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EXPRESS: Palliative care after stroke: a review
International Journal of Stroke ( IF 6.3 ) Pub Date : 2021-05-05 , DOI: 10.1177/17474930211016603
Eileen Cowey 1 , Markus Schichtel 2 , Joshua D Cheyne 3 , Lorna Tweedie 4 , Richard Lehman 5 , Rita Melifonwu 6 , Gillian E Mead 7
Affiliation  

Background: Palliative care is an integral aspect of stroke unit care. In 2016, the American Stroke Association published a policy statement on palliative care and stroke. Since then there has been an expansion in the literature on palliative care and stroke.

Aim: our aim was to narratively review research on palliative care and stroke, published since 2015.

Results: The literature fell into three broad categories: a) scope and scale of palliative care needs, b) organisation of palliative care for stroke and c) shared decision making. Most literature was observational. There was a lack of evidence about interventions that address specific palliative symptoms or improve shared decision making. Racial disparities exist in access to palliative care after stroke. There was a dearth of literature from low and middle income countries.

Conclusion. We recommend further research, especially in low and middle income countries, including research to explore why racial disparities in access to palliative care exist. Randomised trials are needed to address specific palliative care needs after stroke and to understand how best to facilitate shared decision making



中文翻译:


EXPRESS:中风后姑息治疗:回顾



背景:姑息治疗是卒中病房护理的一个组成部分。 2016年,美国中风协会发布了关于姑息治疗和中风的政策声明。从那时起,有关姑息治疗和中风的文献不断增加。


目的:我们的目的是叙述性地回顾 2015 年以来发表的关于姑息治疗和中风的研究。


结果:文献分为三大类:a)姑息治疗需求的范围和规模,b)中风姑息治疗的组织,c)共同决策。大多数文献都是观察性的。缺乏关于解决特定姑息症状或改善共同决策的干预措施的证据。在中风后获得姑息治疗方面存在种族差异。低收入和中等收入国家的文献匮乏。


结论。我们建议进一步研究,特别是在低收入和中等收入国家,包括研究为什么在获得姑息治疗方面存在种族差异。需要进行随机试验来解决中风后特定的姑息治疗需求,并了解如何最好地促进共同决策

更新日期:2021-05-05
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