Coronavirus (COVID-19): Evidence Collection. Evidence Aid
In this Cochrane systematic review, the authors searched for studies of the accuracy of airway assessment tests in adults. They did not restrict their searches by date, type or language of publication and did them in December 2016. They included 127 cohort type studies and 6 case-control studies (total: 844,206 participants). These evaluated seven different pre-specified index tests, as well as 69 that had not been pre-specified, and 32 combinations of test. They also identified 27 studies that ...
Evidence was found from three small studies that fewer patients died over the course of 30 days when feeding was provided by combined enteral and parenteral routes. No study reported the number of days without an ICU until day 28 (i.e., hospital stay in the ICU taking into account the expected loss of participants due to death) and one study reported that the feeding route did not affect the number of days without a respirator.
No evidence was found that enteral feeding compared to parenteral ...
Cochrane - Colección Especial - cuidados críticos (tratamiento con líquidos y vasopresores)
Using starches, dextrans, albumin or fresh frozen plasma (moderate‐certainty evidence), or gelatins (low‐certainty evidence), versus crystalloids probably makes little or no difference to mortality. Starches probably slightly increase the need for blood transfusion and renal replacement therapy (moderate‐certainty evidence), and albumin or fresh frozen plasma may make little or no difference to the need for renal replacement therapy (low‐certainty evidence). Evidence for blood ...
National Institute for Health and Clinical Excellence (NICE)
Assessment and coordination of care
- For people with clinically important symptoms of PTSD presenting in primary care, GPs should take responsibility for assessment and initial coordination of care. This includes determining the need for emergency physical or mental health assessment. [2005, amended 2018]
- Assessment of people with PTSD should be comprehensive, including an assessment of physical, psychological and social needs and a risk assessment. [2005, amended 2018]
- Where management ...
National Institute for Health and Clinical Excellence (NICE)
Evidence on the safety of leadless cardiac pacemaker implantation for bradyarrhythmias shows that there are serious but well-recognised complications. The evidence on efficacy is inadequate in quantity and quality:
- For people who can have conventional cardiac pacemaker implantation, leadless pacemakers should only be used in the context of research.
- For people in whom a conventional cardiac pacemaker implantation is contraindicated following a careful risk assessment by a multidisciplinary ...