Evidence map›Paper›PMID 34173248›Full record

ArticleTransfusion2021

COVID-19 convalescent plasma cohort study: Evaluation of the association between both donor and recipient neutralizing antibody titers and patient outcomes.

Ana Paula H Yokoyama, Silvano Wendel, Carolina Bonet-Bub, Roberta M Fachini, Ana Paula F Dametto, Fernando Blumm, Valeria F Dutra, Gabriela T P Candelaria, Araci M Sakashita, Rafael Rahal Guaragna Machado and 21 more

Open access · bronzeAbstract read
In one paragraph

Article in Transfusion, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. 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

31 authors at 3 institutions in 2 countries.

Ana Paula H YokoyamaHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID 0000-0003-1310-8275
Silvano WendelHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.ORCID 0000-0002-1941-7733
Carolina Bonet-BubHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID 0000-0001-5103-4970
Roberta M FachiniHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Ana Paula F DamettoHospital Israelita Albert Einstein, São Paulo, Brazil.
Fernando BlummHospital Sírio-Libanês, Brasília, Brazil.
Valeria F DutraHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID 0000-0001-7914-7432
Gabriela T P CandelariaHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Araci M SakashitaHospital Israelita Albert Einstein, São Paulo, Brazil.
Rafael Rahal Guaragna MachadoDepartment of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-6974-5092
Rita Fontão-WendelHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Nelson HamerschlakHospital Israelita Albert Einstein, São Paulo, Brazil.
Ruth AchkarHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Murillo Santucci Cesar AssunçãoHospital Israelita Albert Einstein, São Paulo, Brazil.
Patrícia ScuracchioHospital Sírio-Libanês Blood Bank, São Paulo, Brazil.
Victor NudelmanHospital Israelita Albert Einstein, São Paulo, Brazil.
Laerte PastoreHospital Sírio-Libanês, São Paulo, Brazil.
João R R PinhoHospital Israelita Albert Einstein, São Paulo, Brazil.
Mirian Dal BenHospital Sírio-Libanês, São Paulo, Brazil.
Roberto Kalil FilhoHospital Sírio-Libanês, São Paulo, Brazil.
Alexandre R MarraHospital Israelita Albert Einstein, São Paulo, Brazil.
Mariane T AmanoHospital Sírio-Libanês, São Paulo, Brazil.
Esper G KallásHospital Sírio-Libanês, São Paulo, Brazil.
Alfredo Salim HelitoHospital Sírio-Libanês, São Paulo, Brazil.
Carlos Roberto Ribeiro de CarvalhoHospital Sírio-Libanês, São Paulo, Brazil.
Danielle Bastos AraujoDepartment of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.
Edison Luiz DurigonDepartment of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.
Anamaria A CamargoHospital Sírio-Libanês, São Paulo, Brazil.
Luiz V RizzoHospital Israelita Albert Einstein, São Paulo, Brazil.
Luiz F L ReisHospital Sírio-Libanês, São Paulo, Brazil.
Jose M KutnerHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID 0000-0003-3784-6731
Hospital Sírio-Libanês · BRHospital Israelita Albert Einstein · BRUniversidade de São Paulo · BR

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88887.131387/2016-00Fundação de Amparo à Pesquisa do Estado de São Paulo 2016/20045-7Fundação de Amparo à Pesquisa do Estado de São Paulo 2020/06409-1Todos pela Saúde - Fundação Itaú para Educação e Cultura
6 · The paper itself

Abstract

backgroundCurrent evidence regarding COVID-19 convalescent plasma (CCP) transfusion practices is limited and heterogeneous. We aimed to determine the impact of the use of CCP transfusion in patients with previous circulating neutralizing antibodies (nAbs) in COVID-19.

methodsProspective cohort including 102 patients with COVID-19 transfused with ABO compatible CCP on days 0-2 after enrollment. Clinical status of patients was assessed using the adapted World Health Organization (WHO) ordinal scale on days 0, 5, and 14. The nAbs titration was performed using the cytopathic effect-based virus neutralization test with SARS-CoV-2 (GenBank MT126808.1). The primary outcome was clinical improvement on day 14, defined as a reduction of at least two points on the adapted WHO ordinal scale. Secondary outcomes were the number of intensive care unit (ICU)-free days and the number of invasive mechanical ventilation-free days.

resultsBoth nAbs of CCP units transfused (p < 0.001) and nAbs of patients before CCP transfusions (p = 0.028) were associated with clinical improvements by day 14. No significant associations between nAbs of patients or CCP units transfused were observed in the number of ICU or mechanical ventilation-free days. Administration of CCP units after 10 days of symptom onset resulted in a decrease in ICU-free days (p < 0.001) and mechanical ventilation-free days (p < 0.001).

conclusionTransfusion of high titer nAbs CCP units may be a determinant in clinical strategies against COVID-19. We consider these data as useful parameters to guide future CCP transfusion practices.

Indexed as

AdultAgedAged, 80 and overAntibodies, NeutralizingAntibodies, ViralBlood DonorsCohort StudiesCOVID-19COVID-19 SerotherapyFemaleHumansImmunization, PassiveMaleMiddle AgedSARS-CoV-2Antibodies, NeutralizingAntibodies, Viralconvalescent plasma transfusionCOVID-19neutralizing antibodiesSARS-CoV-2

Identifiers

PMID34173248
PMCPMC8447313
OpenAlexW3173655764

What OpenQuestion holds

Textmetadata
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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.