Evidence map›Paper›PMID 35574733›Full record

ReviewThe American surgeon2023

Palliative Care in the Trauma and Surgical Critical Care Settings: A Narrative Review.

Kevin Newsome, Matthew Sauder, Jeffrey Spardy, Lisa Kodadek, Darwin Ang, Christopher P Michetti, Tracy Bilski, Adel Elkbuli

Expression of concernAbstract readReview
PubMed Publisher
In one paragraph

Review in The American surgeon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

1 citing paper in PubMed, 11 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Kevin NewsomeFlorida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.
Matthew SauderNSU NOVA Southeastern University, Dr Kiran, C. Patel College of Allopathic Medicine, Fort Lauderdale, FL, USA.
Jeffrey SpardyFlorida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.
Lisa KodadekDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Darwin AngDepartment of Surgery, Division of Trauma and Surgical Critical Care, Ocala Regional Medical Center, Ocala, FL, USA.
Christopher P MichettiDepartment of Surgery, Inova Trauma Center, Inova Fairfax Hospital, INOVA, VA, USA.
Tracy BilskiDepartment of Surgery, Division of Trauma and Surgical Critical Care, Orlando Regional Medical Center, Orlando, FL, USA.
Adel ElkbuliDepartment of Surgery, Division of Trauma and Surgical Critical Care, Orlando Regional Medical Center, Orlando, FL, USA.
Florida International University · USOrlando Regional Medical Center · USInova Fairfax Hospital · USNova Southeastern University · USRegional Medical Center · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to conduct a narrative review of available literature to understand the use of palliative care in the trauma and surgical critical care setting.

methodsPubMed, EMBASE, and Google Scholar databases were searched for studies investigating the use of palliative care in the trauma and surgical critical care setting. The search included all studies published through January 9th, 2022. The risk of bias of included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist tools. Outcomes were summarized in tables and synthesized qualitatively.

resultsA total of 22 studies were included in this review. Key elements of successful palliative care include communication, shared decision-making, family involvement, pain control, establishing a patient's prognosis, and end-of-life management. Approaches to implementation based upon these key elements include best-case/worst-case scenarios, consultation trigger systems, and integrated institutional palliative care programs. Palliative care may reduce hospital length of stay, improve symptom management, and increase patient satisfaction, but the impact on mortality is unclear.

conclusionThe core elements of palliative care have been identified and palliative care has been shown to improve outcomes in trauma and surgical critical care. However, the approaches for implementation still require development. The underutilization of palliative care for trauma patients reveals the need for refining criteria for use of palliative care and improvement in the education of surgical critical care teams to provide primary palliative care services.

Indexed as

Pain ManagementPalliative CareCritical CareHospitalsHumansgoals of careimproved outcomespalliative caresurgical critical caretrauma surgery

Identifiers

PMID35574733
OpenAlexW4280518459

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.