Salins Naveen, Rao Arathi P, Dhyani Vijay Shree, Prasad Ashmitha, Mathew Mebin, Damani Anuja, Rao Krithika, Nair Shreya, Shanbhag Vishal, Rao Shwethapriya, Iyer Shivakumar, Gursahani Roop, Mani R K, Simha Srinagesh
Department of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Palliat Support Care. 2024 Oct;22(5):1418-1425. doi: 10.1017/S1478951524000130.
This umbrella review will summarize palliative and end-of-life care practices in peri-intensive care settings by reviewing systematic reviews in intensive care unit (ICU) settings. Evidence suggests that integrating palliative care into ICU management, initiating conversations about care goals, and providing psychological and emotional support can significantly enhance patient and family outcomes.
The Joanna Briggs Institute (JBI) methodology for umbrella reviews will be followed. The search will be carried out from inception until 30 September 2023 in the following databases: Cochrane Library, SCOPUS, Web of Science, CINAHL Complete, Medline, EMBASE, and PsycINFO. Two reviewers will independently conduct screening, data extraction, and quality assessment, and to resolve conflicts, adding a third reviewer will facilitate the consensus-building process. The quality assessment will be carried out using the JBI Critical Appraisal Checklist. The review findings will be reported per the guidelines outlined in the Preferred Reporting Items for Overviews of Reviews statement.
This umbrella review seeks to inform future research and practice in critical care medicine, helping to ensure that end-of-life care interventions are optimized to meet the needs of critically ill patients and their families.
本综合性综述将通过回顾重症监护病房（ICU）环境下的系统评价，总结围重症监护期的姑息治疗和临终关怀实践。有证据表明，将姑息治疗纳入ICU管理、启动关于护理目标的对话以及提供心理和情感支持可显著改善患者及家属的结局。
将遵循乔安娜·布里格斯研究所（JBI）的综合性综述方法。检索将从数据库建库起至2023年9月30日在以下数据库中进行：考克兰图书馆、Scopus数据库、科学引文索引、护理学与健康领域数据库（CINAHL Complete）、医学期刊数据库（Medline）、荷兰医学文摘数据库（EMBASE）和心理学文摘数据库（PsycINFO）。两名评审员将独立进行筛选、数据提取和质量评估，为解决分歧，增加第三名评审员将有助于达成共识。将使用JBI批判性评价清单进行质量评估。综述结果将按照《系统综述概述的首选报告项目》声明中概述的指南进行报告。
本综合性综述旨在为危重症医学的未来研究和实践提供信息，有助于确保优化临终关怀干预措施，以满足危重症患者及其家属的需求。
