Evidence map›Paper›PMID 34446049›Full record

ArticleJournal of translational medicine2021

Convalescent plasma is of limited clinical benefit in critically ill patients with coronavirus disease-2019: a cohort study.

Li Huang, Che Zhang, Xihui Zhou, Zhou Zhao, Weiping Wang, Weidong Leng, Xiao Su, Qizhou Lian

Abstract read
In one paragraph

Article in Journal of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

8 authors.

Li Huang *The Joint Center for Infection and Immunity, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou 510623, China; Institute Pasteur of Shanghai, Chinese Academy of Science, Shanghai, 200031, China.
Che Zhang *Clinical Research Centre, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Xihui ZhouIntensive Care Unit, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Zhou ZhaoIntensive Care Unit, Shiyan People Hospital, Shiyan, China.
Weiping WangDepartment of Respiratory Medicine, Shiyan Xiyuan Hospital, Shiyan, China.
Weidong LengClinical Research Centre, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Xiao SuThe Joint Center for Infection and Immunity, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou 510623, China; Institute Pasteur of Shanghai, Chinese Academy of Science, Shanghai, 200031, China. xsu@ips.ac.cn.
Qizhou LianThe Joint Center for Infection and Immunity, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou 510623, China; Institute Pasteur of Shanghai, Chinese Academy of Science, Shanghai, 200031, China. qzlian@hku.hk.ORCID 0000-0001-8189-7160

Funding

Grant for Clinical Research in Xi'an Jiaotong University XJTU1AF-CRF-2016-023National Natural Science Grant of China 31571407Special Fund to Fight COVID-19 in Guangzhou Women and Children's Medical Center 5001-4001010
6 · The paper itself

Abstract

backgroundRecently, convalescent plasma (CP) transfusion was employed for severe or critically ill patients with coronavirus disease-2019. However, the benefits of CP for patients with different conditions are still in debate. To contribute clinical evidence of CP on critically ill patients, we analyze the characteristics and outcomes of patients with or without CP transfusion.

methodsIn this cohort study, 14 patients received CP transfusion based on the standard treatments, whereas the other 10 patients received standard treatments as control. Clinical characteristics and outcomes were analyzed. The cumulative survival rate was calculated by Kaplan-Meier survival analysis.

resultsData analysis was performed on 24 patients (male/female: 15/9) with a median age of 64.0 (44.5-74.5) years. Transient fever was reported in one patient. The cumulative mortality was 21% (3/14) in patients receiving CP transfusion during a 28-day observation, whereas one dead case (1/10) was reported in the control group. No significant difference was detected between groups in 28-day mortality (P = 0.615) and radiological alleviation of lung lesions (P = 0.085).

conclusionIn our current study, CP transfusion was clinically safe based on the safety profile; however, the clinical benefit was not significant in critically ill patients with more comorbidities at the late stage of disease during a 28-day observation.

Indexed as

COVID-19Critical IllnessAgedCohort StudiesCOVID-19 SerotherapyFemaleHumansImmunization, PassiveMaleMiddle AgedSARS-CoV-2Convalescent plasmaCoronavirusCoronavirus disease-2019MortalitySARS-CoV-2

Identifiers

PMID34446049
PMCPMC8390032

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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.