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10.1177/0885066621997365

http://scihub22266oqcxt.onion/10.1177/0885066621997365
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33663244!8145440!33663244
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suck abstract from ncbi


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pmid33663244      J+Intensive+Care+Med 2021 ; 36 (6): 681-688
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  • Mesenchymal Stem Cell Therapy for Severe COVID-19 ARDS #MMPMID33663244
  • Haberle H; Magunia H; Lang P; Gloeckner H; Korner A; Koeppen M; Backchoul T; Malek N; Handgretinger R; Rosenberger P; Mirakaj V
  • J Intensive Care Med 2021[Jun]; 36 (6): 681-688 PMID33663244show ga
  • BACKGROUND: The COVID-19 pandemic reached Germany in spring 2020. No proven treatment for SARS-CoV-2 was available at that time, especially for severe COVID-19-induced ARDS. We determined whether the infusion of mesenchymal stromal cells (MSCs) would help to improve pulmonary function and overall outcome in patients with severe COVID-19 ARDS. We offered MSC infusion as an extended indication to all critically ill COVID-19 patients with a Horovitz index <100. We treated 5 out of 23 patients with severe COVID-19 ARDS with an infusion of MSCs. One million MSCs/kg body weight was infused over 30 minutes, and the process was repeated in 3 patients twice and in 2 patients 3 times. RESULT: Four out of 5 MSC-treated patients compared to 50% of control patients (9 out of 18) received ECMO support (80%). The MSC group showed a higher Murray score on admission than control patients, reflecting more severe pulmonary compromise (3.5 +/- 0.2 versus 2.8 +/- 0.3). MSC infusion was safe and well tolerated. The MSC group had a significantly higher Horovitz score on discharge than the control group. Compared to controls, patients with MSC treatment showed a significantly lower Murray score upon discharge than controls. In the MSC group, 4 out of 5 patients (80%) survived to discharge and exhibited good pulmonary function, whereas only 8 out of 18 patients (45%) in the control group survived to discharge. CONCLUSION: MSC infusion is a safe treatment for COVID-19 ARDS that improves pulmonary function and overall outcome in this patient population.
  • |*Critical Care[MESH]
  • |*Mesenchymal Stem Cell Transplantation[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/*complications/mortality/*therapy[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Germany[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Respiration, Artificial[MESH]
  • |Respiratory Distress Syndrome/mortality/*therapy/*virology[MESH]
  • |Survival Rate[MESH]


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