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10.3390/jcm10102113

http://scihub22266oqcxt.onion/10.3390/jcm10102113
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34068847!8153619!34068847
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suck abstract from ncbi


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pmid34068847      J+Clin+Med 2021 ; 10 (10): ä
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  • Convalescent Plasma Efficacy in Life-Threatening COVID-19 Patients Admitted to the ICU: A Retrospective Cohort Study #MMPMID34068847
  • Abuzakouk M; Saleh K; Algora M; Nusair A; Alameri J; Alshehhi F; Alkhaja S; Badr M; Abdallah K; De Oliveira B; Nadeem A; Varghese Y; Munde D; Salam S; Abduljawad B; Elkambergy H; Wahla A; Taha A; Dibu J; Bayrlee A; Hamed F; AbdelWareth L; Rahman N; Guzman J; Mallat J
  • J Clin Med 2021[May]; 10 (10): ä PMID34068847show ga
  • (1) Background: There are limited data regarding the efficacy of convalescent plasma (CP) in critically ill patients admitted to the intensive care unit (ICU) due to coronavirus disease 2019 (COVID-19). We aimed to determine whether CP is associated with better clinical outcome among these patients. (2) Methods: A retrospective single-center study including adult patients with laboratory-confirmed SARS-CoV-2 infection admitted to the ICU for acute respiratory failure. The primary outcome was time to clinical improvement, within 28 days, defined as patient discharged alive or reduction of 2 points on a 6-point disease severity scale. (3) Results: Overall, 110 COVID-19 patients were admitted. Thirty-two patients (29%) received CP; among them, 62.5% received at least one CP with high neutralizing antibody titers (>/=1:160). Clinical improvement occurred within 28 days in 14 patients (43.7%) of the CP group vs. 48 patients (61.5%) in the non-CP group (hazard ratio (HR): 0.75 (95% CI: 0.41-1.37), p = 0.35). After adjusting for potential confounding factors, CP was not independently associated with time to clinical improvement (HR: 0.53 (95% CI: 0.23-1.22), p = 0.14). Additionally, the average treatment effects of CP, calculated using the inverse probability weights (IPW), was not associated with the primary outcome (-0.14 days (95% CI: -3.19-2.91 days), p = 0.93). Hospital mortality did not differ between CP and non-CP groups (31.2% vs. 19.2%, p = 0.17, respectively). Comparing CP with high neutralizing antibody titers to the other group yielded the same findings. (4) Conclusions: In this study of life-threatening COVID-19 patients, CP was not associated with time to clinical improvement within 28 days, or hospital mortality.
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