Resumen de Evidencia en el manejo de pacientes críticos COVID-19

Sandra Fernández Caballero, María Pérez Herrero

• español

  Revisión de las guías del grupo de trabajo para la enfermedad COVID-19 de la Surviving Sepsis Campaign (SSC) para enfermos críticos (36 expertos de 12 países), mediante el modelo Grading of Recommendations, Assessment, Development and Evaluation (GRADE) para calificar la evidencia bibliográfica como alta, moderada, baja o muy baja. Se generaron recomendaciones y sugerencias aplicando grado de evidencia, costo-efectividad, riesgo-beneficio, equidad y accesibilidad. Se estudiaron 54 medidas aconsejadas para controlar la infección, la reanimación y el manejo hemodinámico y respiratorio y el tratamiento específico. Cuatro medidas se calificaron como mejores prácticas, nueve como recomendaciones fuertes, otras cuatro se desaconsejaron y el resto como sugerencias.

       

• English

  The emerging acute respiratory Coronavirus Disease syndrome (COVID-19) Working Group Guides of the Surviving Sepsis Campaign (SSC) guidelines for critical patients (a panel of 36 experts from 12 countries), were reviewed by using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach to classify bibliographic evidence as high, moderate, low or very low. They generated recommendations based on the balance between benefit and harm, resource and cost implications, equity and feasibility. Recommendations were either strong or weak or in the form of best practice recommendations. 54 statements advising to control infection, resuscitation and hemodynamic management, respiratory management and specific treatment were studied. Recommendations were either strong (9) or weak (35), or in the form of best practice recommendations (4), and others were discouraged (6).