{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:58:54Z","timestamp":1790773134043,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care in intensive care units should be planned jointly with patients and their families and documented in medical records. Proximity to death should prompt reassessment of the therapeutic strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To analyse the interventions performed during the last 48\u2009h in patients who died in the cardiac intensive care unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted in the cardiac intensive care unit of a large university hospital in Southeastern Brazil between March and April 2025. The deaths that occurred in 2022, 2023 and 2024 were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 83 deaths with more than 5\u2009days of hospital admission were analysed. There were few records documenting patients' and families' wishes. Only 12 (14.5%) records of limitations of life\u2010sustaining treatments and 11 (13.3%) records of do\u2010not\u2010resuscitate orders directed to the healthcare team were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Interventions intended to modify the course of the disease exceeded those aimed at palliative care in our cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>These findings may support the implementation of trigger\u2010based protocols for palliative care assessment in cardiac ICUs, the development of training strategies focused on communication and documentation of patient preferences for ICU teams, the strengthening of the role of the multidisciplinary team, and standardized comfort\u2010focused interventions during the last 48\u2009h of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70717","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:14:42Z","timestamp":1790770482000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["End\u2010Of\u2010Life Care in a Cardiac Intensive Care Unit: A Retrospective Analysis of Interventions During the Last 48 Hours"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9506-5303","authenticated-orcid":false,"given":"Eduardo Tavares","family":"Gomes","sequence":"first","affiliation":[{"name":"Federal University of Minas Gerais  Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9402-0828","authenticated-orcid":false,"given":"Larissa Braga","family":"Celes","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais  Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9182-5371","authenticated-orcid":false,"given":"Geovana Aparecida","family":"dos Reis Cirino","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais  Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"4","key":"e_1_2_14_2_1","first-page":"286","article-title":"Facilitating supportive care in cardiac intensive care units","volume":"13","author":"Roman\u00f2 M.","year":"2019","journal-title":"Current Opinion in Supportive and Palliative Care"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2014.12.043"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuaf044.158"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuab118"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuab142"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(21)00261\u20107"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010024\u201007579\u20101"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2024535"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001342473917"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/pmr.2024.0085"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2023.09.006"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/eci.13955"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfi.2022.11.001"},{"key":"e_1_2_14_15_1","doi-asserted-by":"crossref","DOI":"10.62675\/2965-2774.20240021-en","article-title":"Position Statement of the Brazilian Palliative Care Academy on Withdrawing and Withholding Life\u2010Sustaining Interventions in the Context of Palliative Care","volume":"36","author":"Vidal E. 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