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Revista Colombiana de Cardiología
versión impresa ISSN 0120-5633
Resumen
ROJAS-GUALDRON, Diego F. et al. Neurocognitive management in congenital heart disease: a systematic review of clinical practice recommendations. Rev. Colomb. Cardiol. [online]. 2023, vol.30, n.1, pp.34-44. Epub 09-Feb-2023. ISSN 0120-5633. https://doi.org/10.24875/rccar.21000118.
Objective:
To synthesize and critically assess the recommendations on neurocognitive management of patients with congenital heart disease presented in clinical practice guidelines and scientific statements.
Method:
A systematic review of practice recommendations (PROSPERO CRD42020205202). PubMed, SCOPUS, Ovid/Cochrane, and LILACS were searched, and repositories of scientific societies and references of included documents were reviewed. Critical appraisal was performed using the AGREE-II (ideal scenario) for the guidelines and statements, and recommendations were assessed using the AGREE-REX (ideal and local scenarios). A matrix of recommendations and analysis of potential barriers for its implementation in Colombia is presented.
Results:
Eighteen related recommendations were included. The average AGREE-II was 89.6. The average AGREE-REX was 90.1 in the ideal setting and 69.9 in the local setting. The included recommendations focus on surveillance, screening, evaluation, and counseling; no recommendations on neurocognitive intervention were identified. The main implementation barriers in Colombia are the unwillingness to pay on the part of the health system and the absence of a comprehensive health care offer for neurocognitive management in congenital heart disease.
Conclusion:
The identified recommendations could be adapted into a Colombian practice guideline, making modifications that recognize the local context.
Palabras clave : Congenital heart disease; Neurodevelopmental disorders; Practice guideline; Systematic review.