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There are no important differences between face-to-face versus remote asthma check-ups in terms of exacerbations, asthma control, or quality of life.
Evidencias COVID-19
Cochrane - Colección Especial - Coronavirus (Covid-19): asistencia en remoto mediate la telesalud
There is insufficient information to rule out differences in efficacy, or to establish whether remote asthma screening is a safe option compared to face-to-face consultations.
ver más ... 2016It is not recommended generalized telemonitoring with information from the healthcare professional between visits to the specialist asthma office.
Evidencias COVID-19
Cochrane - Colección Especial - Coronavirus (Covid-19): asistencia en remoto mediate la telesalud
Studies have not yet shown that additional telemonitoring strategies lead to better symptom control or a reduced need for oral corticosteroids over routine asthma care, nor have they ruled out the unexpected deleterious effects. The researchers observed small benefits for quality of life, although they are subject to risk of bias, because blinding was not performed in the studies. Similarly, some benefits for lung function are uncertain due to possible attrition bias.
ver más ... 2016It is encouraged to use Automated Telephone Communication Systems interventions to change patients' health behavior, improve clinical outcomes, and increase health care, with positive effects in ...
Evidencias COVID-19
Cochrane - Colección Especial - Coronavirus (COVID-19): asistencia en remoto mediante la telesalud
The decision to integrate SCTA interventions into routine healthcare should reflect variations in the certainty of available evidence and the size of the effects on different diseases, along with the diverse nature of the SCTA interventions evaluated. Future research should investigate both the content of SCTA interventions and the modality thereof; user experiences, particularly regarding acceptability; and clarify which types of SCTA are most effective and profitable.
ver más ... 2016It is advisable to better individualize and base on clinical variables that reflect hypoperfusion for the selection of vasopressors for hypotensive shock.
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento con líquidos y vasopresores)
No evidence of significant differences in total mortality was found between various vasopressors. Dopamine increases the risk of arrhythmia compared to norepinephrine and could increase mortality. On the other hand, evidence of other differences between any of the six vasopressors examined is not sufficient. Low risk of bias and high quality evidence were identified for the norepinephrine versus dopamine comparison and moderate to very low quality evidence for all other comparisons, mainly ...
ver más ... 2016All relevant ICU staff will benefit from general respirator removal training as well as specific mechanical ventilation removal protocols for critically ill adults and children.
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (desconexión de la ventilación mecánica)
There is a clear need for withdrawal protocols to take into account the social and cultural environment in which they will be implemented. Regardless of the inherent strengths, the protocol will not be used if it does not satisfy these complexities. In terms of protocol development, comprehensive interprofessional input will help ensure broad understanding and a sense of 'ownership'. Regarding implementation, all relevant UCI personnel will benefit from general training on respirator removal as ...
ver más ... 2016