Evidence map›Paper›PMID 32819292›Full record

ArticleBMC nephrology2020

Effectiveness of extracorporeal blood purification (hemoadsorption) in patients with severe coronavirus disease 2019 (COVID-19).

Masoumeh Asgharpour, Hamed Mehdinezhad, Masoumeh Bayani, Mahmoud Sadeghi Haddad Zavareh, Seyed Hossein Hamidi, Roghayeh Akbari, Reza Ghadimi, Ali Bijani, Simin Mouodi

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.4field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Research progress on blood compatibility of hemoperfusion adsorbent materials.Frontiers in bioengineering and biotechnology · 2024
    Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Apheresis and COVID-19 in intensive care unit (ICU).Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Observational
  20. Article
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

9 authors at 1 institution in 1 country.

Masoumeh AsgharpourDepartment of Internal Medicine, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.ORCID 0000-0002-5504-4612
Hamed MehdinezhadDepartment of Internal Medicine, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.ORCID 0000-0002-1049-1267
Masoumeh BayaniInfectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.ORCID 0000-0003-3044-1168
Mahmoud Sadeghi Haddad ZavarehInfectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.ORCID 0000-0001-8701-7267
Seyed Hossein HamidiDepartment of Anesthesiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran.ORCID 0000-0002-7542-7936
Roghayeh AkbariDepartment of Internal Medicine, Babol University of Medical Sciences, Babol, Iran.ORCID 0000-0002-3720-3077
Reza GhadimiSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Ganjafrooz Street, Babol, Iran.ORCID 0000-0002-4296-2836
Ali BijaniSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Ganjafrooz Street, Babol, Iran.ORCID 0000-0003-2233-8726
Simin MouodiSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Ganjafrooz Street, Babol, Iran. dr.mouodi@gmail.com.ORCID 0000-0001-7868-9360
Babol University of Medical Sciences · IR

Funding

Babol University of Medical Sciences 724132940
6 · The paper itself

Abstract

backgroundExtracorporeal blood purification has been proposed as one of the therapeutic approaches in patients with coronavirus infection, because of its beneficial impact on elimination of inflammatory cytokines.

methodsThis controlled trial has been conducted on critically ill COVID-19 patients admitted in the state hospital affiliated to Babol University of Medical Sciences, Iran who received different antiviral and antibacterial drugs, and different modalities of respiratory treatments and did not have positive clinical improvement. No randomization and blindness was considered. All of the participants underwent three sessions of resin-directed hemoperfusion using continuous renal replacement therapy with a mode of continuous venovenous hemofiltration (CVVH).

resultsFive men and five women with a mean age of 57.30 ± 18.07 years have been enrolled in the study; and six of them have improved after the intervention. Peripheral capillary oxygen saturation (SpO2) changed after each session. Mean SpO2 before the three sessions of hemoperfusion was 89.60% ± 3.94% and increased to 92.13% ± 3.28% after them (p < 0.001). Serum IL-6 showed a reduction from 139.70 ± 105.62 to 72.06 ± 65.87 pg/mL (p = 0.073); and c-reactive protein decreased from 136.25 ± 84.39 to 78.25 ± 38.67 mg/L (P = 0.016).

conclusionsExtracorporeal hemoadsorption could improve the general condition in most of recruited patients with severe coronavirus disease; however, large prospective multicenter trials in carefully selected patients are needed to definitely evaluate the efficacy of hemoperfusion in COVID-19 patients.

trial registrationThe research protocol has been registered in the website of Iranian Registry of Clinical Trials with the reference number IRCT20150704023055N2 .

Indexed as

BetacoronavirusAdultAgedAged, 80 and overCoronavirus InfectionsCOVID-19Extracorporeal CirculationFemaleHemofiltrationHumansInterleukin-6MaleMiddle AgedPandemicsPneumonia, ViralRenal Replacement TherapyIL6 protein, humanInterleukin-6Coronavirus infectionCritical illnessExtracorporeal dialysis

Identifiers

PMID32819292
PMCPMC7439633
OpenAlexW3080479905

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.