Evidence map›Paper›PMID 36965173›Full record

ArticleTransfusion2023

Multi-institutional experience with COVID-19 convalescent plasma in children.

Cyril Jacquot, Oren Gordon, Daniel Noland, Jeffrey R Donowitz, Emily Levy, Sanjay Jain, Zachary Willis, Casey Rimland, Michele Loi, Antonio Arrieta and 7 more

Open access · greenAbstract read
In one paragraph

Article in Transfusion, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

17 authors at 11 institutions in 2 countries.

Cyril JacquotDepartment of Laboratory Medicine, Children's National Hospital, District of Columbia, Washington, USA.ORCID 0000-0003-1281-0644
Oren GordonDepartment of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA.
Daniel NolandChildren's Health Dallas/UTSW, Dallas, Texas, USA.
Jeffrey R DonowitzChildren's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia, USA.
Emily LevyMayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-8447-7663
Sanjay JainDepartment of Pediatrics, Johns Hopkins University, Baltimore, Maryland, USA.
Zachary WillisUNC Chapel Hill, Chapel Hill, North Carolina, USA.
Casey RimlandUNC Chapel Hill, Chapel Hill, North Carolina, USA.
Michele LoiChildren's Hospital Colorado, Aurora, Colorado, USA.
Antonio ArrietaDivision of Infectious Diseases, Children's Hospital of Orange County, Orange, California, USA.
Kyle AnnenChildren's Hospital Colorado, Aurora, Colorado, USA.
Noelle DrapeauMayo Clinic, Rochester, Minnesota, USA.
Stephanie OsborneDivision of Infectious Diseases, Children's Hospital of Orange County, Orange, California, USA.
Monica I ArduraPediatric Infectious Diseases & Host Defense Program, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Satyam AroraPostgraduate Institute of Child Health, Delhi, India.ORCID 0000-0002-9048-5624
Elise ZivickMedical University of South Carolina, Charleston, South Carolina, USA.
Meghan DelaneyDepartment of Laboratory Medicine, Children's National Hospital, District of Columbia, Washington, USA.ORCID 0000-0003-1089-5787
Children's Hospital Colorado · USChildren's Hospital of Orange County · USChildren's National · USJohns Hopkins University · USMayo Clinic · USUniversity of North Carolina at Chapel Hill · USInstitute of Child Health · INMedical University of South Carolina · USNationwide Children's Hospital · USUniversity of Texas Health Science Center at Dallas · USVirginia Commonwealth University · US

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Preclinical modeling to study Tuberculous MeningitisR01AI145435 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JAIN, SANJAY · 2020 to 2024
$4.0M
Measuring Intralesional Drug Exposures in Cavitary TB using Noninvasive In Vivo PET ImagingR01AI153349 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JAIN, SANJAY · 2020 to 2024
$3.8M
NCATS NIH HHS UL1 TR001414NCATS NIH HHS UL1 TR001876NIAID NIH HHS R01 AI145435NIAID NIH HHS R01 AI153349
6 · The paper itself

Abstract

BACKGROUND AND

objectivesConvalescent COVID-19 plasma (CCP) was developed and used worldwide as a treatment option by supplying passive immunity. Adult studies suggest administering high-titer CCP early in the disease course of patients who are expected to be antibody-negative; however, pediatric experience is limited. We created a multi-institutional registry to characterize pediatric patients (<18 years) who received CCP and to assess the safety of this intervention.

methodsA REDCap survey was distributed. The registry collected de-identified data including demographic information (age, gender, and underlying conditions), COVID-19 disease features and concurrent treatments, CCP transfusion and safety events, and therapy response.

resultsNinety-five children received CCP: 90 inpatients and 5 outpatients, with a median age of 10.2 years (range 0-17.9). They were predominantly Latino/Hispanic and White. The most frequent underlying medical conditions were chronic respiratory disease, immunosuppression, obesity, and genetic syndromes. CCP was primarily given as a treatment (95%) rather than prophylaxis (5%). Median total plasma dose administered and transfusion rates were 5.0 ml/kg and 2.6 ml/kg/h, respectively. The transfusions were well-tolerated, with 3 in 115 transfusions reporting mild reactions. No serious adverse events were reported. Severity scores decreased significantly 7 days after CCP transfusion or at discharge. Eighty-five patients (94.4%) survived to hospital discharge. All five outpatients survived to 60 days.

conclusionsCCP was found to be safe and well-tolerated in children. CCP was frequently given concurrently with other COVID-19-directed treatments with improvement in clinical severity scores ≥7 days after CCP, but efficacy could not be evaluated in this study.

Indexed as

COVID-19AdolescentAdultBlood TransfusionChildChild, PreschoolCOVID-19 SerotherapyHumansImmunization, PassiveInfantInfant, NewbornSARS-CoV-2COVID-19 convalescent plasmapediatric transfusiontransfusion safety

Identifiers

PMID36965173
PMCPMC10175190
OpenAlexW4360938279

What OpenQuestion holds

Textmetadata
LicenceTDM
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.