Respuesta a la pregunta

De acuerdo a la pregunta clínica formulada: ¿Cuál es el efecto de la suplementación de zinc en la morbimortalidad por COVID-19? . El meta análisis seleccionado para responder la pregunta reporta que no existen pruebas suficientes para determinar el efecto de la suplementación con zinc en la morbimortalidad de los pacientes con COVID-19

RECOMENDACIONES Se recomienda:

1. La difusión de los resultados de esta investigación, por ser de utilidad para el personal de ciencias de la salud implicados en la prevención y tratamiento de la COVID-19.

2. La sistematización de la intervención nutricional con suplementos de zinc en personas no complicadas con COVID-19 sería favorable, monitorizando la tolerancia y presencia de efectos adversos.

3. Para corroborar que la suplementación nutricional con zinc en los pacientes con COVID-19 es o no efectiva, es necesario desarrollar investigaciones que incluyan ensayos doble ciego controlados con placebo.

4. De confirmarse estos resultados, incluir en los protocolos de atención, prevención y tratamiento de la COVID-19, la suplementación con zinc.

5. Efectivizar acciones de difusión masiva que resalten la importancia del zinc en la regulación del sistema inmunológico para promover el consumo de alimentos fuente de este oligoelemento.

6. Promover legislación que obligue la fortificación de alimentos de consumo masivo con zinc, para ayudar a evitar deficiencias de este oligoelemento que permite un buen funcionamiento orgánico y una mejor respuesta inmunológica.

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ANEXOS

Listas de chequeo de los artículos seleccionados con las evaluaciones según las tablas CASPE.

ENSAYOS CLINICOS ARTICULO CIENTIFICO

PREGUNTAS DE EVALUACION CASPE PARA ENSAYOS CLINICOS

TOTAL 1 2 3 4 5 6 7 8 9 10 11

Serum zinc and copper in people with COVID-19 and zinc

supplementation in parenteral

nutrition.

2 1 2 0 0 2 2 1 2 1 2 15

Effect of High-Dose Zinc and Ascorbic Acid

Supplementation vs Usual Care on

2 2 2 0 0 2 2 1 2 2 2 17

Symptom Length and Reduction Among

Ambulatory

Patients With SARS-CoV-2

Infection: The COVID A to Z Randomized

Clinical Trial.

REVISION SISTEMATICA ARTICULO

CIENTIFICO

PREGUNTAS DE EVALUACION CASPE PARA REVISION SISTEMATICA

TOTAL 1 2 3 4 5 6 7 8 9 10

Zinc and COVID- 19: Basis of Current Clinical Trials.

2 2 2 1 2 2 0 2 2 2 -- 17

Zinc and selenium supplementation in COVID-19

prevention and treatment: a systematic review of the experimental studies.

2 2 2 1 1 2 1 2 2 2 -- 17

Should we

supplement zinc in COVID-19 patients?

Evidence from a meta-analysis.

2 2 2 2 1 2 1 2 1 2 -- 17

The Potential 2 2 1 2 2 1 0 2 2 2 -- 16

A, C, and D and Zinc Supplements on the Severity of COVID-19

Symptoms and Clinical Outcomes:

An Updated Review of Literature

Does Evidence Exist to Blunt Inflammatory

Response by Nutraceutical

Supplementation during COVID-19 Pandemic? An Overview of Systematic

Reviews of Vitamin D, Vitamin C, Melatonin, and Zinc

2 2 2 2 2 1 0 2 2 2 -- 17

The role of zinc in the pathogenesis and treatment of COVID-19: A review

2 2 1 2 2 1 0 2 2 2 -- 16

Nutritional risk of vitamin D, vitamin C, zinc, and

selenium deficiency on risk and clinical outcomes of COVID-19: A narrative review

2 2 2 2 2 1 0 2 2 2 -- 17

Possible Benefits of Zinc supplement in CVD and COVID-19 Comorbidity

2 2 1 2 2 1 0 2 2 2 -- 16

Immunomodulatory effects of zinc and its impact on COVID-19 severity

2 2 1 2 2 1 0 2 2 2 -- 16

Zinc

supplementation and COVID‑19

2 2 2 2 2 2 0 2 2 2 -- 18