Evidence map›Paper›PMID 32770691›Full record

ArticleTransfusion2020

Lessons learned from early compassionate use of convalescent plasma on critically ill patients with Covid-19.

Miao Liu, Zhen Chen, Meng-Yuan Dai, Jun-Hui Yang, Xiao-Bing Chen, Di Chen, Hua You, Xin Guo, Yan Leng, Li Yu and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Transfusion, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 pooled it
0.6field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 6 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
    Pooled it
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  7. AlphaGenome-enabled analysis of non-coding regulatory variants underlyingbioRxiv : the preprint server for biology · 2026
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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 8 institutions in 3 countries.

Miao LiuDepartment of Pathology, Transfusion Medicine Service, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Zhen ChenDepartment of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan, China.
Meng-Yuan DaiDepartment of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Jun-Hui YangIntensive Care Unit, The Central Hospital of Wuhan, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan, China.
Xiao-Bing ChenDepartment of Emergency, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, China.
Di ChenIntensive Care Unit, Tongji Hospital Affiliated to Tongji Medical College of Hua Zhong University of Science and Technology, Wuhan, China.
Hua YouAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, China.
Xin GuoDepartment of Cardiology, The Central Hospital of Wuhan, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan, China.
Yan LengDepartment of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China.
Li YuDepartment of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Meng-Li ZhangDepartment of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan, China.
Xian WuDepartment of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan, China.
Junyu YangDepartment of Pathology, Transfusion Medicine Service, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Chong GaoDepartment of Pathology, Transfusion Medicine Service, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Daniel G TenenHarvard Stem Cell Institute, Harvard Medical School, Boston, Massachusetts, USA.
Li ChaiDepartment of Pathology, Transfusion Medicine Service, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Fen AiDepartment of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan, China.ORCID 0000-0002-9299-9063
Brigham and Women's Hospital · USCentral Hospital of Wuhan · CNWuhan University · CNGuangzhou Medical University Cancer Hospital · CNHarvard University · USTongji Hospital · CNXuzhou Medical College · CNZero to Three · US

Funding

Transcriptional and epigenetic heterogeneity of stem/progenitor cellsP01HL131477 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI David T Scadden · 2017 to 2026
$24.6M
Transcription regulation in hematopoiesisP01HL095489 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI PARK, SHINYOUNG · 2010 to 2020
$20.1M
TRANSFUSION BIOLOGY AND MEDICINET32HL066987 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI JOHN P MANIS · 2001 to 2026
$10.2M
Mechanisms of regulation by RNA in acute myeloid leukemiaR35CA197697 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI TENEN, DANIEL G · 2015 to 2021
$7.1M
NCI NIH HHS R35 CA197697NHLBI NIH HHS P01 HL095489NHLBI NIH HHS P01 HL131477NHLBI NIH HHS T32 HL066987This study was supported Health and Family Planning Commission of Wuhan Municipality (WX18A07); by the National Institutes of Health (NIH) T32 HL066987 (M.L.); by the Singapore Ministry of Health's National Medical Research Council under its Singapore Translational Research (STaR) Investigator Award MOH-STaR18nov-0002 (D.G.T.); as well as NIH/NHLBI Grant P01HL095489 and Xiu Research Fund (L.C.)This study was supported Health and Family Planning Commission of Wuhan Municipality (WX18A07); by the National Institutes of Health (NIH) T32 HL066987 (M.L.); by the Singapore Ministry of Health's National Medical Research Council under its Singapore Translational Research (STaR) Investigator Award MOH-STaR18nov-0002 (D.G.T.); as well as NIH/NHLBI Grant P01HL095489 and Xiu Research Fund (L.C.).
6 · The paper itself

Abstract

backgroundThe management of critically ill patients with coronavirus disease 2019 (COVID-19), caused by a new human virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is challenging. Recently, there have been several reports with inconsistent results after treatment with convalescent plasma (CP) on critically ill patients with COVID-19, which was produced with a neutralizing antibody titer and tested in a P3 or P4 laboratory. However, due to the limitation of the conditions on mass production of plasma, most producers hardly had the capability to isolate the neutralizing antibody. Here, we report the clinical courses of three critically ill patients with COVID-19 receiving CP treatments by total immunoglobulin G (IgG) titer collection.

methodsThree patients with COVID-19 in this study were laboratory confirmed to be positive for SARS-CoV-2, with radiographic and clinical features of pneumonia. CP was collected by total IgG titer of 160 (range, 200-225 mL), and patients were transfused between 20 and 30 days after disease onset at the critical illness stage as a trial in addition to standard care. The clinical courses of these patients, including laboratory results and pulmonary functional and image studies after receiving convalescent plasma infusions, were reviewed.

resultsNo therapeutic effect of CP was observed in any of the patients; instead, all three patients deteriorated and required extracorporeal membrane oxygenation treatment. A potential cytokine storm 4 hours after infusion of CP in Patient 2 was observed. No more patients were put on the trial of CP transfusion.

conclusionsWe recommend extreme caution in using CP in critically ill patients more than 2 weeks after the onset of COVID-19 pneumonia.

Indexed as

Antibodies, NeutralizingAntibodies, ViralCOVID-19COVID-19 SerotherapyCritical IllnessHumansImmunization, PassiveImmunoglobulin GPneumoniaSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralImmunoglobulin G

Identifiers

PMID32770691
PMCPMC7436937
OpenAlexW3047906169

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.