Consenso colombiano de expertos sobre recomendaciones informadas en la evidencia para la prevención, el diagnóstico y el manejo de la lesión renal aguda por SARS-CoV-2/COVID-19



Título del documento: Consenso colombiano de expertos sobre recomendaciones informadas en la evidencia para la prevención, el diagnóstico y el manejo de la lesión renal aguda por SARS-CoV-2/COVID-19
Revista: Revista Colombiana de Nefrología
Base de datos: PERIÓDICA
Número de sistema: 000452804
ISSN: 2500-5006
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Instituciones: 1Clínica Colsanitas, Clínica Universitaria Colombia, Bogotá. Colombia
2Instituto Nacional de Investigación y Medicina Especializada S.A.S, Bogotá D.C. Colombia
3Asociación Colombiana de Gerontología y Geriatría, Bogotá. Colombia
4Hospital Mederi Mayor, Bogotá. Colombia
5Fresenius Medical Care Colombia, Bogotá. Colombia
6Universidad de Cartagena, Departamento de Medicina Interna y Nefrología, Cartagena de Indias, Bolívar. Colombia
7Universidad Simón Bolívar, Barranquilla, Atlántico. Colombia
8Asociación Colombiana de Nefrología Pediátrica, Bogotá. Colombia
Año:
Volumen: 7
Paginación: 89-117
País: Colombia
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en español está disponible en el texto completo
Resumen en inglés Introduction: Acute kidney injury is a frequent complication in patients with COVID-19 and its occurrence is a potential indicator of multi-organ dysfunction and disease severity. Objective: Develop, through an expert consensus, evidence-based recommendations for the prevention, diagnosis, and management of acute kidney injury in patients with SARS CoV2 / COVID-19 infection. Materials and methods: Based on a rapid systematic review in Embase and Pubmed databases and documents from scientific societies, we made preliminary recommendations and consulted with an expert group through an online tool. Then we defined agreement after at least 70 % consensus approval. Quality evidence was evaluated according to the type of document included. The strength of the recommendations was graded as strong or weak. Results: Fifty clinical experts declared their conflict of interest; the consultation took place between May 2 and 29, 2020. The range of agreement ranged from 75.5 % to 100 %. Recommendations for prevention, diagnosis and management of acute kidney injury in patients with SARS CoV2 infection are presented. Conclusions: Although the good quality information available regarding acute kidney injury in patients with COVID-19 is scarce, the recommendations of clinical experts will guide clinical decision-making and strategies around patients with this complication, guaranteeing care focused on the people, with high quality standards, and the generation of safety, health and wellness policies for multidisciplinary care teams
Disciplinas: Medicina
Palabras clave: Terapéutica y rehabilitación,
Nefrología,
Virus,
Medicina basada en evidencias,
Guías clínicas,
SARS-CoV-2,
COVID-19,
Lesión renal aguda
Keyword: Therapeutics and rehabilitation,
Nephrology,
Virus,
Evidence based medicine,
Clinical guides,
SARS-CoV-2,
COVID-19,
Acute kidney injury
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