Evidence map›Paper›PMID 35081236›Full record

SynthesisRevista Brasileira de terapia intensiva

Update of the recommendations of the Sociedade Portuguesa de Cuidados Intensivos and the Infection and Sepsis Group for the approach to COVID-19 in Intensive Care Medicine.

João João Mendes, José Artur Paiva, Filipe Gonzalez, Paulo Mergulhão, Filipe Froes, Roberto Roncon, João Gouveia

Abstract readSystematic Review
In one paragraph

Synthesis in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

João João MendesSociedade Portuguesa de Cuidados Intensivos - Lisboa, Portugal.ORCID 0000-0003-0277-3309
José Artur PaivaColégio da Especialidade de Medicina Intensiva, Ordem dos Médicos - Lisboa, Portugal.
Filipe GonzalezSociedade Portuguesa de Cuidados Intensivos - Lisboa, Portugal.
Paulo MergulhãoSociedade Portuguesa de Cuidados Intensivos - Lisboa, Portugal.ORCID 0000-0003-0212-8414
Filipe FroesUnidade de Cuidados Intensivos Médico-Cirúrgicos, Hospital de Pulido Valente, Centro Hospitalar Universitário de Lisboa Norte EPE - Lisboa, Portugal.
Roberto RonconServiço de Medicina Intensiva, Centro Hospitalar Universitário de São João EPE, Faculdade de Medicina da Universidade do Porto - Porto, Portugal.
João GouveiaSociedade Portuguesa de Cuidados Intensivos - Lisboa, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Sociedade Portuguesa de Cuidados Intensivos and the Infection and Sepsis Group have previously issued health service and management recommendations for critically ill patients with COVID-19. Due to the evolution of knowledge, the panel of experts was again convened to review the current evidence and issue updated recommendations.

methodsA national panel of experts who declared that they had no conflicts of interest regarding the development of the recommendations was assembled. Operational questions were developed based on the PICO methodology, and a rapid systematic review was conducted by consulting different bibliographic sources. The panel determined the direction and strength of the recommendations using two Delphi rounds, conducted in accordance with the principles of the GRADE system. A strong recommendation received the wording "is recommended", and a weak recommendation was written as "is suggested."

resultsA total of 48 recommendations and 30 suggestions were issued, covering the following topics: diagnosis of SARS-CoV-2 infection, coinfection and superinfection; criteria for admission, cure and suspension of isolation; organization of services; personal protective equipment; and respiratory support and other specific therapies (antivirals, immunomodulators and anticoagulation).

conclusionThese recommendations, specifically oriented to the Portuguese reality but that may also apply to Portuguese-speaking African countries and East Timor, aim to support health professionals in the management of critically ill patients with COVID-19. They will be continuously reviewed to reflect the progress of our understanding and the treatment of this pathology.

Indexed as

COVID-19SepsisCritical CareHumansIntensive Care UnitsSARS-CoV-2

Identifiers

PMID35081236
PMCPMC8889599

What OpenQuestion holds

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Registered trials

None linked

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.