Evidence map›Paper›PMID 32454500›Full record

ReviewBlood purification

Extracorporeal Blood Purification and Organ Support in the Critically Ill Patient during COVID-19 Pandemic: Expert Review and Recommendation.

Claudio Ronco, Sean M Bagshaw, Rinaldo Bellomo, William R Clark, Faeq Husain-Syed, John A Kellum, Zaccaria Ricci, Thomas Rimmelé, Thiago Reis, Marlies Ostermann

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Blood purification. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05104398 (Hemoperfusion With the Efferon CT Extracorporeal Adsorbers Containing Mesoporous Styrene-divinylbenzene Copolymer in Patients With Severe Covid-19), which is not on this map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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.

NCT05104398 completednot on this map

Hemoperfusion With the Efferon CT Extracorporeal Adsorbers Containing Mesoporous Styrene-divinylbenzene Copolymer in Patients With Severe Covid-19

TypeobservationalSponsorEfferon JSCRan2020 to 2021Enrolled42ConditionsCOVID-19ArmsEfferon CT
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. The international, prospective CytOSorbJournal of intensive medicine · 2025
    Article
  9. Observational
  10. Review
  11. Article
  12. Use of oXirisFrontiers in nephrology · 2025
    Article
  13. The role of extracorporeal COFrontiers in medicine · 2025
    Review
  14. Observational
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 8 countries.

Claudio RoncoDepartment of Nephrology, University of Padova, Padova, Italy.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Rinaldo BellomoCentre for Integrated Critical Care, The University of Melbourne, Melbourne, Victoria, Australia.
William R ClarkDavidson School of Chemical Engineering, Purdue University, West Lafayette, Indiana, USA.
Faeq Husain-SyedDepartment of Internal Medicine II, Division of Nephrology, Pulmonology and Critical Care Medicine, University Hospital Giessen and Marburg, Giessen, Germany.
John A KellumDepartment of Critical Care Medicine, Center for Critical Care Nephrology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Zaccaria RicciDepartment of Cardiology and Cardiac Surgery, Pediatric Cardiac Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Thomas RimmeléAnesthesiology and Critical Care Medicine, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
Thiago ReisDepartment of Nephrology, Clinica de Doenças Renais de Brasilia, Brasilia, Brazil.
Marlies OstermannDepartment of Critical Care, King's College London, Guy's & St Thomas' Hospital, London, United Kingdom, Marlies.Ostermann@gstt.nhs.uk.
St Thomas' Hospital · GBBambino Gesù Children's Hospital · ITPurdue University West Lafayette · USThe University of Melbourne · AUUniversitätsklinikum Gießen und Marburg · DEUniversité Claude Bernard Lyon 1 · FRUniversity of Alberta · CAUniversity of Padua · ITUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critically ill COVID-19 patients are generally admitted to the ICU for respiratory insufficiency which can evolve into a multiple-organ dysfunction syndrome requiring extracorporeal organ support. Ongoing advances in technology and science and progress in information technology support the development of integrated multi-organ support platforms for personalized treatment according to the changing needs of the patient. Based on pathophysiological derangements observed in COVID-19 patients, a rationale emerges for sequential extracorporeal therapies designed to remove inflammatory mediators and support different organ systems. In the absence of vaccines or direct therapy for COVID-19, extracorporeal therapies could represent an option to prevent organ failure and improve survival. The enormous demand in care for COVID-19 patients requires an immediate response from the scientific community. Thus, a detailed review of the available technology is provided by experts followed by a series of recommendation based on current experience and opinions, while waiting for generation of robust evidence from trials.

Indexed as

Continuous Renal Replacement TherapyCOVID-19Critical IllnessCytokinesEquipment DesignExtracorporeal Membrane OxygenationHemoperfusionHumansMultiple Organ FailureCytokinesContinuous renal replacement therapiesCytokine removalExtracorporeal organ supportHemoadsorptionHemoperfusion

Identifiers

PMID32454500
PMCPMC7270067
OpenAlexW3029877512

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.