Cilj. U Republici Srbiji do danas nije bilo vodiča za primenu lekova kod pacijenata obolelih od COVID-a 19 koji su autorizovani i publikovani u stručnoj ili naučnoj literaturi, ili su dostupni na zvaničnim internet stranicama Ministarstva zdravlja odnosno ustanova zdravstvenog karaktera. Cilj ovog rada je da prikaže lokalni vodič za primenu lekova kod pacijenata sa COVID-om 19, kao i postupak njegove izrade i usvajanja. Metode. Predlog vodiča je izradila radna grupa na osnovu rezultata sistematskog pretraživanja medicinske literature i provere kvaliteta pronađenih publikacija iz kategorije “vodiči kliničke prakse”. Predlog radne grupe je razmatran i usvojen na sednicama Komisije za lekove i Komisije za kvalitet Univerzitetskog kliničkog centra Kragujevac. Rezultati. Preporuke vodiča su gradirane prema tipu pacijenata, i sve imaju isti stepen, kao i isti kvalitet dokaza na kojima su zasnovane. Tipovi pacijenata su formirani prema težini oboljenja i potrebi za respiratornom potporom, kao i prema riziku za razvoj sekundarne bakterijske infekcije. Zaključak. Lokalni vodič za primenu lekova kod pacijenata obolelih od COVID-a 19 je izrađen i usvojen u kratkom vremenskom roku, primarno zbog potrebe za njegovom hitnom primenom. Revizija ovog vodiča je planirana nakon 6 meseci od datuma njegovog usvajanja.
S33national level in England and assumed that the interventions would be achieved in 100% of patients. RESULTS: The AF register included 1,065,569 patients (prevalence 1.85%). The model estimated, however, that prevalence should be 2.50% (1.4 million patients), giving a detection gap of 25.9%. Screening of all undetected patients and improved diagnostic interventions coupled with adequate anticoagulation would cost £47.1 million. Risk assessments had not been performed in 13,592 (3.1%) patients. With 100% assessment, the reduced stroke risk would be associated with a saving of £4.4 million. Among 877 964 patients eligible for anticoagulation, 165,355 (19%) were not receiving treatment, and among the 712,609 being treated, anticoagulation was inadequate in 191,289 (30%). Starting treatment in all untreated patients would save £53.7 million and achieving adequate anticoagulation in all would save a further £136.6 million. The total achievable saving over 3 years, therefore, would be £147.7 million. CONCLUSIONS: Addressing AF diagnosis and management gaps, especially adequacy of anticoagulation, would lead to significant savings across England, even with the cost of introducing screening.
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