Consenso Colombiano para la prevención, diagnóstico y manejo de condiciones trombóticas en pacientes adultos con COVID-19: aplicando el Marco de la Evidencia a la Decisión (EtD) GRADE / Colombian consensus for the prevention, diagnosis and treatment of thrombotic conditions in adult patients with COVID-19: applying GRADE Evidence to Decision (EtD) Frameworks
Acta méd. colomb
;
46(1): 51-72, ene.-mar. 2021. tab, graf
Artigo
em Inglês, Espanhol
| LILACS, COLNAL
| ID: biblio-1278159
RESUMEN
resumen está disponible en el texto completo
ABSTRACT
Abstract Recent studies have reported the occurrence of thrombotic phenomena or coagulopathy in patients with COVID-19. There are divergent positions regarding the prevention, diagnosis, and treatment of these phenomena, and current clinical practice is based solely on deductions by extension from retrospective studies, case series, observational studies, and international guidelines developed prior to the pandemic. In this context, the aim was to generate a group of recommendations on the prevention, diagnosis and management of thrombotic complications associated with COVID-19. Methods:
A rapid guidance was carried out applying the GRADE Evidence to Decision (EtD) frameworks and an iterative participation system, with statistical and qualitative analysis.Results:
31 clinical recommendations were generated focused on a) Coagulation tests in symptomatic adults with suspected infection or confirmed SARS CoV-2 infection; b) Thromboprophylaxis in adults diagnosed with COVID-19 (Risk scales, thromboprophylaxis for outpatient, in-hospital management, and duration of thromboprophylaxis after discharge from hospitalization), c) Diagnosis and treatment of thrombotic complications, and d) Management of people with previous indication of anticoagulant agents.Conclusions:
Recommendations of this consensus guide clinical decision-making regarding the prevention, diagnosis, and treatment of thrombotic phenomena in patients with COVID-19, and represent an agreement that will help decrease the dispersion in clinical practices according to the challenge imposed by the pandemic.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
SARS-CoV-2
/
COVID-19
Tipo de estudo:
Estudo diagnóstico
/
Guia de Prática Clínica
/
Estudo observacional
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Colômbia
Idioma:
Inglês
/
Espanhol
Revista:
Acta méd. colomb
Assunto da revista:
Medicina
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Colômbia
Instituição/País de afiliação:
Asociación Colombiana de Especialistas en Medicina de Urgencias y Emergencias/CO
/
Asociación Colombiana de Hematología y Oncología/CO
/
Asociación Colombiana de Medicina Crítica y Cuidado Intensivo/CO
/
Asociación Colombiana de Medicina Interna/CO
/
Asociación Colombiana de Nefrología e Hipertensión Arterial/CO
/
Asociación Colombiana de Neumología y Cirugía de Tórax/CO
/
Clínica Colsanitas/CO
/
Clínica Foscal/CO
/
Clínica Iberoamérica/CO
/
Clínica Reina Sofía/CO
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