Evidence map›Paper›PMID 33914780›Full record

ArticlePloS one2021

Risk factors for COVID-19 mortality: The effect of convalescent plasma administration.

Martín R Salazar, Soledad E González, Lorena Regairaz, Noelia S Ferrando, Verónica V González Martínez, Patricia M Carrera Ramos, Laura Muñoz, Santiago A Pesci, Juan M Vidal, Nicolás Kreplak and 1 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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  5. Review
  6. Review
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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

11 authors.

Martín R SalazarTeaching and Research Service, San Martín Hospital, La Plata, Buenos Aires, Argentina.
Soledad E GonzálezMinistry of Health of the Province of Buenos Aires, La Plata, Buenos Aires, Argentina.ORCID 0000-0001-8437-5667
Lorena RegairazImmunology Unit, Children´s Hospital Sor Maria Ludovica, La Plata, Buenos Aires, Argentina.
Noelia S FerrandoFaculty of Medicine, National University of La Plata, Buenos Aires, Argentina.
Verónica V González MartínezMinistry of Health of the Province of Buenos Aires, La Plata, Buenos Aires, Argentina.
Patricia M Carrera RamosPediatric Research Institute "Prof. Fernando E. Vitieri", Children´s Hospital Sor Maria Ludovica, La Plata, Buenos Aires, Argentina.
Laura MuñozMinistry of Health of the Province of Buenos Aires, La Plata, Buenos Aires, Argentina.
Santiago A PesciMinistry of Health of the Province of Buenos Aires, La Plata, Buenos Aires, Argentina.
Juan M VidalMinistry of Health of the Province of Buenos Aires, La Plata, Buenos Aires, Argentina.
Nicolás KreplakMinistry of Health of the Province of Buenos Aires, La Plata, Buenos Aires, Argentina.
Elisa EstenssoroIntensive Care Unit, San Martín Hospital, La Plata, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConvalescent plasma, widely utilized in viral infections that induce neutralizing antibodies, has been proposed for COVID-19, and preliminary evidence shows that it might have beneficial effect. Our objective was to determine the risk factors for 28-days mortality in patients who received convalescent plasma for COVID-19 compared to those who did not, who were admitted to hospitals in Buenos Aires Province, Argentina, throughout the pandemic.

methodsThis is a multicenter, retrospective cohort study of 2-month duration beginning on June 1, 2020, including unselected, consecutive adult patients with diagnosed COVID-19, admitted to 215 hospitals with pneumonia. Epidemiological and clinical variables were registered in the Provincial Hospital Bed Management System. Convalescent plasma was supplied as part of a centralized, expanded access program.

resultsWe analyzed 3,529 patients with pneumonia, predominantly male, aged 62±17, with arterial hypertension and diabetes as main comorbidities; 51.4% were admitted to the ward, 27.1% to the Intensive Care Unit (ICU), and 21.7% to the ICU with mechanical ventilation requirement (ICU-MV). 28-day mortality was 34.9%; and was 26.3%, 30.1% and 61.4% for ward, ICU and ICU-MV patients. Convalescent plasma was administered to 868 patients (24.6%); their 28-day mortality was significantly lower (25.5% vs. 38.0%, p<0.001). No major adverse effects occurred. Logistic regression analysis identified age, ICU admission with and without MV requirement, diabetes, and preexistent cardiovascular disease as independent predictors of 28-day mortality, whereas convalescent plasma administration acted as a protective factor.

conclusionsOur study suggests that the administration of convalescent plasma in COVID-19 pneumonia admitted to the hospital might be associated with improved outcomes.

Indexed as

AgedAged, 80 and overCOVID-19COVID-19 SerotherapyFemaleHumansImmunization, PassiveIntensive Care UnitsMaleMiddle AgedRespiration, ArtificialRetrospective StudiesRisk FactorsSARS-CoV-2Treatment Outcome

Identifiers

PMID33914780
PMCPMC8084206

What OpenQuestion holds

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Registered trials

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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.