Evidence map›Paper›PMID 34651136›Full record

ArticleCritical care explorations2021

End-of-Life Care During the Coronavirus Disease 2019 Pandemic: The 3 Wishes Program.

Thanh H Neville, Danielle K Bear, Yuhan Kao, Xueqing Sherry Xu, Kristen Hjelmhaug, Desiree Quebral, Natalie Sanaee, Jessica Hainje, Genevieve Arriola, Maria Carmela Granone and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05128799 (Effect of the 3 Wishes Program on Bereaved Families' End-of-Life Care Perceptions), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

NCT05128799 completednot on this map

Effect of the 3 Wishes Program on Bereaved Families' End-of-Life Care Perceptions

TypeobservationalSponsorUniversity of California, Los AngelesRan2019 to 2021Enrolled314ConditionsEnd of Life, DeathArms3 Wishes Program (3WP)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

15 authors at 4 institutions in 2 countries.

Thanh H NevilleDavid Geffen School of Medicine, UCLA, Department of Medicine, Division of Pulmonary and Critical Care Medicine, Los Angeles, CA.
Danielle K BearOffice of the Patient Experience, UCLA, Los Angeles, CA.
Yuhan KaoDepartment of Nursing, UCLA, Los Angeles, CA.
Xueqing Sherry XuDepartment of Nursing, UCLA, Los Angeles, CA.
Kristen HjelmhaugDepartment of Nursing, UCLA, Los Angeles, CA.
Desiree QuebralDepartment of Nursing, UCLA, Los Angeles, CA.
Natalie SanaeeDepartment of Nursing, UCLA, Los Angeles, CA.
Jessica HainjeDepartment of Nursing, UCLA, Los Angeles, CA.
Genevieve ArriolaDepartment of Nursing, UCLA, Los Angeles, CA.
Maria Carmela GranoneDavid Geffen School of Medicine, UCLA, Department of Medicine, Division of Pulmonary and Critical Care Medicine, Los Angeles, CA.
Elizabeth WhiteUniversity of California, Los Angeles, CA.
Apurva ChaturvediUniversity of California, Los Angeles, CA.
Shuyi YuUniversity of California, Los Angeles, CA.
France ClarkeSt Joseph's Healthcare Intensive Care Unit, Hamilton, ON, Canada.
Deborah J CookDepartments of Medicine and Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
University of California, Los Angeles · USImpact · CASt. Joseph’s Healthcare Hamilton · CAUCLA Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patient- and family-centered end-of-life care can be difficult to achieve in light of visitation restrictions and infection-prevention measures. We evaluated how the 3 Wishes Program evolved to allow continued provision of compassionate end-of-life care for critically ill patients during the coronavirus disease 2019 pandemic.

designThis is a prospective observational study where data were collected 1 year prior to the coronavirus disease 2019 pandemic and 1 year after (from March 1, 2019, to March 31, 2021). The number of deceased patients whose care involved the 3 Wishes Program, their characteristics, and wishes were compared between prepandemic and pandemic periods.

settingSix adult ICUs of a two-hospital health system in Los Angeles. PATIENTS: Deceased patients whose care involved the 3 Wishes Program.

interventionsThe 3 Wishes Program is a palliative care intervention in which individualized wishes are implemented for dying patients and their families. MEASUREMENTS AND MAIN

resultsDuring the study period, the end-of-life care for 523 patients involved the 3 Wishes Program; more patients received the 3 Wishes Program as part of their end-of-life care during the pandemic period than during the prepandemic study period (24.8 vs 17.6 patients/mo;

conclusionsBedside innovations, programmatic adaptations, and institutional support made it possible for healthcare workers to continue the 3 Wishes Program and provide compassionate end-of-life care in the ICU during this pandemic.

Indexed as

coronavirus disease 2019end-of-lifeintensive care unitpalliative carepandemicpatient-centered care

Identifiers

PMID34651136
PMCPMC8505331
OpenAlexW3206788159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.