What is the impact of clinically assisted hydration in the last days of life? A systematic literature review and narrative synthesis
| العنوان: | What is the impact of clinically assisted hydration in the last days of life? A systematic literature review and narrative synthesis |
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| المؤلفون: | Arjun Kingdon, Isla Kuhn, Stephen Barclay, Robert Brodrick, Anna Spathis, Gemma Clarke |
| المساهمون: | Kingdon, Arjun [0000-0002-2914-082X], Barclay, Stephen [0000-0002-4505-7743], Apollo - University of Cambridge Repository |
| المصدر: | BMJ Supportive & Palliative Care |
| بيانات النشر: | BMJ Publishing Group, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Gerontology, Clinical Decision-Making, clinical decisions, Medicine (miscellaneous), Review, 03 medical and health sciences, Advance Care Planning, 0302 clinical medicine, Quality of life (healthcare), delirium, Professional-Family Relations, medicine, end of life care, Humans, Narrative, 030212 general & internal medicine, Family carer, Terminal Care, Oncology (nursing), business.industry, Communication, Patient Preference, General Medicine, Research needs, Medical–Surgical Nursing, Systematic review, Emotive, 030220 oncology & carcinogenesis, Quality of Life, Delirium, Fluid Therapy, prognosis, medicine.symptom, business, End-of-life care |
| الوصف: | BackgroundClinically assisted hydration (CAH) can be provided in the last days of life as drinking declines. The impact of this practice on quality of life or survival in the last days of life is unclear. Practice varies worldwide concerning this emotive issue.MethodSystematic literature review and narrative synthesis of studies evaluating the impact of, or attitudes toward, CAH in the last days of life. Databases were searched up to December 2019. Studies were included if the majority of participants were in the last 7 days of life, and were evaluated using Gough’s 'Weight of Evidence' framework. Review protocol registered with PROSPERO, registration number CRD42019125837.ResultsFifteen studies were included in the synthesis. None were judged to be both of high quality and relevance. No evidence was found that the provision of CAH has an impact on symptoms or survival. Patient and family carer attitudes toward assisted hydration were diverse.ConclusionThere is currently insufficient evidence to draw firm conclusions on the impact of CAH in the last days of life. Future research needs to focus on patients specifically in the last days of life, include those with non-malignant diagnoses, and evaluate best ways to communicate effectively about this complex topic with patients and their families. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2045-4368 2045-435X 4201-9125 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f7f0011d269db83bad4ee33a36254c04 http://europepmc.org/articles/PMC7907559 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f7f0011d269db83bad4ee33a36254c04 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20454368 2045435X 42019125 |
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