Evidence map›Paper›PMID 33621948›Full record

Observational studyBlood cells, molecules & diseases2021

Effectiveness of convalescent plasma in Indian patients with COVID-19.

Sandeep Budhiraja, Arun Dewan, Ritesh Aggarwal, Omender Singh, Deven Juneja, Sangeeta Pathak, Y P Singh, Ajay Gupta, Reeta Rai, Abhaya Indrayan and 2 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Blood cells, molecules & diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Effect of convalescent plasma therapy on mortality in moderate-to-severely Ill COVID-19 patients.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Article
  9. Convalescent plasma - An insight into a novel treatment of covid-19 ICU patients.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Preparedness and activities of the anti-SARS-CoV-2 convalescent plasma bank in the Veneto region (Italy): An organizational model for future emergencies.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2021
    Article
  16. Convalescent plasma therapy for severe Covid-19 in patients with hematological malignancies.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2021
    Article
  17. Article
  18. Article
  19. Review
  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

12 authors at 1 institution in 1 country.

Sandeep BudhirajaClinical Directorate, Max Healthcare, New Delhi, India; Institute of Internal Medicine, Max Healthcare, New Delhi, India. Electronic address: sbudhiraja@maxhealthcare.com.
Arun DewanCritical Care, Max Healthcare, New Delhi, India. Electronic address: Arun.Dewan@maxhealthcare.com.
Ritesh AggarwalCritical Care, Max Healthcare, New Delhi, India. Electronic address: Ritesh.Aggarwal@maxhealthcare.com.
Omender SinghCritical Care, Max Healthcare, New Delhi, India. Electronic address: Omender.Singh@maxhealthcare.com.
Deven JunejaCritical Care, Max Healthcare, New Delhi, India. Electronic address: deven.juneja@maxhealthcare.com.
Sangeeta PathakTransfusion Medicine, Max Healthcare, New Delhi, India. Electronic address: sangeeta.pathak@maxhealthcare.com.
Y P SinghCritical Care, Max Healthcare, New Delhi, India. Electronic address: Yogendra.Singh2@maxhealthcare.com.
Ajay GuptaCritical Care, Max Healthcare, New Delhi, India. Electronic address: DrAjay.Gupta@maxhealthcare.com.
Reeta RaiTransfusion Medicine, Max Healthcare, New Delhi, India. Electronic address: Reeta.Rai@maxhealthcare.com.
Abhaya IndrayanDivision of Bio Statistics, Max Healthcare, New Delhi, India.
Vinitaa JhaClinical Directorate, Max Healthcare, New Delhi, India. Electronic address: Vinitaa.jha@maxhealthcare.com.
Rahul NaithaniHematology & Bone Marrow Transplant Division, Max Healthcare, New Delhi, India. Electronic address: Rahul.Naithani@maxhealthcare.com.
Max Healthcare · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConvalescent plasma (CP) is being used as a treatment option in hospitalized patients with COVID-19. Till date, there is conflicting evidence on efficacy of CP in reducing COVID-19 related mortality.

objectiveTo evaluate the effect of CP on 28-day mortality reduction in patients with COVID-19.

methodsWe did a multi-centre, retrospective case control observational study from 1st May 2020 to 31st August 2020. A total of 1079 adult patients with moderate and severe COVID-19 requiring oxygen, were reviewed. Of these, 694 patients were admitted to ICU. Out of these, 333 were given CP along with best supportive care and remaining 361 received best supportive care only.

resultsIn the overall group of 1079 patients, mortality in plasma vs no plasma group was statistically not significant (22.4% vs 18.5%; p = 0.125; OR = 1.27, 95% CI: 0.94--1.72). However, in patients with COVID-19 admitted to ICU, mortality was significantly lower in plasma group (25.5% vs 33.2%; p = 0.026; OR = 0.69, 95%CI: 0.50-0.96). This benefit of reduced mortality was most seen in age group 60 to 74 years (26.7% vs 43.0%; p = 0.004; OR = 0.48, 95% CI: 0.29-0.80), driven mostly by females of this age group (23.1% vs 53.5%; p = 0.013; OR = 0.26, 95% CI: 0.09-0.78). Significant difference in mortality was observed in patients with one comorbidity (22.3% vs 36.5%; p = 0.004; OR = 0.50, 95% CI: 0.31-0.80). Moreover, patients on ventilator had significantly lower mortality in the plasma arm (37.2% vs 49.3%; p = 0.009; OR = 0.61, 95% CI: 0.42-0.89); particularly so for patients on invasive mechanical ventilation (63.9% vs 82.9%; p = 0.014; OR = 0.37, 95% CI: 0.16-0.83).

conclusionThe use of CP was associated with reduced mortality in COVID-19 elderly patients admitted in ICU, above 60 years of age, particularly females, those with comorbidities and especially those who required some form of ventilation.

Indexed as

AdultAgedAge FactorsCase-Control StudiesCOVID-19COVID-19 SerotherapyFemaleHumansImmunization, PassiveIndiaMaleMiddle AgedRetrospective StudiesSARS-CoV-2Convalescent plasma therapyCOVID-19ICU casesMortalitySubgroup analysis

Identifiers

PMID33621948
PMCPMC7891064
OpenAlexW3130681785

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.