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10.1111/aor.14024

http://scihub22266oqcxt.onion/10.1111/aor.14024
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34152629!8444787!34152629
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suck abstract from ncbi


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pmid34152629      Artif+Organs 2021 ; 45 (11): 1338-1347
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  • Blood purification with CytoSorb in critically ill COVID-19 patients: A case series of 26 patients #MMPMID34152629
  • Nassiri AA; Hakemi MS; Miri MM; Shahrami R; Koomleh AA; Sabaghian T
  • Artif Organs 2021[Nov]; 45 (11): 1338-1347 PMID34152629show ga
  • Severe forms of the coronavirus disease 2019 (COVID-19) can progress to sepsis-like complications accompanied by "cytokine storm" for which the most effective treatment has not yet been established. Our study describes the results of CytoSorb hemoadsorption in COVID-19 patients treated on the intensive care unit (ICU). In this retrospective study, 26 patients with COVID-19 and acute respiratory distress syndrome (ARDS) were treated with hemoadsorption therapy. Pre-, and post-treatment values (clinical and laboratory) were compared. Data are expressed as mean (confidence intervals, CI), or median [interquartile ranges, IQR], as appropriate. Patients received 2 hemoadsorption treatments. This resulted in a significant decrease in norepinephrine requirements, and inflammatory marker plasma concentrations (procalcitonin, C-reactive protein, ferritin) when comparing pre versus post treatment levels. The PaO(2) /FiO(2) and overall organ function (ie, Sequential Organ Failure Assessment-SOFA score) also improved significantly. Patients stayed on the ICU for 9 days and 21 of them survived. To the best of our knowledge, this is one of the largest case series to date reporting early experiences on extracorporeal hemoadsorption therapy in SARS-CoV-2 positive patients with hyperinflammation and moderate ARDS. Treatment proved to be effective, technically feasible and well-tolerated.
  • |*Hemadsorption[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19/mortality/*therapy[MESH]
  • |Comorbidity[MESH]
  • |Critical Illness[MESH]
  • |Cytokine Release Syndrome/*therapy/virology[MESH]
  • |Female[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Iran[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Organ Dysfunction Scores[MESH]
  • |Pneumonia, Viral/mortality/*therapy/virology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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