Evidence map›Paper›PMID 34782209›Full record

SynthesisTransfusion medicine reviews2022

Convalescent Plasma for Patients Hospitalized With Coronavirus Disease 2019: A Meta-Analysis With Trial Sequential Analysis of Randomized Controlled Trials.

Ryan Ruiyang Ling, Jackie Jia Lin Sim, Felicia Liying Tan, Bee Choo Tai, Nicholas Syn, Sharavan Sadasiv Mucheli, Bingwen Eugene Fan, Saikat Mitra, Kollengode Ramanathan

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Transfusion medicine reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
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 3 institutions in 2 countries.

Ryan Ruiyang LingYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore.
Jackie Jia Lin SimYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore.
Felicia Liying TanYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore.
Bee Choo TaiYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore.
Nicholas SynYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore.
Sharavan Sadasiv MucheliDepartment of Infectious Diseases, Tan Tock Seng Hospital, National Centre for Infectious Diseases, Singapore.
Bingwen Eugene FanDeparment of Haematology, Tan Tock Seng Hospital, Singapore.
Saikat MitraLyell McEwin Hospital, Adelaide, South Australia, Australia.
Kollengode RamanathanYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore; Cardiothoracic Intensive Care Unit, National University Heart Centre, National University Hospital, Singapore. Electronic address: ram_ramanathan@nuhs.edu.sg.
National University of Singapore · SGTan Tock Seng Hospital · SGLyell McEwin Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current evidence from randomized controlled trials (RCTs) and systematic reviews on the utility of convalescent plasma (CP) in patients with coronavirus disease 2019 (COVID-19) suggests a lack of benefit. We conducted an updated meta-analysis of RCTs with trial sequential analysis to investigate whether convalescent plasma is futile in reducing mortality in patients hospitalized with COVID-19. We searched 6 databases from December 1, 2019 to August 1, 2021 for RCTs comparing the use of CP with standard of care or transfusion of non-CP standard plasma in patients with COVID-19. The risk of bias was assessed using the Cochrane Risk-of-Bias 2 Tool. Random effects (DerSimonian and Laird) meta-analyses were conducted. The primary outcome was the aggregate risk for in-hospital mortality between both arms. We conducted a trial sequential analysis (TSA) based on the pooled relative risks (RRs) for in-hospital mortality. Secondary outcomes included the pooled RR for receipt of mechanical ventilation and mean difference in hospital length of stay. We included 18 RCTs (8702 CP, 7906 control). CP was not associated with a significant mortality benefit (RR: 0.95, 95%-CI: 0.86-1.04, P = .27, high certainty). Subgroup analysis did not find any significant differences (p

Indexed as

COVID-19COVID-19 SerotherapyHumansImmunization, PassiveRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeConvalescent plasmaCoronavirus disease 2019Meta-analysisMortalitySevere acute respiratory syndrome coronavirus 2

Identifiers

PMID34782209
PMCPMC8502250
OpenAlexW3207647347

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.