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dc.contributor.authorMiller, Sophie J
dc.contributor.authorDesai, Nishita
dc.contributor.authorPattison, Natalie
dc.contributor.authorDroney, Joanne M
dc.contributor.authorKing, Angela
dc.contributor.authorFarquhar-Smith, Paul
dc.contributor.authorGruber, Pascale C
dc.date.accessioned2018-02-09T15:53:38Z
dc.date.available2018-02-09T15:53:38Z
dc.date.issued2015-07-25
dc.identifier.citationMiller , S J , Desai , N , Pattison , N , Droney , J M , King , A , Farquhar-Smith , P & Gruber , P C 2015 , ' Quality of transition to end-of-life care for cancer patients in the intensive care unit ' , Annals of intensive care , vol. 5 , no. 1 , pp. 59 . https://doi.org/10.1186/s13613-015-0059-7
dc.identifier.issn2110-5820
dc.identifier.otherPURE: 12852948
dc.identifier.otherPURE UUID: ccf587fc-3122-43a7-9bb0-9d04a02af149
dc.identifier.otherPubMed: 26205668
dc.identifier.otherPubMedCentral: PMC4513017
dc.identifier.otherScopus: 84938089345
dc.identifier.otherORCID: /0000-0002-6771-8733/work/62751766
dc.identifier.urihttp://hdl.handle.net/2299/19763
dc.descriptionOpen Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
dc.description.abstractBACKGROUND: There have been few studies that have evaluated the quality of end-of-life care (EOLC) for cancer patients in the ICU. The aim of this study was to explore the quality of transition to EOLC for cancer patients in ICU. METHODS: The study was undertaken on medical patients admitted to a specialist cancer hospital ICU over 6 months. Quantitative and qualitative methods were used to explore quality of transition to EOLC using documentary evidence. Clinical parameters on ICU admission were reviewed to determine if they could be used to identify patients who were likely to transition to EOLC during their ICU stay. RESULTS: Of 85 patients, 44.7% transitioned to EOLC during their ICU stay. Qualitative and quantitative analysis of the patients' records demonstrated that there was collaborative decision-making between teams, patients and families during transition to EOLC. However, 51.4 and 40.5% of patients were too unwell to discuss transition to EOLC and DNACPR respectively. In the EOLC cohort, 76.3% died in ICU, but preferred place of death known in only 10%. Age, APACHE II score, and organ support, but not cancer diagnosis, were identified as associated with transition to EOLC (p = 0.017, p < 0.0001 and p = 0.001). CONCLUSIONS: Advanced EOLC planning in patients with progressive disease prior to acute deterioration is warranted to enable patients' wishes to be fulfilled and ceiling of treatments agreed. Better documentation and development of validated tools to measure the quality EOLC transition on the ICU are needed.en
dc.language.isoeng
dc.relation.ispartofAnnals of intensive care
dc.rightsOpen
dc.subjectpalliative
dc.subjectintensive care
dc.subjectcommunication
dc.subjectdo not resuscitate
dc.titleQuality of transition to end-of-life care for cancer patients in the intensive care uniten
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2015-07-25
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/s13613-015-0059-7
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


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