Care of ophthalmological patients during the COVID-19 pandemic: A rapid scoping review.

Introduccion Un nuevo tipo de coronavirus, denominado SARS­CoV-2, puede provocar patologia respiratoria, denominada COVID-19, y ha generado una pandemia sin precedentes Las complicaciones graves incluyen neumonia y la mortalidad oscila entre un 2 a un 5% Hasta el 26 de marzo de 2020 la OMS informo 462 684 casos confirmados, y 20 834 muertes en todo el mundo Se transmite por aerosoles o gotitas respiratorias Distintas sociedades cientificas han publicado guias de practica clinica respecto a la atencion oftalmologica en pandemia COVID-19 Cada una expone la informacion de manera diferente, lo que dificulta la toma de decisiones Metodos Realizamos una busqueda bibliografica sensible en EMBASE y dirigida en sociedades oftalmologicas de guias de practica clinica de atencion oftalmologica en pandemia COVID-19 Extrajimos las recomendaciones, organizandolas en tres categorias: "que pacientes tratar", "funcionamiento del policlinico y consulta"y "que intervenciones evitar" En cada una se evaluo la busqueda sistematica de evidencia y el uso en las recomendaciones de metodologia Appraisal of Guidelines for Research and Evaluation, GRADE Resultados Se encontraron 14 articulos relevantes Se extrajeron 51 recomendaciones, elaborando una tabla resumen Ninguna efectuo busqueda sistematica de evidencia, ni incorporo GRADE en las recomendaciones Conclusiones Las guias de practica clinica revisadas comparten los principios generales de reprogramar toda consulta y cirugia no urgente, reforzando las precauciones de contacto, el uso de elementos de proteccion personal y desinfeccion de superficies e instrumentos Se deben mejorar las guias de practica clinica incorporando busquedas sistematicas de evidencia, usando metodologia GRADE para las recomendaciones y Appraisal of Guidelines for Research and Evaluation (AGREE II) para el reporte Introduction A new type of coronavirus (SARS­CoV-2) causes a respiratory distress syndrome called COVID-19 that has generated an un-precedented pandemic Serious complications include pneumonia, and mortality ranges from 2 to 5% Up until 26 March 2020, the World Health Organization (WHO) reports 462 684 confirmed cases and 20 834 deaths worldwide Dissemination occurs from aerosols or respiratory droplets Different scientific societies have published clinical practice guidelines regarding ophthalmic care in the COVID-19 pandemic, but the information is presented inconsistently, which makes decision-making difficult Methods We conducted a sensitive bibliographic search in EMBASE and ophthalmic society webpages of the clinical practice guidelines of ophthalmic care in the COVID-19 pandemic We extracted the recommendations, organizing them into three categories: "which patients to treat", "how should the clinic work", and "what interventions should be avoided" For each guideline, we assessed whether the search was systematic and whether the methodology Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was followed Results Fourteen relevant articles were found Fifty-one recommendations were extracted and are shown in a table summary None are based on a systematic search for evidence, nor do any use GRADE to develop the recommendations Conclusions All the clinical practice guidelines that we reviewed recommend rescheduling all non-urgent consultations and surgeries, reinforcing contact precautions, using personal protection elements, and disinfecting surfaces and instruments The guidelines should be improved by incorporating a systematic search for evidence, using GRADE for recommendations, and the Appraisal of Guidelines for Research &Evaluation (AGREE II) for reporting