Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine (Sep 2021)

V.I.T.A.M. in COVID 19: A Systematic Approach to a Global Pandemic

  • Siva Naga S. Yarrarapu MBBS,
  • Pankaj Bansal MD,
  • David Abia-Trujillo MD,
  • Austin Cusick DO,
  • Megan Melody MD MS,
  • Varun Moktan MD,
  • Andrea Rivero DO,
  • Tara J. Brigham AHIP,
  • Claudia Libertin MD,
  • Lisa Brumble MD,
  • Jennifer J. O'Brien MD,
  • Augustine Lee MD,
  • Torp Klaus MD,
  • Christan Santos APRN,
  • Candido Rivera MD,
  • Jason Siegel MD,
  • Pramod Guru MBBS, MD,
  • Pablo Moreno Franco MD,
  • Devang Sanghavi MBBS, MD

DOI
https://doi.org/10.1177/11795484211047432
Journal volume & issue
Vol. 15

Abstract

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Introduction In the unprecedented era of COVID-19, ongoing research and evolution of evidence has led to ever-changing guidelines for clinical monitoring and therapeutic options. Formulating treatment protocols requires the understanding and application of the evolving research. Objective The primary objective of this study is to present a systematic evidence-based approach to synthesize the necessary data in order to optimize the management of COVID-19. Methods At Mayo Clinic Florida, we developed a multidisciplinary centralized COVID Treatment Review Panel (TRP) of expert pulmonologists, intensivists, infectious disease specialists, anesthesiologists, hematologists, rheumatologists, and hospitalists that in real-time reviews the latest evidence in peer-reviewed journals, the available clinical trials, and help guide the rapid application of therapeutics or interventions to the patient and the bedside provider. Results/Conclusions The multi-disciplinary team approach of synthesizing clinical data and coordinating care is effective in responding to rapidly evolving and changing evidence. Systematic data collection and evidence-based treatment algorithms enable physicians to rapidly translate the current literature to clinical practice, and improve care and outcomes of patients.