A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S.

Monica M. Diaz, Lesley A. Guareña, Bettsie Garcia, Christoper A. Alarcon-Ruiz, Stella M. Seal, Clio Rubinos, Dulce M. Cruz-Oliver, J. Ricardo Carhuapoma

Research output: Contribution to journalReview articlepeer-review

Abstract

Goals of care (Goals-of-care) discussions and palliative care (PC) are crucial to providing comprehensive healthcare, particularly for acute neurological conditions requiring admission to a neurological intensive care unit. We identified gaps in the literature and describe insight for future research on end-of-life discussions and PC for U.S. Latinos with acute neurological conditions. We searched 10 databases including peer-reviewed abstracts and manuscripts of hospitalized U.S. Latinos with acute neurological and non-neurological conditions. We included 44 of 3231 publications and identified various themes: PC utilization, pre-established advanced directives in Goals-of-care discussions, Goals-of-care discussion outcomes, tracheostomy or percutaneous gastrostomy tube placement rates among hospitalized Latinos. Our review highlights that Latinos appear to have lower palliative care utilization compared with non-Latino Whites and may be less likely to have pre-established advanced directives, more likely to have gastrostomy or tracheostomy placement and less likely to have do-not-resuscitate status.

Original languageEnglish
Article number100873
JournalThe Lancet Regional Health - Americas
Volume38
DOIs
StatePublished - Oct 2024
Externally publishedYes

Keywords

  • End-of-life care
  • Latinos
  • Neurointensive care
  • Palliative care
  • Traumatic brain injury
  • Withdrawal of life sustaining treatments

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