Guía de práctica clínica para la prevención y manejo de la injuria renal aguda en el Seguro Social de Salud del Perú (EsSalud)
DOI:
https://doi.org/10.35434/rcmhnaaa.2024.171.1967Palabras clave:
Injuria renal aguda, Guía de Práctica Clínica, GRADE, Medicina basada en evidenciaResumen
Introducción: El presente artículo resume la guía de práctica clínica (GPC) para la prevención y manejo de la injuria renal aguda en el Seguro Social del Perú (EsSalud). Objetivo: Proveer recomendaciones clínicas basadas en evidencia para la prevención y manejo de la injuria renal aguda en EsSalud. Métodos: Se conformó un grupo elaborador de la guía (GEG) que incluyó médicos especialistas y metodólogos. El GEG formuló 6 preguntas clínicas a ser respondidas por la presente GPC. Se realizó búsquedas sistemáticas de revisiones sistemáticas y –cuando fue considerado pertinente– estudios primarios en PubMed durante el 2022. Se seleccionó la evidencia para responder cada una de las preguntas clínicas planteadas. La certeza de la evidencia fue evaluada usando la metodología Grading of Recommendations Assessment, Development, and Evaluation (GRADE). En reuniones de trabajo periódicas, el GEG usó la metodología GRADE para revisar la evidencia y formular las recomendaciones, los puntos de buenas prácticas clínicas y flujogramas correspondientes. Finalmente, la GPC fue aprobada con Resolución N° 099-IETSI-ESSALUD-2022. Resultados: La presente GPC abordó 6 preguntas clínicas sobre prevención, diagnóstico y manejo (fluidoterapia). En base a dichas preguntas se formularon 5 recomendaciones (3 fuertes y 2 condicionales), 2 BPC, y 2 flujogramas. Conclusión: El presente artículo resume la metodología y las conclusiones basadas en evidencia de la GPC para la prevención y manejo de la injuria renal aguda en EsSalud.
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Derechos de autor 2024 Antonio Manuel Fernández Burga, Lesly Chávez-Rimache, Rosa Luz López Martínez, María Susana Picón Pérez, Katiuska Carpio Aguilar, Cesar Eduardo Cruzalegui Gómez, Pedro Antonio Mayma Martínez, Julio César Arica Palomino, Milagros del Pilar Dapello Jiménez, Amilkar David Anticona Camayoc, Luis Enrique Cruz Llanos, Wendy Nieto-Gutiérrez, Naysha Becerra-Chauca, Ana Brañez-Condorena, Jhonatan R Mejía , Jorge Huaringa-Marcelo, Alvaro Taype-Rondan, Stefany Salvador-Salvador, Vladimir Santos-Sánchez
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
