Evidence map›Paper›PMID 36048853›Full record

ArticlePloS one2022

Views of advance care planning in older hospitalized patients following an emergency admission: A qualitative study.

Anna-Maria Bielinska, Gehan Soosaipillai, Julia Riley, Ara Darzi, Catherine Urch, Stephanie Archer

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 27% 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, 5 citations in OpenAlex.

  1. 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

6 authors at 4 institutions in 1 country.

Anna-Maria BielinskaDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.ORCID 0000-0001-8668-771X
Gehan SoosaipillaiDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.
Julia RileyDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.
Ara DarziDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.
Catherine UrchDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.
Stephanie ArcherDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.
Imperial College Healthcare NHS Trust · GBImperial College London · GBRoyal Marsden NHS Foundation Trust · GBUniversity of Cambridge · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundThere is increasing evidence of the need to consider advance care planning (ACP) for older adults who have been recently admitted to hospital as an emergency. However, there is a gap in knowledge regarding how to facilitate ACP following acute illness in later life. AIM/

objectivesTo explore the perceived impact of ACP on the lives of older persons aged 70+ who have been acutely admitted to hospital.

methodSemi-structured qualitative interviews were conducted with older adults aged 70+ who were admitted to hospital as an emergency. Thematic analysis was enhanced by dual coding and exploration of divergent views within an interdisciplinary team.

resultsTwenty participants were interviewed. Thematic analysis generated the following themes: (1) Bespoke planning to holistically support a sense of self, (2) ACP as a socio-cultural phenomenon advocating for older persons rights, (3) The role of personal relationships, (4) Navigating unfamiliar territory and (5) Harnessing resources.

conclusionThese findings indicate that maintaining a sense of personal identity and protecting individuals' wishes and rights during ACP is important to older adults who have been acutely unwell. Following emergency hospitalization, older persons believe that ACP must be supported by a network of relationships and resources, improving the likelihood of adequate preparation to navigate the uncertainties of future care in later life. Therefore, emergency hospitalization in later life, and the uncertainty that may follow, may provide a catalyst for patients, carers and healthcare professionals to leverage existing or create new relationships and target resources to enable ACP, in order to uphold older persons' identity, rights and wishes following acute illness.

Indexed as

Advance Care PlanningAcute DiseaseAgedAged, 80 and overHospitalizationHumansPatientsQualitative Research

Identifiers

PMID36048853
PMCPMC9436063
OpenAlexW4294044963

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.