Evidence map›Paper›PMID 32566562›Full record

ArticleAnnals of translational medicine2020

Effectiveness of intravenous immunoglobulin for children with severe COVID-19: a rapid review.

Jingyi Zhang, Yinmei Yang, Nan Yang, Yanfang Ma, Qi Zhou, Weiguo Li, Xia Wang, Liping Huang, Xufei Luo, Toshio Fukuoka and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Efficacy evaluation of intravenous immunoglobulin in non-severe patients with COVID-19: A retrospective cohort study based on propensity score matching.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  10. Review
  11. Development and application of therapeutic antibodies against COVID-19.International journal of biological sciences · 2021
    Review
  12. Article
  13. Article
  14. Severe immune thrombocytopenia in a critically ill COVID-19 patient.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
    Article
  15. Deciphering SARS-CoV-2 Virologic and Immunologic Features.International journal of molecular sciences · 2020
    Review
  16. COVID-19: The Immune Responses and Clinical Therapy Candidates.International journal of molecular sciences · 2020
    Review
  17. Review
  18. Review
  19. Review
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

17 authors at 4 institutions in 3 countries.

Jingyi ZhangSchool of Public Health, Lanzhou University, Lanzhou 730000, China.
Yinmei YangDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Nan YangEvidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
Yanfang MaEvidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
Qi ZhouThe First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China.
Weiguo LiDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Xia WangDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Liping HuangDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Xufei LuoSchool of Public Health, Lanzhou University, Lanzhou 730000, China.
Toshio FukuokaEmergency and Critical Care Center, the Department of General Medicine, Department of Research and Medical Education at Kurashiki Central Hospital, Okayama, Japan.
Hyeong Sik AhnDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Myeong Soo LeeKorea Institute of Oriental Medicine, Daejeon, Korea.
Zhengxiu LuoDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Yaolong ChenSchool of Public Health, Lanzhou University, Lanzhou 730000, China.
Enmei LiuDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Kehu YangSchool of Public Health, Lanzhou University, Lanzhou 730000, China.
Zhou FuDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
China International Science and Technology Cooperation · CNLanzhou University · CNKorea University · KRKurashiki Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntravenous immunoglobulin (IVIG) is usually used as supportive therapy, but the treatment of COVID-19 by IVIG is controversial. This rapid review aims to explore the clinical effectiveness and safety of IVIG in the treatment of children with severe COVID-19.

methodsWe systematically searched the literature on the use of IVIG in patients with COVID-19, severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS), including both adults and children. We assessed the risk of bias and quality of evidence and reported the main findings descriptively.

resultsA total of 1,519 articles were identified by initial literature search, and finally six studies met our inclusion criteria, included one randomized controlled trial (RCT), four case series and one case report involving 198 patients. One case series showed the survival of COVID-19 patients with acute respiratory distress syndrome (ARDS) was not improved by IVIG. One case report showed high-dose IVIG could improve the outcome of COVID-19 adults. Three observational studies showed inconsistent results of the effect of IVIG on SARS patients. One RCT showed that IVIG did not reduce mortality or the incidence of nosocomial infection in adults with severe SARS. The quality of evidence was between low and very low.

conclusionsThe existing evidence is insufficient to support the efficacy or safety of IVIG in the treatment of COVID-19.

Indexed as

childrenCOVID-19intravenous immunoglobulin (IVIG)rapid review

Identifiers

PMID32566562
PMCPMC7290641
OpenAlexW3031576806

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.