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Updated: Oct 16, 2025
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
9.0K
Palliative care interventions in intensive care unit patients
Victoria Metaxa1, Despina Anagnostou2, Savvas Vlachos3
1King's College Hospital, London, SE5 9RS, UK. victoria.metaxa@nhs.net.
Intensive Care Medicine
|October 15, 2021
Summary
Integrating palliative care into intensive care units (ICUs) shows benefits for patient outcomes. However, optimal interventions and outcome measures require further research, especially outside North America.
Area of Science:
- Critical Care Medicine
- Palliative Care
- Health Services Research
Background:
- Palliative care integration in intensive care units (ICUs) aims to reduce patient and family suffering and improve end-of-life care.
- The most effective interventions, delivery models, and outcome measures for palliative care in ICUs remain unclear.
Approach:
- A systematic review of randomized clinical trials and observational studies was conducted.
- Evaluated palliative care interventions in the ICU, their impact on practice, and international variations.
- Identified 58 relevant studies, predominantly from North America.
Key Points:
- Interventions focused on communication, ethics, education, palliative care team involvement, and advance care planning.
- Both integrative and consultative palliative care models were reported.
- Commonly measured outcomes included length of stay, life-sustaining treatment decisions, and mortality.
Conclusions:
- Enhancing palliative care involvement, through integrative or consultative approaches, is linked to positive outcomes.
- Few studies reported functional outcomes for ICU patients.
- The North American focus limits generalizability to other healthcare systems.
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