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10.24875/RIC.20000237

http://scihub22266oqcxt.onion/10.24875/RIC.20000237
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32584322!ä!32584322

suck abstract from ncbi


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pmid32584322      Rev+Invest+Clin 2020 ; 72 (3): 159-164
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  • INFUSION OF CONVALESCENT PLASMA IS ASSOCIATED WITH CLINICAL IMPROVEMENT IN CRITICALLY ILL PATIENTS WITH COVID-19: A PILOT STUDY #MMPMID32584322
  • Olivares-Gazca JC; Priesca-Marin JM; Ojeda-Laguna M; Garces-Eisele J; Soto-Olvera S; Palacios-Alonso A; Izquierdo-Vega J; Chacon-Cano R; Arizpe-Bravo D; Lopez-Trujillo MA; Cantero-Fortiz Y; Fernandez-Lara D; Ruiz-Delgado GJ; Ruiz-Arguelles GJ
  • Rev Invest Clin 2020[]; 72 (3): 159-164 PMID32584322show ga
  • BACKGROUND: The ideal treatment of coronavirus disease (COVID)-19 has yet to be defined, but convalescent plasma (CoPla) has been successfully employed. OBJECTIVE: The objective of the study was to study the safety and outcomes of the administration of CoPla to individuals with severe COVID-19 in an academic medical center. METHODS: Ten patients were prospectively treated with plasma from COVID-19 convalescent donors. RESULTS: Over 8 days, the sequential organ failure assessment score dropped significantly in all patients, from 3 to 1.5 (p = 0.014); the Kirby index (PaO(2)/FiO(2)) score increased from 124 to 255, (p < 0.0001), body temperature decreased significantly from 38.1 to 36.9 degrees C (p = 0.0058), and ferritin levels also dropped significantly from 1736.6 to 1061.8 ng/ml (p = 0.0001). Chest X-rays improved in 7/10 cases and in 6/10, computerized tomography scans also revealed improvement of the lung injury. Decreases in C-reactive protein and D-dimer levels were also observed. Three of five patients on mechanical ventilation support could be extubated, nine were transferred to conventional hospital floors, and six were sent home; two patients died. The administration of CoPla had no side effects and the 24-day overall survival was 77%. CONCLUSIONS: Although other treatments were also administered to the patients and as a result data are difficult to interpret, it seems that the addition of CoPla improved pulmonary function.
  • |*Betacoronavirus/immunology/isolation & purification[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Antibodies, Viral/blood[MESH]
  • |Biomarkers[MESH]
  • |Body Temperature[MESH]
  • |C-Reactive Protein/analysis[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19 Serotherapy[MESH]
  • |Combined Modality Therapy[MESH]
  • |Convalescence[MESH]
  • |Coronavirus Infections/blood/diagnostic imaging/drug therapy/*therapy[MESH]
  • |Female[MESH]
  • |Ferritins/blood[MESH]
  • |Humans[MESH]
  • |Immunization, Passive[MESH]
  • |Kaplan-Meier Estimate[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pilot Projects[MESH]
  • |Plasma[MESH]
  • |Pneumonia, Viral/blood/diagnostic imaging/drug therapy/*therapy[MESH]
  • |Prospective Studies[MESH]
  • |Respiration, Artificial[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]
  • |Tomography, X-Ray Computed[MESH]
  • |Treatment Outcome[MESH]


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