INTEGRATION OF PALLIATIVE CARE IN THE CARE OF ELDERLY PEOPLE AFTER ACUTE MYOCARDIAL INFARCTION IN THE HEALTH SYSTEM: A SCOPING REVIEW

Authors

DOI:

https://doi.org/10.66104/zctb2q11

Keywords:

Myocardial Infarction, Palliative Care, Aged, Health System, Scoping Review

Abstract

Objective: To map evidence on the integration of palliative care for elderly patients after acute myocardial infarction (AMI) in the hospital setting. Methods: This is a scoping review, where the search was conducted in the following databases: PubMed, Scopus, Embase, Web of Science, LILACS, and grey literature. Original studies (quantitative, qualitative, or mixed) with elderly patients (≥60 years) diagnosed with AMI that addressed palliative care were included. Results: 568 articles were found, of which 10 remained after the selection stages. An increase in the temporal use of palliative care was observed, but it is still in a low proportion compared to hospitalizations for AMI. The indication was associated with greater clinical severity (cardiogenic shock, cardiac arrest, do-not-resuscitate orders). A strong association was found between palliative care and end-of-life decisions, with late and poorly systematized integration. Gaps were identified regarding early integration and patient-centered outcomes (quality of life, symptom control). Conclusion: The integration of palliative care for post-MI elderly patients remains limited and delayed. Integrated care models, professional training, and increased scientific production are necessary to promote early incorporation and improved quality of care.

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Author Biographies

  • Vitória Beatriz dos Santos Paulino, Universidade de Pernambuco

    Enfermeira pela Universidade Federal de Pernambuco - Centro Acadêmico de Vitória (UFPE-CAV). Residente no Programa Multiprofissional em Cuidados Paliativos (UPE).

  • Ana Karoliny Soares da Silva, Universidade de Pernambuco

    Fisioterapeuta, graduada pela Universidade Federal de Pernambuco (UFPE). Atualmente residente no Programa Multiprofissional em Cuidados Paliativos HUOC-UPE. 

  • Maria Lorenna Pessoa Fonsêca, Universidade de Pernambuco

    Farmacêutica, graduada pela Universidade Estadual da Paraíba (UEPB). Atualmente residente no Programa Multiprofissional em Cuidados Paliativos HUOC-UPE.

  • Andreza Rafaele da Silva Oliveira, Universidade de Pernambuco

    Graduada em Enfermagem pela Universidade de Pernambuco. Especialista em Oncologia pelo Programa de Residência Multiprofissional em Oncologia, COREMU - IMIP. Especialista em Enfermagem em Terapia Intensiva pelo Programa de Residência Hospital da Restauração COREMU-UPE.

  • Bárbara dos Santos Paulino, Universidade Federal de Pernambuco

    Enfermeira, graduada pela Universidade Federal de Pernambuco (UFPE). Doutoranda, pelo programa de pós-graduação em Enfermagem (UFPE). Mestre em Saúde Coletiva pela Universidade Federal do Rio Grande do Norte (UFRN). Especialista em cardiologia (modalidade residência), pelo Pronto Socorro Cardiológico de Pernambuco (PROCAPE/UPE).

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Published

2026-05-14

Issue

Vol. 13 No. 09 (2026): REMUNOM - ISSN 2178-6925

Section

Artigos

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Copyright (c) 2026 Vitória Beatriz dos Santos Paulino, Ana Karoliny Soares da Silva, Maria Lorenna Pessoa Fonsêca, Andreza Rafaele da Silva Oliveira, Bárbara dos Santos Paulino

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How to Cite

INTEGRATION OF PALLIATIVE CARE IN THE CARE OF ELDERLY PEOPLE AFTER ACUTE MYOCARDIAL INFARCTION IN THE HEALTH SYSTEM: A SCOPING REVIEW. (2026). REMUNOM, 13(09), 1-31. https://doi.org/10.66104/zctb2q11