Summary: 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 Arjuna 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 Midtown 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.