Evidence map›Paper›PMID 25635118›Full record

ArticleThe Journal of infectious diseases2015

Evaluating large-scale blood transfusion therapy for the current Ebola epidemic in Liberia.

Alexander Gutfraind, Lauren Ancel Meyers

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Engineering Antibodies for the Treatment of Infectious Diseases.Advances in experimental medicine and biology · 2017
    Review
  7. Article
  8. Convalescent plasma: new evidence for an old therapeutic tool?Blood transfusion = Trasfusione del sangue · 2016
    Review
  9. Plasma therapy against infectious pathogens, as of yesterday, today and tomorrow.Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine · 2016
    Review
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Alexander GutfraindSchool of Public Health, University of Illinois at Chicago Department of Medicine, Loyola University Medical Center, Maywood, Illinois.
Lauren Ancel MeyersDepartment of Integrative Biology, University of Texas at Austin Santa Fe Institute, New Mexico.
Santa Fe Institute · USUniversity of Illinois Chicago · US

Funding

Impacts of Individual and Social Behavior on Influenza Dynamics and ControlU01GM087719 · NIGMS · YALE UNIVERSITY · PI GALVANI, ALISON P, MEYERS, LAUREN ANCEL · 2009 to 2018
$6.3M
NIGMS NIH HHS U01 GM087719NIGMS NIH HHS U01GM087719
6 · The paper itself

Abstract

backgroundTo combat the 2014-2015 Ebola virus disease (EVD) epidemic in West Africa, the World Health Organization urged the rapid evaluation of convalescent whole blood (CWB) and plasma (CP) transfusion therapy. However, the feasibility and likely impacts of broad implementation of transfusions are yet unknown.

methodsWe extended an Ebola virus transmission model published by the Centers for Disease Control and Prevention to include hospital-based convalescent donations and transfusions. Using recent epidemiological estimates for EVD in Liberia and assuming that convalescent transfusions reduce the case-fatality rate to 12.5% (range, 7.5%-17.5%), we projected the impacts of a countrywide ramp-up of transfusion therapy.

resultsUnder the 10% case-hospitalization rate estimated for Liberia in September 2014, large-scale CP therapy is expected to save 3586 lives by October 2015 (3.1% mortality reduction; 95% confidence interval [CI], .52%-4.5%). Under a higher 30% hospitalization rate, CP transfusions are expected to save 151 lives (0.9% of the total; 95% CI, .21%-11%).

conclusionsTransfusion therapy for EVD is a low-cost measure that can potentially save many lives in West Africa but will not measurably influence the prevalence. Under all scenarios considered, CP transfusions are predicted to achieve greater reductions in mortality than CWB.

Indexed as

Blood TransfusionEbolavirusEpidemicsHemorrhagic Fever, EbolaHospitalizationHumansLiberiaModels, Theoreticalconvalescent blooddynamic modelEbola virus diseasepolyclonal antibody therapytransfusion

Identifiers

PMID25635118
PMCPMC4447839
OpenAlexW2130258295

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.