Cargando…
The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis
To determine the effect of COVID-19 convalescent plasma on mortality, we aggregated patient outcome data from 10 randomized clinical trials, 20 matched control studies, 2 dose-response studies, and 96 case reports or case series. Studies published between January 1, 2020, and January 16, 2021, were...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7888247/ https://www.ncbi.nlm.nih.gov/pubmed/33958057 http://dx.doi.org/10.1016/j.mayocp.2021.02.008 |
_version_ | 1783652123256291328 |
---|---|
author | Klassen, Stephen A. Senefeld, Jonathon W. Johnson, Patrick W. Carter, Rickey E. Wiggins, Chad C. Shoham, Shmuel Grossman, Brenda J. Henderson, Jeffrey P. Musser, James Salazar, Eric Hartman, William R. Bouvier, Nicole M. Liu, Sean T.H. Pirofski, Liise-anne Baker, Sarah E. van Helmond, Noud Wright, R. Scott Fairweather, DeLisa Bruno, Katelyn A. Wang, Zhen Paneth, Nigel S. Casadevall, Arturo Joyner, Michael J. |
author_facet | Klassen, Stephen A. Senefeld, Jonathon W. Johnson, Patrick W. Carter, Rickey E. Wiggins, Chad C. Shoham, Shmuel Grossman, Brenda J. Henderson, Jeffrey P. Musser, James Salazar, Eric Hartman, William R. Bouvier, Nicole M. Liu, Sean T.H. Pirofski, Liise-anne Baker, Sarah E. van Helmond, Noud Wright, R. Scott Fairweather, DeLisa Bruno, Katelyn A. Wang, Zhen Paneth, Nigel S. Casadevall, Arturo Joyner, Michael J. |
author_sort | Klassen, Stephen A. |
collection | PubMed |
description | To determine the effect of COVID-19 convalescent plasma on mortality, we aggregated patient outcome data from 10 randomized clinical trials, 20 matched control studies, 2 dose-response studies, and 96 case reports or case series. Studies published between January 1, 2020, and January 16, 2021, were identified through a systematic search of online PubMed and MEDLINE databases. Random effects analyses of randomized clinical trials and matched control data demonstrated that patients with COVID-19 transfused with convalescent plasma exhibited a lower mortality rate compared with patients receiving standard treatments. Additional analyses showed that early transfusion (within 3 days of hospital admission) of higher titer plasma is associated with lower patient mortality. These data provide evidence favoring the efficacy of human convalescent plasma as a therapeutic agent in hospitalized patients with COVID-19. |
format | Online Article Text |
id | pubmed-7888247 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78882472021-02-17 The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis Klassen, Stephen A. Senefeld, Jonathon W. Johnson, Patrick W. Carter, Rickey E. Wiggins, Chad C. Shoham, Shmuel Grossman, Brenda J. Henderson, Jeffrey P. Musser, James Salazar, Eric Hartman, William R. Bouvier, Nicole M. Liu, Sean T.H. Pirofski, Liise-anne Baker, Sarah E. van Helmond, Noud Wright, R. Scott Fairweather, DeLisa Bruno, Katelyn A. Wang, Zhen Paneth, Nigel S. Casadevall, Arturo Joyner, Michael J. Mayo Clin Proc Review To determine the effect of COVID-19 convalescent plasma on mortality, we aggregated patient outcome data from 10 randomized clinical trials, 20 matched control studies, 2 dose-response studies, and 96 case reports or case series. Studies published between January 1, 2020, and January 16, 2021, were identified through a systematic search of online PubMed and MEDLINE databases. Random effects analyses of randomized clinical trials and matched control data demonstrated that patients with COVID-19 transfused with convalescent plasma exhibited a lower mortality rate compared with patients receiving standard treatments. Additional analyses showed that early transfusion (within 3 days of hospital admission) of higher titer plasma is associated with lower patient mortality. These data provide evidence favoring the efficacy of human convalescent plasma as a therapeutic agent in hospitalized patients with COVID-19. Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. 2021-05 2021-02-17 /pmc/articles/PMC7888247/ /pubmed/33958057 http://dx.doi.org/10.1016/j.mayocp.2021.02.008 Text en © 2021 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Review Klassen, Stephen A. Senefeld, Jonathon W. Johnson, Patrick W. Carter, Rickey E. Wiggins, Chad C. Shoham, Shmuel Grossman, Brenda J. Henderson, Jeffrey P. Musser, James Salazar, Eric Hartman, William R. Bouvier, Nicole M. Liu, Sean T.H. Pirofski, Liise-anne Baker, Sarah E. van Helmond, Noud Wright, R. Scott Fairweather, DeLisa Bruno, Katelyn A. Wang, Zhen Paneth, Nigel S. Casadevall, Arturo Joyner, Michael J. The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis |
title | The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis |
title_full | The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis |
title_fullStr | The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis |
title_full_unstemmed | The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis |
title_short | The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis |
title_sort | effect of convalescent plasma therapy on mortality among patients with covid-19: systematic review and meta-analysis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7888247/ https://www.ncbi.nlm.nih.gov/pubmed/33958057 http://dx.doi.org/10.1016/j.mayocp.2021.02.008 |
work_keys_str_mv | AT klassenstephena theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT senefeldjonathonw theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT johnsonpatrickw theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT carterrickeye theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT wigginschadc theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT shohamshmuel theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT grossmanbrendaj theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT hendersonjeffreyp theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT musserjames theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT salazareric theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT hartmanwilliamr theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT bouviernicolem theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT liuseanth theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT pirofskiliiseanne theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT bakersarahe theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT vanhelmondnoud theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT wrightrscott theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT fairweatherdelisa theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT brunokatelyna theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT wangzhen theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT panethnigels theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT casadevallarturo theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT joynermichaelj theeffectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT klassenstephena effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT senefeldjonathonw effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT johnsonpatrickw effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT carterrickeye effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT wigginschadc effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT shohamshmuel effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT grossmanbrendaj effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT hendersonjeffreyp effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT musserjames effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT salazareric effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT hartmanwilliamr effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT bouviernicolem effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT liuseanth effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT pirofskiliiseanne effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT bakersarahe effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT vanhelmondnoud effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT wrightrscott effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT fairweatherdelisa effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT brunokatelyna effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT wangzhen effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT panethnigels effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT casadevallarturo effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis AT joynermichaelj effectofconvalescentplasmatherapyonmortalityamongpatientswithcovid19systematicreviewandmetaanalysis |