{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T20:43:39Z","timestamp":1775767419938,"version":"3.50.1"},"reference-count":76,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"unspecified","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1478951524001627_sec1a\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>More than 50% of patients with dementia visit the emergency department (ED) each year. Patients with dementia experience frequently unrelieved symptoms that can benefit from <jats:italic>palliative care<\/jats:italic>. Response to <jats:italic>palliative care<\/jats:italic> needs in the ED can be quite challenging and access to <jats:italic>palliative care<\/jats:italic> is generally scarce. The aim of this scoping review is to assess ED use and responsiveness to <jats:italic>palliative care<\/jats:italic> needs of patients with dementia in their last year of life.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951524001627_sec2b\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>A scoping literature review following the Joanna Briggs Institute methodology. Electronic search of the literature was undertaken in Medline (PubMed), Web of Science, Scopus, Scielo, and APA PsycInfo, last updated on 19 February 2024.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951524001627_sec3c\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Twenty-four studies were identified and confirmed that patients with dementia frequently resort to the ED near the end of life, frequently more than once in their last year of life. Eight studies directly addressed <jats:italic>palliative care<\/jats:italic> needs, suggesting significant rates of <jats:italic>palliative care<\/jats:italic> needs among patients with dementia and in comparison, to other oncological or non-oncological conditions. Infections and neuropsychiatric symptoms were the main reasons of admission to the ED. Access to <jats:italic>palliative care<\/jats:italic> was confirmed to be low.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951524001627_sec4d\">\n\t    <jats:title>Significance of results<\/jats:title>\n\t    <jats:p>This scoping review indicates that patients with dementia frequently resource to the ED in their last year of life with unmet <jats:italic>palliative care<\/jats:italic> needs. Although scarce access to <jats:italic>palliative care<\/jats:italic> and the existence of important barriers in the ED, <jats:italic>palliative care<\/jats:italic> intervention in this setting can be seen as an opportunity to attend <jats:italic>palliative care<\/jats:italic> needs and referral to <jats:italic>palliative care<\/jats:italic> services.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1478951524001627","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T07:58:33Z","timestamp":1737964713000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Emergency department use and responsiveness to the palliative care needs of patients with dementia at the end of life: A scoping review"],"prefix":"10.1017","volume":"23","author":[{"given":"Sara","family":"Vieira Silva","sequence":"first","affiliation":[]},{"given":"Paulo","family":"Concei\u00e7\u00e3o","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1655-7391","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Antunes","sequence":"additional","affiliation":[]},{"given":"Carla","family":"Teixeira","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"key":"S1478951524001627_ref50","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.01.035"},{"key":"S1478951524001627_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.08.008"},{"key":"S1478951524001627_ref66","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12021"},{"key":"S1478951524001627_ref58","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311423443"},{"key":"S1478951524001627_ref70","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04906-x"},{"key":"S1478951524001627_ref76","doi-asserted-by":"publisher","DOI":"10.1080\/09699260.2017.1365407"},{"key":"S1478951524001627_ref33","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14492"},{"key":"S1478951524001627_ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-01835-x"},{"key":"S1478951524001627_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2013.05.015"},{"key":"S1478951524001627_ref61","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12215"},{"key":"S1478951524001627_ref56","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2008.01.001"},{"key":"S1478951524001627_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12710"},{"key":"S1478951524001627_ref37","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0000000000000118"},{"key":"S1478951524001627_ref2","doi-asserted-by":"publisher","DOI":"10.5603\/PMPI.2020.0028"},{"key":"S1478951524001627_ref40","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0457"},{"key":"S1478951524001627_ref16","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2022.2062681"},{"key":"S1478951524001627_ref12","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00699"},{"key":"S1478951524001627_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.wad.0000213854.04861.cc"},{"key":"S1478951524001627_ref36","doi-asserted-by":"publisher","DOI":"10.1177\/1049909114562947"},{"key":"S1478951524001627_ref67","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"S1478951524001627_ref72","article-title":"Palliative care interventions in advanced dementia","volume":"12","author":"Walsh","year":"2021","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S1478951524001627_ref71","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610214002713"},{"key":"S1478951524001627_ref20","doi-asserted-by":"publisher","DOI":"10.1080\/02671520701296189"},{"key":"S1478951524001627_ref47","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902234"},{"key":"S1478951524001627_ref32","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0519"},{"key":"S1478951524001627_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.09.005"},{"key":"S1478951524001627_ref22","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2015.5252"},{"key":"S1478951524001627_ref44","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2016.22.2.76"},{"key":"S1478951524001627_ref19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218426"},{"key":"S1478951524001627_ref27","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-002515"},{"key":"S1478951524001627_ref62","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00986.x"},{"key":"S1478951524001627_ref11","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12010059"},{"key":"S1478951524001627_ref41","doi-asserted-by":"publisher","DOI":"10.1177\/082585970802400404"},{"key":"S1478951524001627_ref74","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.06.012"},{"key":"S1478951524001627_ref55","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0281158"},{"key":"S1478951524001627_ref43","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211019897"},{"key":"S1478951524001627_ref45","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0201051"},{"key":"S1478951524001627_ref13","doi-asserted-by":"publisher","DOI":"10.5306\/wjco.v7.i2.227"},{"key":"S1478951524001627_ref46","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2018-001692"},{"key":"S1478951524001627_ref38","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2009.0111"},{"key":"S1478951524001627_ref57","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315576309"},{"key":"S1478951524001627_ref49","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00249-8"},{"key":"S1478951524001627_ref52","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0213"},{"key":"S1478951524001627_ref31","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-12-57"},{"key":"S1478951524001627_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.06.011"},{"key":"S1478951524001627_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13084"},{"key":"S1478951524001627_ref28","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20171206-01"},{"key":"S1478951524001627_ref65","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2022.08.006"},{"key":"S1478951524001627_ref48","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2013.11.009"},{"key":"S1478951524001627_ref53","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0285"},{"key":"S1478951524001627_ref68","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315570409"},{"key":"S1478951524001627_ref63","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2017.06.2267"},{"key":"S1478951524001627_ref3","doi-asserted-by":"publisher","DOI":"10.15381\/anales.v81i1.16848"},{"key":"S1478951524001627_ref26","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17833"},{"key":"S1478951524001627_ref21","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1100347"},{"key":"S1478951524001627_ref34","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0004"},{"key":"S1478951524001627_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.10.494"},{"key":"S1478951524001627_ref7","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hct136"},{"key":"S1478951524001627_ref59","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317726443"},{"key":"S1478951524001627_ref73","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.674114"},{"key":"S1478951524001627_ref5","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0549"},{"key":"S1478951524001627_ref75","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac332"},{"key":"S1478951524001627_ref23","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0011"},{"key":"S1478951524001627_ref60","article-title":"Care transitions intervention reduces ED revisits in cognitively impaired patients","volume":"8","author":"Shah","year":"2022","journal-title":"Alzheimer\u2019s and Dementia: Translational Research and Clinical Interventions"},{"key":"S1478951524001627_ref42","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz052"},{"key":"S1478951524001627_ref51","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2005.016618"},{"key":"S1478951524001627_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.8732"},{"key":"S1478951524001627_ref69","doi-asserted-by":"publisher","DOI":"10.7748\/en.2019.e1961"},{"key":"S1478951524001627_ref54","volume-title":"The Joanna Briggs Institute. The Joanna Briggs Institute Reviewers\u2019 Manual - Methodology for JBI Scoping Reviews","author":"Peters","year":"2015"},{"key":"S1478951524001627_ref35","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20081201-03"},{"key":"S1478951524001627_ref4","first-page":"1","article-title":"Emergency department and hospital utilisation and expenditures in the last year of life: Retrospective chronic diseases cohort study","volume":"24","author":"Antunes","year":"2021","journal-title":"BMJ Support Palliat Care"},{"key":"S1478951524001627_ref64","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.10.004"},{"key":"S1478951524001627_ref14","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232020261.07622019"},{"key":"S1478951524001627_ref10","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2013.843157"},{"key":"S1478951524001627_ref30","doi-asserted-by":"publisher","DOI":"10.1177\/1471301214554930"},{"key":"S1478951524001627_ref39","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0402"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951524001627","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T07:58:38Z","timestamp":1737964718000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951524001627\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":76,"alternative-id":["S1478951524001627"],"URL":"https:\/\/doi.org\/10.1017\/s1478951524001627","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e51"}}