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10.1186/s13613-021-00867-9

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suck abstract from ncbi


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pmid33978844      Ann+Intensive+Care 2021 ; 11 (1): 73
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  • Convalescent plasma therapy and mortality in COVID-19 patients admitted to the ICU: a prospective observational study #MMPMID33978844
  • Hatzl S; Posch F; Sareban N; Stradner M; Rosskopf K; Reisinger AC; Eller P; Schorghuber M; Toller W; Sloup Z; Pruller F; Gutl K; Pilz S; Rosenkranz AR; Greinix HT; Krause R; Schlenke P; Schilcher G
  • Ann Intensive Care 2021[May]; 11 (1): 73 PMID33978844show ga
  • BACKGROUND: This study aimed to quantify the potential survival benefit of convalescent plasma therapy (CVP) in critically ill patients with acute respiratory failure related to coronavirus disease-2019 (COVID-19). METHODS: This is a single-center prospective observational cohort study in COVID-19 patients with acute respiratory failure. Immediately after intensive care unit (ICU) admission patients were allocated to CVP treatment following pre-specified criteria to rapidly identify those patients potentially susceptible for this treatment. A propensity score adjustment [inverse probability of treatment weighted (IPTW) analysis] was implemented to account rigorously for imbalances in prognostic variables between the treatment groups. RESULTS: We included 120 patients of whom 48 received CVP. Thirty percent were female with a median age of 66 years [25th-75th percentile 54-75]. Eighty-eight percent of patients presented with severe acute respiratory failure as displayed by a median paO(2)/FiO(2) ratio (Horowitz Index) of 92 [77-150]. All patients required any kind of ventilatory support with more than half of them (52%) receiving invasive ventilation. Thirty-day ICU overall survival (OS) was 69% in the CVP group and 54% in the non-CVP group (log-rank p = 0.049), respectively. After weighing the time-to-event data for the IPTW, the favorable association between CVP and OS became even stronger (log-rank p = 0.035). Moreover, an exploratory analysis showed an overall survival benefit of CVP therapy for patients with non-invasive ventilation (Hazard ratio 0.12 95% CI 0.03-0.57, p = 0.007) CONCLUSION: Administration of CVP in patients with acute respiratory failure related to COVID-19 is associated with improved ICU survival rates.
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