Care bundles for improving outcomes in patients with COVID19 or related conditions in intensive care a rapid scoping review, Cochrane Library

Main results We included 21 studies and identified three ongoing studies. The studies were of variable designs and included a systematic review of standardised approaches to caring for critically ill patients in ICU, including but not exclusive to care bundles (1 study), a randomised trial (1 study), prospecti ve and retrospective cohort studies (4 studies), before and after studies (7 studies), observational quality improvement reports (4 studies), case series/case reports (3 studies) and audit (1 study). The studies were conducted in eight countries, most commonly China (5 studies) and the USA (4 studie s), were published between 1999 and 2020, and involved over 2000 participants in total. Studies categorised participant conditions patients with confirmed or suspected COVID‐19 (7 studies), patients with ARDS (7 studies), patients with another influenza or viral pneumonia (5 studies), patients w ith severe respiratory failure (1 study), and patients with mixed conditions (1 study). The care bundles described in the studies involved multiple diverse practices. Guidance on ventilator settings (10 studies), restrictive fluid management (8 studies), sedation (7 studies) and prone positioning ( 7 studies) were identified most frequently, while only one study mentioned chest X‐ray. None of the included studies reported the prespecified outcomes ICU‐acquired weakness (muscle wasting, weight loss) and users ' experience adapting care bundles. Of the remaining pre...
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news