Evidence map›Paper›PMID 34940980›Full record

ReviewScandinavian journal of immunology2021

Intravenous immunoglobulin as an important adjunct in the prevention and therapy of coronavirus 2019 disease.

Maria Giovanna Danieli, Mario Andrea Piga, Alberto Paladini, Eleonora Longhi, Cristina Mezzanotte, Gianluca Moroncini, Yehuda Shoenfeld

Open access · hybridAbstract readReview
In one paragraph

Review in Scandinavian journal of immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Neuropsychiatric Symptoms and Tick-Borne Diseases.Current topics in behavioral neurosciences · 2023
    Article
  8. Article
  9. Review
  10. Review
  11. The Role of Exposomes in the Pathophysiology of Autoimmune Diseases II: Pathogens.Pathophysiology : the official journal of the International Society for Pathophysiology · 2022
    Review
  12. Observational
  13. Article
  14. Article
  15. 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

7 authors at 3 institutions in 3 countries.

Maria Giovanna DanieliClinica Medica, Dipartimento di Medicina Interna, AOU Ospedali Riuniti di Ancona and DISCLIMO, Università Politecnica delle Marche, Clinica Medica, Ancona, Italy.ORCID https://orcid.org/0000-0002-9608-2252
Mario Andrea PigaSchool of Specialisation in Allergology and Clinical Immunology, Dipartimento di Medicina Interna, AOU Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Ancona, Italy.ORCID https://orcid.org/0000-0001-8678-1650
Alberto PaladiniSchool of Specialisation in Internal Medicine, Dipartimento di Medicina Interna, AOU Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Ancona, Italy.ORCID https://orcid.org/0000-0003-3269-9015
Eleonora LonghiScuola di Medicina e Chirurgia, Alma Mater Studiorum, Università degli Studi di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0001-9299-1849
Cristina MezzanotteSchool of Specialisation in Internal Medicine, Dipartimento di Medicina Interna, AOU Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Ancona, Italy.ORCID https://orcid.org/0000-0002-8854-5149
Gianluca MoronciniClinica Medica, Dipartimento di Medicina Interna, AOU Ospedali Riuniti di Ancona and DISCLIMO, Università Politecnica delle Marche, Clinica Medica, Ancona, Italy.ORCID https://orcid.org/0000-0002-0380-0105
Yehuda ShoenfeldAriel University, Ariel, Israel.ORCID https://orcid.org/0000-0003-2802-4090
Marche Polytechnic University · ITSt Petersburg University · RUUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease-19 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) challenged globally with its morbidity and mortality. A small percentage of affected patients (20%) progress into the second stage of the disease clinically presenting with severe or fatal involvement of lung, heart and vascular system, all contributing to multiple-organ failure. The so-called 'cytokines storm' is considered the pathogenic basis of severe disease and it is a target for treatment with corticosteroids, immunotherapies and intravenous immunoglobulin (IVIg). We provide an overview of the role of IVIg in the therapy of adult patients with COVID-19 disease. After discussing the possible underlying mechanisms of IVIg immunomodulation in COVID-19 disease, we review the studies in which IVIg was employed. Considering the latest evidence that show a link between new coronavirus and autoimmunity, we also discuss the use of IVIg in COVID-19 and anti-SARS-CoV-2 vaccination related autoimmune diseases and the post-COVID-19 syndrome. The benefit of high-dose IVIg is evident in almost all studies with a rapid response, a reduction in mortality and improved pulmonary function in critically ill COVID-19 patients. It seems that an early administration of IVIg is crucial for a successful outcome. Studies' limitations are represented by the small number of patients, the lack of control groups in some and the heterogeneity of included patients. IVIg treatment can reduce the stay in ICU and the demand for mechanical ventilation, thus contributing to attenuate the burden of the disease.

Indexed as

COVID-19 Drug TreatmentAdultAntiviral AgentsAutoimmune DiseasesChemotherapy, AdjuvantCOVID-19COVID-19 VaccinesCritical IllnessHumansImmunoglobulins, IntravenousItalyLength of StayPost-Acute COVID-19 SyndromeRespiration, ArtificialSARS-CoV-2Treatment OutcomeAntiviral AgentsCOVID-19 VaccinesImmunoglobulins, IntravenousautoimmunityCoronavirus disease‐19COVID‐19COVID‐19 vaccinationimmunomodulationintravenous immunoglobulinLong‐COVIDPost‐COVID

Identifiers

PMID34940980
PMCPMC8646640
OpenAlexW3201609726

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.