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Interventions related to cardiovascular complications in people hospitalized by covid-19: a scoping review
José Hiago Feitosa de Matos1, Emiliana Bezerra Gomes1, Natália Pinheiro Fabricio Formiga1
1Universidade Regional do Cariri. Crato, Ceará, Brazil.
Insights
This review highlights common cardiovascular complications in COVID-19 patients, including myocardial injury. Evidence suggests interventions like oxygen therapy and thrombotic disorder management, but lacks consensus on nursing roles.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- COVID-19, a novel coronavirus infection, has been associated with various systemic complications.
- Cardiovascular complications represent a significant concern in hospitalized COVID-19 patients.
- Understanding these complications and necessary interventions is crucial for patient management.
Purpose of the Study:
- To systematically review the scientific evidence regarding cardiovascular complications in COVID-19 patients.
- To identify the need for cardiovascular interventions in this population.
Main Methods:
- A scoping review was conducted following The Joanna Briggs Institute (JBI) methodology.
- Searches were performed across major databases: MEDLINE, CINAHL, SCOPUS, and Web of Science.
Main Results:
- Eleven studies published between December 2019 and April 2020 were included, characterized by low levels of evidence.
- Myocardial injury was the most frequently reported cardiac complication, affecting 8-12% of severe COVID-19 cases.
- Interventions indicated included oxygen therapy, prevention/treatment of thrombotic disorders, hemodynamic monitoring, cardiac function tests, and biochemical markers, with no specific nursing interventions identified.
Conclusions:
- The current evidence on cardiovascular complications and interventions in COVID-19 lacks consensus.
- Further explanatory studies are needed to establish causal relationships.
- Development of multi-professional clinical protocols is recommended to guide patient care.
Objective:
To describe the scientific evidence of complications and the need for cardiovascular interventions in people hospitalized by Covid-19.
Method:
a scoping review carried out according to The Joanna Briggs Institute recommendations, in the MEDLINE, CINAHL, SCOPUS and Web of Science databases.
Results:
A total of 11 published studies from December of 2019 to April of 2020, presenting low levels of evidence were selected. The evidence described the myocardial injury as the most common cardiac complication reported in Covid-19, reported in approximately 8% to 12% of all severe individuals, with indications for oxygen therapy interventions, thrombotic disorders prevention and treatment, hemodynamic monitoring and assessment tests of cardiac function's performance, along with biochemical markers of myocardial injury, yet not addressing nursing interventions.
Conclusion:
Cardiovascular complications and interventions have not shown consensus on the found evidence, requiring causal analysis by explanatory studies that support multi-professional clinical protocols in health.
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