Convalescent plasma and all-cause mortality of COVID-19 patients: systematic review and meta-analysis.

Mihalek, Nora; Radovanović, Dragana; Barak, Otto; Čolović, Petar; Huber, Markus; Erdoes, Gabor (2023). Convalescent plasma and all-cause mortality of COVID-19 patients: systematic review and meta-analysis. Scientific Reports, 13(1), p. 12904. Nature Publishing Group 10.1038/s41598-023-40009-8

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Insight into the clinical potential of convalescent plasma in patients with coronavirus disease (COVID-19) is important given the severe clinical courses in unvaccinated and seronegative individuals. The aim of the study was to investigate whether there is a survival benefit of convalescent plasma therapy in COVID-19 patients. The authors independently assessed randomized controlled trials (RCTs) identified by the search strategy for inclusion, extracted data, and assessed risk of bias. The binary primary outcome was all-cause mortality. Risk ratio (RR) of the convalescent plasma treatment (vs. best standard care) and its associated standard error (effect size) were calculated. A random-effects model was employed to statistically pool the effect sizes of the selected studies. We included 19 RCTs with 17,021 patients. The random-effects model resulted in an estimated pooled RR of 0.94 (95% CI 0.81-1.08, p = 0.33), showing no statistical evidence of the benefit of convalescent plasma therapy on all-cause mortality. Convalescent plasma therapy was not found to be effective in reducing all-cause mortality in COVID-19 patients. Further studies are needed to determine in which patients convalescent plasma therapy may lead to a reduction in mortality.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy > Partial clinic Insel
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Huber, Markus, Erdoes, Gabor (B)

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2045-2322

Publisher:

Nature Publishing Group

Language:

English

Submitter:

Pubmed Import

Date Deposited:

10 Aug 2023 11:41

Last Modified:

20 Aug 2023 02:37

Publisher DOI:

10.1038/s41598-023-40009-8

PubMed ID:

37558729

BORIS DOI:

10.48350/185353

URI:

https://boris.unibe.ch/id/eprint/185353

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