Palliative Care Screening and Assessment in the Emergency Department: A Systematic Review

Journal of Pain and Symptom Management
Naomi GeorgeCorita Grudzen

Abstract

Emergency department (ED) providers and policy makers are increasingly interested in developing palliative care (PC) interventions for ED patients. Many patients in the ED may benefit from PC screening and referral. Multiple ED-based PC screening projects have been undertaken, but there has been no study of these projects or their effects. To conduct a systematic review and critical analysis to evaluate the methods, tools, and outcomes of PC screening and referral projects in the ED. Three reviewers independently selected eligible studies from the PubMed database. Eligible studies evaluated a PC screening tool, assessment, or referral modality aimed at identifying patients appropriate for PC. Four reviewers independently evaluated the final articles. Two reviewers extracted data on study characteristics, methodological quality, and outcomes. Seven studies met inclusion criteria. Each was reviewed for methodological quality and strength. The studies were synthesized using a narrative approach. Each study developed an independent screening or evaluation tool for PC needs. Each required additional ED personnel to perform screening and referral, and success was limited by availability of specialized personnel. All the studies were ...Continue Reading

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Citations

Apr 27, 2016·Journal of Palliative Medicine·Duarte da Silva SoaresBarbara Gomes
Jan 31, 2017·Annals of Emergency Medicine·David H Wang
Oct 13, 2016·The American Journal of Hospice & Palliative Care·Kip WaiteBarry Meisenberg
Jan 25, 2019·The American Journal of Hospice & Palliative Care·Mervyn Y H KohAllyn Y M Hum
Apr 25, 2019·The American Journal of Hospice & Palliative Care·Ariel Maia Lyons-WarrenJill Ann Jarrell
Jul 30, 2019·Journal of Palliative Medicine·David H WangPaul DeSandre
Aug 6, 2019·Cancer·Gordon T MoffatEileen M O'Reilly
Nov 1, 2018·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Casie M KichlerMarcia A Phillips
May 10, 2020·Anesthesia and Analgesia·Rita C Crooms, Laura P Gelfman
Jul 12, 2019·Journal of Health Services Research & Policy·Eoin TiernanPeter May
May 13, 2020·Acute Medicine & Surgery·Naomi GeorgeKei Ouchi
Apr 5, 2019·Clinical and Experimental Emergency Medicine·Samir A HaydarPaul Kj Han
Mar 30, 2018·Dimensions of Critical Care Nursing : DCCN·Caitlin Marie McCarroll
Feb 18, 2020·Journal of Pain and Symptom Management·Emmett A KistlerJeffrey L Greenwald
Jul 28, 2021·The American Journal of Hospice & Palliative Care·Kaleena ZhangElizabeth Chuang
Aug 7, 2021·Annals of Emergency Medicine·Anthony J LoffredoSangeeta Lamba
Aug 20, 2021·Journal of Pain and Symptom Management·Rahul M RegeLauren T Southerland
Sep 3, 2021·BMJ Supportive & Palliative Care·Raquel de OliveiraElga Freire
Dec 7, 2021·The American Journal of Hospice & Palliative Care·Ben CrockSivakumar Subramaniam

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