Palliative care after stroke: a review

Eileen Cowey, Marcus Schictel, Joshua D Cheyne, Lorna Tweedie, Richard Lehman, Rita Melifonwu, Gillian Mead

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Background: Palliative care is an integral aspect of stroke unit care. In 2016, the American Stroke Association published a policy statement on palliative care and stroke. Since then there has been an expansion in the literature on palliative care and stroke.
Aim: our aim was to narratively review research on palliative care and stroke, published since 2015.
Results: The literature fell into three broad categories: a) scope and scale of palliative care needs, b) organisation of palliative care for stroke and c) shared decision making. Most literature was observational. There was a lack of evidence about interventions that address specific palliative symptoms or improve shared decision making. Racial disparities exist in access to palliative care after stroke. There was a dearth of literature from low and middle income countries.
Conclusion: We recommend further research, especially in low and middle income countries, including research to explore why racial disparities in access to palliative care exist. Randomised trials are needed to address specific palliative care needs after stroke and to understand how best to facilitate shared decision making.
Original languageEnglish
Pages (from-to)632-639
Number of pages8
JournalInternational Journal of Stroke
Issue number6
Early online date17 May 2021
Publication statusE-pub ahead of print - 17 May 2021


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