Characterization of COVID-19 cases in critically ill patients: scoping review
Abstract
Introduction: The leading cause of mortality from the new coronavirus is respiratory failure. Accordingly, intensive care must be promptly provided to the critically ill patient. Objective: To explore the evidence about the clinical findings, treatment and outcome of Sars-CoV-2 infected patients admitted to Intensive Care Units. Method: Scoping review, carried out in April 2021, in eight national and international data sources, according to the guidelines of the Joanna Briggs Institute, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist, without language or time restrictions. The Population, Concept and Context strategy was adopted for the development of the research question. Results: A total of 15 scientific articles were included, with a predominance of publications in China, the United States of America and Canada. Of the studies, 80% were with adults and elderly in Intensive Care Unit. The main clinical findings were fever, cough, Acute Respiratory Distress Syndrome and kidney injury, treatment with invasive and non-invasive mechanical ventilation, high flow oxygen therapy and corticosteroids. The main outcome was death. Conclusion: Most patients presented with fever, cough and Acute Respiratory Distress Syndrome, receiving care such as mechanical ventilation, high flow oxygen therapy and corticosteroids, with a high death rate.Downloads
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