Evidence map›Paper›PMID 34632450›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Addressing end-of-life care in the chronically ill: Conversations in the emergency department.

Katarina Hughes, Samantha Achauer, Eileen F Baker, Heidi C Knowles, Elizabeth P Clayborne, Rebecca R Goett, Mohamad Moussa

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Addressing end-of-life care in the chronically ill: Conversations in the emergency department.Journal of the American College of Emergency Physicians open · 2021
    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

7 authors at 5 institutions in 1 country.

Katarina HughesUniversity of Toledo College of Medicine and Life Sciences Toledo Ohio USA.
Samantha AchauerUniversity of Toledo College of Medicine and Life Sciences Toledo Ohio USA.
Eileen F BakerRiverwood Emergency Services, Inc. Perrysburg Ohio USA.ORCID https://orcid.org/0000-0001-5658-9123
Heidi C KnowlesJohn Peter Smith Health Network Fort Worth Texas USA.
Elizabeth P ClayborneDepartment of Emergency Medicine University of Maryland School of Medicine Baltimore Maryland USA.
Rebecca R GoettRutgers New Jersey Medical School Newark New Jersey USA.
Mohamad MoussaEmergency Medicine University of Toledo College of Medicine and Life Sciences Toledo Ohio USA.
University of Toledo · USInwood Community Services · USJohn Peter Smith Hospital · USRutgers, The State University of New Jersey · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients present to the emergency department in various stages of chronic illness. Advance directives (ADs) aid emergency physicians in making treatment decisions, but only a minority of Americans have completed an AD, and the percentage of those who have discussed their end-of-life wishes may be even lower. This article addresses the use of common ADs and roadblocks to their use from the perspectives of families, patients, and physicians. Cases to examine new approaches to optimizing end-of-life conversations in patients who are chronically ill, such as the Improving Palliative Care in Emergency Medicine Project, a decision-making framework that opens discussion for patients to gain understanding and determine preferences, and the Brief Negotiated Interview, a 7-minute, scripted, motivational interview that determines willingness for behavior change and initiates care planning, are used.

Indexed as

advance directivesbrief negotiated interviewdo not resuscitate ordersdurable power of attorneyend‐of‐lifeillness trajectoriesimproving palliative care in emergency medicine projectliving willphysician orders for life‐sustaining treatmentshared decision‐making

Identifiers

PMID34632450
PMCPMC8486416
OpenAlexW3202747840

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.