Evidence map›Paper›PMID 32585284›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2020

Therapeutic plasma exchange in adults with severe COVID-19 infection.

Faryal Khamis, Ibrahim Al-Zakwani, Sabria Al Hashmi, Samata Al Dowaiki, Maher Al Bahrani, Nenad Pandak, Huda Al Khalili, Ziad Memish

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05182515 (Interest of Plasma Exchange in Patients With Anti-interferon Type 1 Autoantibodies With Severe COVID-19 -), which is not on this map. Cited by 77 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 7 pooled it
3.1field-weighted citation impact, top 5% 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.

NCT05182515 phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Interest of Plasma Exchange in Patients With Anti-interferon Type 1 Autoantibodies With Severe COVID-19 -

TypeinterventionalSponsorCentre Hospitalier St AnneRan2021 to 2022Enrolled50ConditionsCOVID-19ArmsTherapeutic plasma exchange
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 7 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
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  4. Use of therapeutic plasma exchange in COVID-19: A systematic review of current evidence.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2022
    Pooled it
  5. Benefits of plasma exchange on mortality in patients with COVID-19: a systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
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  11. Cost-effectiveness of plasmapheresis and hemoperfusion in COVID-19 survivors: A six-month follow-up analysis after hospital discharge.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2026
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  16. Macrophage activation syndrome in Sepsis: from pathogenesis to clinical management.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
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17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Faryal KhamisInfection Diseases Unit, Royal Hospital, Muscat, Oman. Electronic address: khami001@gmail.com.
Ibrahim Al-ZakwaniDepartment of Pharmacology & Clinical Pharmacy, College of Medicine & Clinical Pharmacy, Sultan Qaboos University, Muscat, Oman.
Sabria Al HashmiDepartment of Clinical Hematology, Royal Hospital, Muscat, Oman.
Samata Al DowaikiInfection Diseases Unit, Royal Hospital, Muscat, Oman.
Maher Al BahraniDepartment of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Nenad PandakInfection Diseases Unit, Royal Hospital, Muscat, Oman.
Huda Al KhaliliDepartment of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Ziad MemishResearch and Innovative Centre, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia.
Royal Hospital · OMKing Saud Medical City · SASultan Qaboos University · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the therapeutic use of plasma exchange in COVID-19 patients compared to controls.

methodsA case series of critically ill adult men and non-pregnant women, ≥18 years of age, with laboratory-confirmed COVID-19, was studied at the Royal Hospital, Oman, from April 17 to May 11, 2020. Therapeutic plasma exchange (TPE) was performed on patients admitted to the intensive care unit (ICU) with confirmed or imminent acute respiratory distress syndrome (ARDS) or severe pneumonia. The analysis was performed using univariate statistics.

resultsA total of 31 COVID-19 patients were included with an overall mean age of 51±15 years (range: 27-76 years); 90% (n=28) were males, and 35% (n=11) of the patients had TPE as a mode of treatment. The TPE group was associated with higher extubation rates than the non-TPE cohort (73% versus 20%; p=0.018). Additionally, patients on TPE had a lower 14 days (0 versus 35%; p=0.033) and 28 days (0 versus 35%; p=0.033) post plasma exchange mortality compared to patients not on TPE. However, all-cause mortality was only marginally lower in the TPE group compared to the non-TPE group (9.1% versus 45%; p=0.055; power=66%). Laboratory and ventilatory parameters also improved post TPE (n = 11).

conclusionsThe use of TPE in severe COVID-19 patients has been associated with improved outcomes, however, randomized controlled clinical trials are warranted to draw final, conclusive findings.

Indexed as

BetacoronavirusPlasma ExchangeAdultAgedCoronavirus InfectionsCOVID-19Critical IllnessFemaleHumansMaleMiddle AgedPandemicsPneumonia, ViralRespiratory Distress SyndromeSARS-CoV-2COVID-19 infectionCytokine release syndromePlasma exchangePneumoniaSARS-CoV-2Severe acute respiratory distress syndrome

Identifiers

PMID32585284
PMCPMC7308750
OpenAlexW3036305816

What OpenQuestion holds

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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.