Alva-Diaz C, Gomez J, Becerra BY, Custodio N, Montesinos R, Castro-Suárez S, Lira D, Sequeiros J, Mori N

Idioma: Español
Referencias bibliográficas: 44
Paginas: 116-130
Archivo PDF: 289.95 Kb.

RESUMEN

Introduccion: La hemorragia intracerebral (HIC) es uno de los tipos más devastadores de enfermedad cerebrovascular aguda y su manejo adecuado podría mejorar el pronóstico. Las guías para la práctica clínica (GPC) con un adecuado desarrollo metodológico sustentan el manejo adecuado de las diversas patologías prevalentes en cada país.
Objetivo: Conocer cuáles son las GPC para el diagnóstico y tratamiento de la HIC publicadas actualmente y evaluar su calidad metodológica mediante el uso del instrumento AGREE II.
Metodos: Se realizó una revisión sistemática para identificar las GPC de HIC, se seleccionó mediante criterios y se evaluó mediante el instrumento AGREE II. Se estableció que un dominio era aceptable en su desarrollo si alcanzaba un puntaje mínimo del 60%.
Resultados: Se identificaron un total de 10 GPC sobre HIC de los cuales 4 resultaron elegibles para la evaluación de calidad metodológica. Las GPC evaluadas fueron las de AHA/ASA, ESO, KSCVS/CRCS y SEN. Los puntajes obtenidos en los dominios ‘alcance y objetivos’, ‘participación de los implicados’, ‘rigor en la elaboración’, ‘claridad de la presentación’, ‘aplicabilidad’, ‘independencia editorial’ fueron respectivamente para las GPC AHA/ASA, ESO, KSCVS/CRCS y SEN 89%, 61%, 67% y 42%; 61%, 78%, 61% y 22%; 72%, 70%, 40% y 28%; 83%, 78%, 75%; 67%; 50%, 50%, 31% y 29%; 75%, 71%, 25% y 63% y; 75%, 67%, 50% y 50%. En el puntaje global las puntuaciones fueron de 75%, 67%, 50% y 50% respectivamente.
Conclusiones: La calidad metodológica general de las GPC para la HIC fue de moderado a alto según la evaluación realizada usando el instrumento AGREE II siendo las GPC AHA/ASA y ESO las que presentaron un mejor desempeño y son recomendables para su uso mediante estrategias de adopción y adaptación en los diferentes sistema de salud.

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