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Transferring home to die from critical care units: a scoping review of international practices

Transferring home to die from critical care units: a scoping review of international practices
Transferring home to die from critical care units: a scoping review of international practices
Purpose: to identify and characterise the international practices of transferring a dying patient home to die from critical care units.

Materials and methods: a systematic scoping review following the Joanne Briggs Institute methodology was applied searching fifteen data sources to identify papers published in English and Chinese from 1970 to 2019.

Results: of the 28 papers meeting eligibility criteria 19 were published in the West and seven in China. The number of patients being transferred home to die was larger in China (74/184–96/159) than in the West (1–7). Clinical characteristics of patients transferred included: consciousness, with or without intubation and ventilation, and clinical stability. Reported key barriers to transfer included: Lack of evidence guiding transfer practice, the CCU environment and culture, Practical and logistical factors and Family members expectations and reactions. Key facilitators of transfer were reported as: Engagement with the multidisciplinary team and Personal patient and family wishes.

Conclusions: transferring patients home to die from critical care is a complex practice varying significantly across countries. Further research to address current knowledge gaps is important to inform policy and practice.
Critical care, Discharge, Home death, Scoping review, Transfer, Treatment withdrawal
0883-9441
205-215
Lin, Yanxia
962dcabe-7d8a-45c3-b716-08c1f953e7ab
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532
Myall, Michelle
0604ba0f-75c2-4783-9afe-aa54bf81513f
Lin, Yanxia
962dcabe-7d8a-45c3-b716-08c1f953e7ab
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532
Myall, Michelle
0604ba0f-75c2-4783-9afe-aa54bf81513f

Lin, Yanxia, Long-Sutehall, Tracy and Myall, Michelle (2021) Transferring home to die from critical care units: a scoping review of international practices. Journal of Critical Care, 65, 205-215. (doi:10.1016/j.jcrc.2021.06.012).

Record type: Article

Abstract

Purpose: to identify and characterise the international practices of transferring a dying patient home to die from critical care units.

Materials and methods: a systematic scoping review following the Joanne Briggs Institute methodology was applied searching fifteen data sources to identify papers published in English and Chinese from 1970 to 2019.

Results: of the 28 papers meeting eligibility criteria 19 were published in the West and seven in China. The number of patients being transferred home to die was larger in China (74/184–96/159) than in the West (1–7). Clinical characteristics of patients transferred included: consciousness, with or without intubation and ventilation, and clinical stability. Reported key barriers to transfer included: Lack of evidence guiding transfer practice, the CCU environment and culture, Practical and logistical factors and Family members expectations and reactions. Key facilitators of transfer were reported as: Engagement with the multidisciplinary team and Personal patient and family wishes.

Conclusions: transferring patients home to die from critical care is a complex practice varying significantly across countries. Further research to address current knowledge gaps is important to inform policy and practice.

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Transferring home to die from critical care units ... - Accepted Manuscript
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More information

e-pub ahead of print date: 6 July 2021
Keywords: Critical care, Discharge, Home death, Scoping review, Transfer, Treatment withdrawal

Identifiers

Local EPrints ID: 450127
URI: http://eprints.soton.ac.uk/id/eprint/450127
ISSN: 0883-9441
PURE UUID: 4babfc5d-58ed-4f02-ae0f-86091e11923c
ORCID for Yanxia Lin: ORCID iD orcid.org/0000-0002-3781-5858
ORCID for Tracy Long-Sutehall: ORCID iD orcid.org/0000-0002-6661-9215
ORCID for Michelle Myall: ORCID iD orcid.org/0000-0001-8733-7412

Catalogue record

Date deposited: 12 Jul 2021 16:31
Last modified: 26 Nov 2021 02:45

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Contributors

Author: Yanxia Lin ORCID iD
Author: Michelle Myall ORCID iD

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