Atencion primaria
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Meta Analysis
Effectiveness of antidepressants in improving the prognosis of COVID-19: A systematic review and meta-analysis.
A systematic review and meta-analysis was performed to evaluate the effectiveness of antidepressants in reducing the poor evolution of COVID-19 disease (a composite variable including death, hospitalization and need for mechanical ventilation), and mortality, according the guidelines for Systematic Reviews of Interventions published by the Cochrane library. ⋯ The use of antidepressants, and specially SSRI could be effective for reducing the risk of poor progression of COVID-19 disease.
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Scabies affects more than 200 million people around the world, and causes a significant socioeconomic impact. Prolonged skin-to-skin contact is the primary mode of transmission. Fomite-mediated transmission is uncommon, although it can be significant in crusted scabies. ⋯ It can be administered during lactation, and new evidence suggests that it is safe in children >15kg. Diverse systematic reviews and meta-analysis have concluded that oral ivermectin is as effective and safe as topical permethrin. Mass drug administration of oral ivermectin is an excellent option for the management of scabies in communities with high prevalence, or for scabies outbreaks in institutions.
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Meta Analysis
A systematic review and meta-analysis of the effectiveness and adverse events of gabapentin and pregabalin for sciatica pain.
This SR aims to assess the effectiveness of pregabalin and gabapentin on pain and disability caused by acute sciatica and the adverse events associated with their clinical use. ⋯ This SR provides clear evidence for lack of effectiveness of pregabalin and gabapentin for sciatica pain management. In view of this, its routine clinical use cannot be supported.
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Meta Analysis
[The care in the prevention of falls in elderly people: Meta-summary of qualitative articles].
To summarize the qualitative evidence on the role of care providers in the prevention of falls of persons over 65 years of age in centres and in the community. ⋯ The findings show the complexity of fall prevention and the need to incorporate care providers' opinions in preventive models.
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Review Meta Analysis
[Effectiveness of interventions for improving drug prescribing in Primary Health Care].
To determine the effectiveness of interventions for improving drug prescribing in Primary Health Care units. ⋯ The use of interventions with computer applications showed to be more effective than educational interventions and incorporation pharmacists into the health team. Future studies are required that include economic variables such as, implementation costs, drug costs and other expenses associated with health care and treatment of diseases.