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评估新冠康复患者血浆对治疗重症监护病房收治患者的疗效。

Evaluation of the therapeutic effect of the plasma of recovered COVID-19 patients for treating the patients admitted to the intensive care unit.

作者信息

Ghaysouri A, Nourmohammadi H, Qasemi E, Mozafari A A, Tavan H, Saghari S

机构信息

Department of Internal Medicine, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran.

Department of Internal Medicine, School of Medicine, Shahid Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

New Microbes New Infect. 2021 Nov;44:100941. doi: 10.1016/j.nmni.2021.100941. Epub 2021 Sep 4.

Abstract

The novel coronavirus has infected about 141 million people around the world. So far, about 80.4 million people have been discharged, and nearly 3.01 million people have died (an estimated mortality rate of 2.13%). The study aimed to investigate the effect of plasma therapy from recovered COVID-19 patients to treat the patients hospitalized in the intensive care unit (ICU) of the Shahid Mostafa Khomeini Hospital of Ilam in 2020. The present prospective study was conducted in 2019-2020. Overall, 57 cases of plasma therapy were analysed using the Cox proportional hazard regression model in STATA 12 software. The results showed in patients receiving plasma treatment, the hazard ratio was (HR = 0.68, 95% CI, 0.45-1.04), indicating a 32% lower risk of death in the COVID-19 patients who received plasma therapy compared to those who did not. However, this relationship does not reach statistical significance (p = 0.07). Plasma therapy seems to yield some efficacy among patients with severe COVID-19 and those who have no underlying diseases. It is recommended to be used in combination with pharmaceutical interventions, for example, Actemra, to assess its therapeutic efficiency.

摘要

新型冠状病毒已感染全球约1.41亿人。截至目前,约8040万人已康复出院,近301万人死亡(估计死亡率为2.13%)。该研究旨在调查2020年来自新冠康复患者的血浆疗法对伊拉姆省沙希德·穆斯塔法·霍梅尼医院重症监护病房(ICU)住院患者的治疗效果。本前瞻性研究于2019 - 2020年进行。总体而言,在STATA 12软件中使用Cox比例风险回归模型分析了57例血浆疗法病例。结果显示,接受血浆治疗的患者中,风险比为(HR = 0.68,95%CI,0.45 - 1.04),这表明接受血浆疗法的新冠患者死亡风险比未接受者低32%。然而,这种关系未达到统计学显著性(p = 0.07)。血浆疗法似乎对重症新冠患者和无基础疾病的患者有一定疗效。建议与药物干预措施(例如托珠单抗)联合使用,以评估其治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc6e/8479481/d407a0715e2d/gr1.jpg

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