA.
Jennifer A FronteraThe Cleveland Clinic, Cleveland, OH.
Michelle GabrielVA Palo Alto Health Care System, Menlo Park, CA.
Ross M HaysUniversity of Washington School of Medicine, Seattle, WA.
Anne C MosenthalUniversity of Washington School of Medicine, Seattle, WA.
Colleen MulkerinRutgers New Jersey Medical School, East Orange, NJ.
Kathleen A PuntilloHartford Hospital, Hartford, CT.
Daniel E RayUniversity of California, San Francisco, San Francisco, CA.
Stefanie P WeissIcahn School of Medicine at Mount Sinai, New York, NY.
Rick BassettLehigh Valley Health Network, Allentown, PA; Johns Hopkins University School of Medicine, Baltimore, MD.
Renee D BossIcahn School of Medicine at Mount Sinai, New York, NY; St. Luke's Hospital, Boise, ID.
Dana R LustbaderHofstra North Shore-Long Island Jewish School of Medicine, Hempstead, NY.

Funding

MOUNT SINAI EMERGENCY MEDICINE RESEARCH CAREER DEVELOPMENT PROGRAMK12HL109005 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI RICHARDSON, LYNNE D. · 2011 to 2015
$3.9M
Informing/Improving ICU Palliative Care for Older AdultsK07AG034234 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI NELSON, JUDITH E · 2009 to 2013
$540k
NHLBI NIH HHS 1K12HL109005-01NHLBI NIH HHS K12 HL109005NIA NIH HHS AG034234NIA NIH HHS K07 AG034234
6 · The paper itself

Abstract

Rapid response teams (RRTs) can effectively foster discussions about appropriate goals of care and address other emergent palliative care needs of patients and families facing life-threatening illness on hospital wards. In this article, The Improving Palliative Care in the ICU (IPAL-ICU) Project brings together interdisciplinary expertise and existing data to address the following: special challenges for providing palliative care in the rapid response setting, knowledge and skills needed by RRTs for delivery of high-quality palliative care, and strategies for improving the integration of palliative care with rapid response critical care. We discuss key components of communication with patients, families, and primary clinicians to develop a goal-directed treatment approach during a rapid response event. We also highlight the need for RRT expertise to initiate symptom relief. Strategies including specific clinician training and system initiatives are then recommended for RRT care improvement. We conclude by suggesting that as evaluation of their impact on other outcomes continues, performance by RRTs in meeting palliative care needs of patients and families should also be measured and improved.

Indexed as

Advance DirectivesClinical CompetenceCommunicationCritical Care NursingDecision MakingHospital Rapid Response TeamHumansIntensive Care UnitsPalliative CarePhysician-Patient Relations

Identifiers

PMID25644909
PMCPMC4314822

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.