Evidence map›Paper›PMID 34764042›Full record

ArticleJournal of infection and public health2022

The Saudi Critical Care Society practice guidelines on the management of COVID-19 in the ICU: Therapy section.

Waleed Alhazzani, Mohammed Alshahrani, Fayez Alshamsi, Ohoud Aljuhani, Khalid Eljaaly, Samaher Hashim, Rakan Alqahtani, Doaa Alsaleh, Zainab Al Duhailib, Haifa Algethamy and 41 more

Abstract read
In one paragraph

Article in Journal of infection and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Transforming healthcare: Saudi Arabia's vision 2030 healthcare model.Journal of pharmaceutical policy and practice · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

51 authors.

Waleed AlhazzaniDepartment of Medicine, McMaster University, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Canada; GUIDE Center, St. Joseph's Healthcare Hamilton, Hamilton, Canada. Electronic address: alhazzaw@mcmaster.ca.
Mohammed AlshahraniDepartment of Emergency and Critical Care, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Fayez AlshamsiDepartment of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
Ohoud AljuhaniDepartment of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia.
Khalid EljaalyDepartment of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia.
Samaher HashimDepartment of Medicine, University of Tabuk, Tabuk, Saudi Arabia.
Rakan AlqahtaniDepartment of Critical Care Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Doaa AlsalehDepartment of Population Health Science and Policy, Icahn's School of Medicine at Mount Sinai, NYC, USA; King Abdullah International Medical Research Center, NGHA, Riyadh, Saudi Arabia.
Zainab Al DuhailibCritical Care Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Haifa AlgethamyDepartment of Anesthesia and Critical Care, King Abdulaziz University, Jeddah, Saudi Arabia.
Tariq Al-MusawiDepartment of Critical Care Medicine, Dr Sulaiman AlHabib Hospital, AlKhobar, Saudi Arabia; Royal College of Surgeons in Ireland- Medical University of Bahrain, Bahrain.
Thamir AlshammariMedication Safety Research Chair, King Saud University, Riyadh, Saudi Arabia; College of Pharmacy, Riyadh Elm University, Riyadh, Saudi Arabia.
Abdullah AlqarniDepartment of Emergencies, Disasters, and Medical Transportation, Ministry of Health, Riyadh, Saudi Arabia.
Danya KhoujahDepartment of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Wail TashkandiDepartment of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia; Department of Critical Care, Fakeeh Care Group, Jeddah, Saudi Arabia.
Talal DahhanCritical Care Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Duke University, Durham, USA.
Najla AlmutairiDepartment of Emergencies, Disasters, and Medical Transportation, Ministry of Health, Riyadh, Saudi Arabia.
Haleema A AlserehiSaudi Public Health Authority, Riyadh, Saudi Arabia.
Maytha Al-YahyaDepartment of Emergency Medicine, King AbdulAziz Medical City (KAMC), Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Bandar Al-JudaibiTransplant Division, University of Rochester, USA.
Yaseen M ArabiKing Saud Bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia.
Jameel AbualenainDepartment of Emergency Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Jawaher M AlotaibiDepartment of Medicine, King Faisal Specialist Hospital and Research Center Riyadh, Saudi Arabia.
Ali Al BshabsheDepartment of Medicine/Adult Critical Care, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Reham AlharbiCritical Care Department, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Fahad Al-HameedDepartment of Intensive Care, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Alyaa ElhazmiDr. Sulaiman Al-Habib Medical Group, Critical Care Department, Riyadh, Saudi Arabia.
Reem S AlmaghrabiDepartment of Medicine, King Faisal Specialist Hospital and Research Center, Saudi Arabia.
Fatma AlmaghlouthRespiratory Care Department, Faculty of Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
Malak AbedalthagafiGenomics Research Department, Saudi Human Genome Project, King Fahad Medical City and King Abdulaziz City for Science and Technology, Riyadh, Saudi Arabia.
Noor Al KhathlanRespiratory Care Department, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Faisal A Al-SuwaidanClinical Excellence Administration and King Fahad Medical City, Second Health Cluster in Riyadh, Ministry of Health, Saudi Arabia.
Reem F BunyanCenter for Improving Value in Health, Saudi Arabia; Department of Neurology, King Fahad Specialist Hospital Dammam, Saudi Arabia.
Bandar BawDepartment of Medicine, McMaster University, Canada; Department of Emergency Medicine, King AbdulAziz Medical City (KAMC), Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Ghassan AlghamdiDepartment of Medicine and Intensive Care, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Manal Al HazmiDepartment of Medicine, King Fahad Specialist-Dammam, E1 Cluster, Dammam, Saudi Arabia.
Yasser MandourahGeneral Directorate of Military Medical Services, Ministry of Defense, Saudi Arabia.
Abdullah AssiriInfection Prevention and Control, Ministry of Health, Riyadh, Saudi Arabia.
Mushira EnaniSection of Infectious Diseases Medical Specialties Department, King Fahad Medical City, Riyadh, Saudi Arabia.
Maha AlawiDepartment of Medical Microbiology, Parasitology, Infection Control and Environmental Health Unit, King Abdulaziz Hospital, King Abdulaziz University, Jeddah, Saudi Arabia.
Reem AljindanDepartment of Microbiology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Ahmed AljabbaryDepartment of Intensive Care, Security Forces Hospital Program in Riyadh, Saudi Arabia.
Abdullah AlrbiaanCritical Care Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Fahd AlgurashiDivision of Anesthesia and Critical Care, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Abdulmohsen AlsaawiDepartment of Emergency Medicine, King AbdulAziz Medical City (KAMC), Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Thamer H AlenaziKing Abdulaziz Medical City, King Abdullah International Medical Research Center, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
Mohammed A AlsultanSaudi Commission for Health Specialities, Riyadh, Saudi Arabia.
Saleh A AlqahtaniLiver Transplant Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia; Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, USA.
Ziad MemishResearch and Innovation Center, King Saud Medical City, Ministry of Health, & College of Medicine, Alfaisal University, Riyadh, Saudi Arabia; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Jaffar A Al-TawfiqInfectious Disease Division, Indiana University School of Medicine, IN, USA; Infectious Disease Division, Johns Hopkins University School of Medicine, Baltimore, USA; Quality Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Ahmed Al-JedaiColleges of Medicine and Pharmacy, Alfaisal University, Riyadh, Saudi Arabia; Therapeutic Affairs, Ministry of Health, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rapid increase in coronavirus disease 2019 (COVID-19) cases during the subsequent waves in Saudi Arabia and other countries prompted the Saudi Critical Care Society (SCCS) to put together a panel of experts to issue evidence-based recommendations for the management of COVID-19 in the intensive care unit (ICU).

methodsThe SCCS COVID-19 panel included 51 experts with expertise in critical care, respirology, infectious disease, epidemiology, emergency medicine, clinical pharmacy, nursing, respiratory therapy, methodology, and health policy. All members completed an electronic conflict of interest disclosure form. The panel addressed 9 questions that are related to the therapy of COVID-19 in the ICU. We identified relevant systematic reviews and clinical trials, then used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach as well as the evidence-to-decision framework (EtD) to assess the quality of evidence and generate recommendations.

resultsThe SCCS COVID-19 panel issued 12 recommendations on pharmacotherapeutic interventions (immunomodulators, antiviral agents, and anticoagulants) for severe and critical COVID-19, of which 3 were strong recommendations and 9 were weak recommendations.

conclusionThe SCCS COVID-19 panel used the GRADE approach to formulate recommendations on therapy for COVID-19 in the ICU. The EtD framework allows adaptation of these recommendations in different contexts. The SCCS guideline committee will update recommendations as new evidence becomes available.

Indexed as

COVID-19Critical CareHumansIntensive Care UnitsSARS-CoV-2Saudi ArabiaCOVID-19Intensive care unitPractice guidelineTherapy

Identifiers

PMID34764042
PMCPMC8527699

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.