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2020 ; 98
(ä): 334-346
Nephropedia Template TP
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A potentially effective treatment for COVID-19: A systematic review and
meta-analysis of convalescent plasma therapy in treating severe infectious
disease
#MMPMID32634589
Sun M
; Xu Y
; He H
; Zhang L
; Wang X
; Qiu Q
; Sun C
; Guo Y
; Qiu S
; Ma K
Int J Infect Dis
2020[Sep]; 98
(ä): 334-346
PMID32634589
show ga
BACKGROUND: Convalescent plasma (CP) has been used successfully to treat many
types of infectious disease, and has shown initial effects in the treatment of
the emerging 2019 coronavirus disease (COVID-19). However, its curative effects
and feasibility have yet to be confirmed by formal evaluation and well-designed
clinical trials. To explore the effectiveness of treatment and predict the
potential effects of CP with COVID-19, studies of different types of infectious
disease treated with CP were included in this systematic review and
meta-analysis. METHODS: Related studies were obtained from databases and screened
according to the inclusion criteria. The data quality was assessed, and the data
were extracted and pooled for analysis. RESULTS: 40 studies on CP treatment for
infectious diseases were included. Our study found that CP treatment could reduce
the risk of mortality, with a low incidence of adverse events, promote the
production of antibodies, lead to a decline in viral load, and shorten the
disease course. A meta-analysis of 15 controlled studies showed that there was a
significantly lower mortality rate in the group treated with CP (pooled OR=0.32;
95% CI=0.19-0.52; p<0.001, I(2)=54%) compared with the control groups. Studies
were mostly of low or very low quality, with a moderate or high risk of bias. The
sources of clinical and methodological heterogeneity were identified. The
exclusion of heterogeneity indicated that the results were stable. CONCLUSIONS:
CP therapy has some curative effect and is well tolerated in treating infectious
diseases. It is a potentially effective treatment for COVID-19.