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Evidencias COVID-19

Evidence aid

It included 4 Cochrane Reviews, with 11 comparisons, that had used data from 44 randomised trials (3196 women). NSAIDs and Antifibrinolytics may be more effective in reducing heavy menstrual bleeding than placebo. Antifibrinolytics may be more effective in reducing heavy menstrual bleeding than short‐cycle progestogen. Combined hormonal contraceptives appear to be more effective for heavy menstrual bleeding than placebo or no treatment. Mefenamic acid may be similar to naproxen, and NSAIDs ...

Evidencias COVID-19

Evidence aid

A variety of diagnostic tests are being used to identify patients infected with SARS-CoV-2, the virus that causes COVID-19. In this rapid review the included studies showed that alternative diagnostic tests such as antibody tests may be used to supplement RT-PCR testing and that serological tests are not as reliable as RT-PCR tests.

Choosing Wisely ® : Things we do for no reason

Orlov, BMJ

Research supports the notion that frequent and consistent vital sign checks can minimize mortality and morbidity in the hospital.These interventions aim to help identify and treat patients with early clinical deterioration to prevent poor outcomes. A randomized pilot study concluded that low-risk hospitalized patients assigned to less monitoring overnight reported a trend toward better sleep during hospitalization without any adverse events. Most important, evidence indicates that sleep ...

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Crowe, BMJ

Observational studies demonstrate no association between INR or platelet counts and bleeding risk in either diagnostic or therapeutic paracentesis, including large-volume paracentesis. Moreover, prophylactic transfusion of fresh frozen plasma or platelets does not significantly reduce bleeding risk. Do not routinely use platelet count or INR when preparing for paracentesis. Reserve transfusion of fresh frozen plasma or platelets before the paracentesis for patients with disseminated ...

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Ricotta, BJM

“Rounds” is an inpatient care model in which teams of practitioners assess patients, determine care plans, and communicate with patients, families, and other healthcare professionals. Bedside rounding is different from “card flipping” or “table rounding” that involves presentations of a case separately without a team-patient encounter. Expectations should be set early with both trainees and patients. Patients should be informed that the team can come back later for more in-depth ...