Clinical efficacy of convalescent plasma for treatment of COVID-19 infections: Results of a multicenter clinical study

被引:98
|
作者
Abolghasemi, Hassan [1 ]
Eshghi, Peyman [2 ,3 ]
Cheraghali, Abdol Majid [1 ,4 ,5 ]
Fooladi, Abbas Ali Imani [1 ]
Moghaddam, Farzaneh Bolouki [6 ]
Imanizadeh, Sina [6 ]
Maleki, Matin Moeini [6 ]
Ranjkesh, Mohammad [6 ]
Rezapour, Mohammad [6 ]
Bahramifar, Ali [7 ]
Einollahi, Behzad [8 ]
Hosseini, Mohammad Javad [9 ]
Jafari, Nematollah Joneidi [10 ]
Nikpouraghdam, Mohamad [11 ]
Sadri, Nariman [12 ]
Tazik, Mokhtar [12 ]
Sali, Shanaz [13 ]
Okati, Shamsi [14 ]
Askari, Elham [15 ]
Tabarsi, Payam [15 ]
Aslani, Jafar [16 ]
Sharifipour, Ehsan [17 ]
Jarahzadeh, Mohammad Hossein [18 ]
Khodakarim, Nastaran [19 ]
Salesi, Mahmood [16 ]
Jafari, Ramezan [16 ]
Shahverdi, Samira [20 ]
机构
[1] Baqiyatallah Univ Med Sci, Syst Biol & Poisonings Inst, Appl Microbiol Res Ctr, Tehran, Iran
[2] Shahid Beheshti Univ Med Sci, Pediat Congenital Hematol Disorders Res Ctr, Tehran, Iran
[3] Iran Blood Transfus Org, Tehran, Iran
[4] Baqiyatallah Univ Med Sci, Sch Pharm, Tehran, Iran
[5] Baqiyatallah Univ Med Sci, Chem Injuries Res Ctr, Tehran, Iran
[6] Baqiyatallah Univ Med Sci, Student Res Comm, Tehran, Iran
[7] Baqiyatallah Univ Med Sci, Trauma Res Ctr, Tehran, Iran
[8] Baqiyatallah Univ Med Sci, Nephrol & Urol Res Ctr, Tehran, Iran
[9] Baqiyatallah Univ Med Sci, Syst Biol & Poisonings Inst Baqiyatallah, Mol Biol Res Ctr, Tehran, Iran
[10] Baqiyatallah Univ Med Sci, Life Style Inst, Hlth Res Ctr, Tehran, Iran
[11] Baqiyatallah Univ Med Sci, Nephrol & Urol Res Ctr, Tehran, Iran
[12] Darman Ara PJS Co, Tehran, Iran
[13] Shahid Behesti Univ Med Sci, Infect Dis & Trop Med Res Ctr, Tehran, Iran
[14] High Inst Res & Educ Transfu Med, Tehran, Iran
[15] Shahid Beheshti Univ Med Sci, Natl Res Inst TB & Lung Dis, Tehran, Iran
[16] Baqiyatallah Univ Med Sci, Chem Injuries Res Ctr, Tehran, Iran
[17] Qom Univ Med Sci, Neurosci Res Ctr, Qom, Iran
[18] Shahid Sadoughi Univ Med Sci, Dept Anesthesiol, Yazd, Iran
[19] Iran Univ Med Sci, Dept Med Oncol & Hematol, Tehran, Iran
[20] Baqiyatallah Univ Med Sci, Dept Radiol, Tehran, Iran
关键词
COVID-19; Convalescent plasma; Clinical trial; Hospital stay; Mortality rate;
D O I
10.1016/j.transci.2020.102875
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since Dec. 2019 the new coronavirus (SARS-CoV-2) has infected millions and claimed life of several hundred thousand worldwide. However, so far no approved vaccine or drug therapy is available for treatment of virus infection. Convalescent plasma has been considered a potential modality for COVID-19 infection. One hundred eighty-nine COVID-19 positive patients including 115 patients in plasma therapy group and 74 patients in control group, registered in the hospitals with confirmed COVID-19 infection, entered this multi-center clinical study. Comparison of outcomes including all-cause mortality, total hospitalization days and patients' need for intubation between the two patient groups shows that total of 98 (98.2 %) of patients who received convalescent plasma were discharged from hospital which is substantially higher compared to 56 (78.7 %) patients in control group. Length of hospitalization days was significantly lower (9.54 days) in convalescent plasma group compared with that of control group (12.88 days). Only 8 patients (7%) in convalescent plasma group required intubation while that was 20 % in control group. This clinical study provides strong evidence to support the efficacy of convalescent plasma therapy in COVID-19 patients and recommends this treatment for management of these patients. Clinical efficacy, immediate availability and potential cost effectiveness could be considered as main advantages of convalescent plasma therapy.
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页数:5
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