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Amer YS, Titi MA, Godah MW, Wahabi HA, Hneiny L, Abouelkheir MM, Hamad MH, ElGohary GM, Hamouda MB, Ouertatani H, Velasquez-Salazar P, Acosta-Reyes J, Alhabib SM, Esmaeil SA, Fedorowicz Z, Zhang A, Chen Z, Liptrott SJ, Frungillo N, Jamal AA, Almustanyir SA, Dieyi NU, Powell J, Hon KJ, Alzeidan R, Azzo M, Zambrano-Rico S, Ramirez-Jaramillo P, Florez ID. International alliance and AGREE-ment of 71 clinical practice guidelines on the management of critical care patients with COVID-19: a living systematic review. J Clin Epidemiol 2022; 142:333-370. [PMID: 34785346 PMCID: PMC8590623 DOI: 10.1016/j.jclinepi.2021.11.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 07/10/2021] [Accepted: 11/06/2021] [Indexed: 02/07/2023]
Abstract
OBJECTIVE We aimed to systematically identify and critically assess the clinical practice guidelines (CPGs) for the management of critically ill patients with COVID-19 with the AGREE II instrument. STUDY DESIGN AND SETTING We searched Medline, CINAHL, EMBASE, CNKI, CBM, WanFang, and grey literature from November 2019 - November 2020. We did not apply language restrictions. One reviewer independently screened the retrieved titles and abstracts, and a second reviewer confirmed the decisions. Full texts were assessed independently and in duplicate. Disagreements were resolved by consensus. We included any guideline that provided recommendations on the management of critically ill patients with COVID-19. Data extraction was performed independently and in duplicate by two reviewers. We descriptively summarized CPGs characteristics. We assessed the quality with the AGREE II instrument and we summarized relevant therapeutic interventions. RESULTS We retrieved 3,907 records and 71 CPGs were included. Means (Standard Deviations) of the scores for the 6 domains of the AGREE II instrument were 65%(SD19.56%), 39%(SD19.64%), 27%(SD19.48%), 70%(SD15.74%), 26%(SD18.49%), 42%(SD34.91) for the scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability, editorial independence domains, respectively. Most of the CPGs showed a low overall quality (less than 40%). CONCLUSION Future CPGs for COVID-19 need to rely, for their development, on standard evidence-based methods and tools.
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Affiliation(s)
- Yasser S. Amer
- Pediatrics Department and Clinical Practice Guidelines Unit, Quality Management Department, King Saud University Medical City, Riyadh, Saudi Arabia,Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia,Alexandria Center for Evidence-Based Clinical Practice Guidelines, Alexandria University Medical Council, Alexandria University, Alexandria, Egypt
| | - Maher A. Titi
- Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia,Patient Safety Unit, Quality Management Department King Saud University Medical City, Riyadh, Saudi Arabia
| | - Mohammad W. Godah
- Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Hayfaa A. Wahabi
- Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia,Family & Community Medicine Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Layal Hneiny
- Saab Medical Library, University Libraries, American University of Beirut, Beirut, Lebanon
| | | | - Muddathir H. Hamad
- Division of Neurology, Pediatrics Department, King Khalid University Hospital, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Ghada Metwally ElGohary
- Internal Medicine and Clinical Hematology, Faculty of Medicine, Ain Shams University, Cairo, Egypt,University Oncology Center, University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Mohamed Ben Hamouda
- Clinical Practice Guidelines Unit, INEAS l instance Nationale de l'évaluation et de l'accréditation en santé 7 Rue Ahmed Rami le belvedere 1001 Tunis-TUNISIA
| | - Hella Ouertatani
- Clinical Pathways Unit, National Authority for Assessment and Accreditation in Healthcare (INEAS), Tunis, Tunisia
| | - Pamela Velasquez-Salazar
- Unidad de Evidencia y Deliberación para la toma de Decisiones (UNED), Faculty of Medicine, University of Antioquia, Medellín, Colombia
| | - Jorge Acosta-Reyes
- Department of Public Health, Universidad del Norte, Barranquilla, Colombia
| | - Samia M. Alhabib
- National Center for Evidence-Based Health Practice, Saudi Health Council, Riyadh, Saudi Arabia,King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia
| | - Samia Ahmed Esmaeil
- Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia
| | - Zbys Fedorowicz
- Veritas Health Sciences Consultancy Ltd., Huntingdon, United Kingdom
| | - Ailing Zhang
- First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Zhe Chen
- First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | | | - Niccolò Frungillo
- Oncology Unit, ASST Fatebenefratelli-Sacco, PO Fateberefratelli, Piazza Principessa Clotilde 3, 20121, Milan, Italy
| | - Amr A. Jamal
- Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia,Family & Community Medicine Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | - Newman Ugochukwu Dieyi
- Division of Community Health and Humanities, Memorial University, St. John's Newfoundland and Labrador, Canada
| | - John Powell
- National Institute for Health and Care Excellence, London, UK,Nuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, Oxford OX2 6GG, UK
| | - Katrina J. Hon
- Division of Community Health and Humanities, Memorial University, St. John's Newfoundland and Labrador, Canada,Neuroscience, Mind, Brain, and Behavior, Harvard University, MA, USA
| | - Rasmieh Alzeidan
- Cardiac Sciences Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Majduldeen Azzo
- Pediatrics Emergency Department, The International Medical Center, Hail Street, 21451, Jeddah, Saudi Arabia
| | | | | | - Ivan D. Florez
- Department of Pediatrics, University of Antioquia, Medellin, Colombia,School of Rehabilitation Science, McMaster University, Hamilton, Canada,Corresponding author: Tel.: +57 4 219 2480
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