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About:
The Effectiveness of Convalescent Plasma and Hyperimmune Immunoglobulin for the Treatment of Severe Acute Respiratory Infections of Viral Etiology: A Systematic Review and Exploratory Meta-analysis
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schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
The Effectiveness of Convalescent Plasma and Hyperimmune Immunoglobulin for the Treatment of Severe Acute Respiratory Infections of Viral Etiology: A Systematic Review and Exploratory Meta-analysis
Creator
Nguyen-Van-Tam, Jonathan
Mair-Jenkins, John
Cleary, Paul
Khaw, Fu-Meng
Makki, Sophia
Saavedra-Campos, Maria
Rooney, Kevin
Beck, Charles
Group, Study
Kenneth Baillie, J
Lim, Wei
Plasma, Convalescent
source
Medline; PMC
abstract
Background. Administration of convalescent plasma, serum, or hyperimmune immunoglobulin may be of clinical benefit for treatment of severe acute respiratory infections (SARIs) of viral etiology. We conducted a systematic review and exploratory meta-analysis to assess the overall evidence. Methods. Healthcare databases and sources of grey literature were searched in July 2013. All records were screened against the protocol eligibility criteria, using a 3-stage process. Data extraction and risk of bias assessments were undertaken. Results. We identified 32 studies of SARS coronavirus infection and severe influenza. Narrative analyses revealed consistent evidence for a reduction in mortality, especially when convalescent plasma is administered early after symptom onset. Exploratory post hoc meta-analysis showed a statistically significant reduction in the pooled odds of mortality following treatment, compared with placebo or no therapy (odds ratio, 0.25; 95% confidence interval, .14–.45; I(2) = 0%). Studies were commonly of low or very low quality, lacked control groups, and at moderate or high risk of bias. Sources of clinical and methodological heterogeneity were identified. Conclusions. Convalescent plasma may reduce mortality and appears safe. This therapy should be studied within the context of a well-designed clinical trial or other formal evaluation, including for treatment of Middle East respiratory syndrome coronavirus CoV infection.
has issue date
2015-01-01
(
xsd:dateTime
)
bibo:doi
10.1093/infdis/jiu396
bibo:pmid
25030060
has license
cc-by-nc-nd
sha1sum (hex)
f46ad7149ec602bd131fd370682f1b73235cfacc
schema:url
https://doi.org/10.1093/infdis/jiu396
resource representing a document's title
The Effectiveness of Convalescent Plasma and Hyperimmune Immunoglobulin for the Treatment of Severe Acute Respiratory Infections of Viral Etiology: A Systematic Review and Exploratory Meta-analysis
has PubMed Central identifier
PMC4264590
has PubMed identifier
25030060
schema:publication
J Infect Dis
resource representing a document's body
covid:f46ad7149ec602bd131fd370682f1b73235cfacc#body_text
is
schema:about
of
named entity 'EFFECTIVENESS'
named entity 'IMMUNOGLOBULIN'
named entity 'VIRAL'
named entity 'Effectiveness'
named entity 'CLINICAL BENEFIT'
named entity 'ACUTE RESPIRATORY INFECTIONS'
named entity 'SYSTEMATIC REVIEW'
covid:arg/f46ad7149ec602bd131fd370682f1b73235cfacc
named entity 'BACKGROUND'
named entity 'ACUTE RESPIRATORY INFECTIONS'
named entity 'ETIOLOGY'
named entity 'TREATMENT'
named entity 'SEVERE'
named entity 'SEVERE'
named entity 'MAY BE'
named entity 'VIRAL'
named entity 'META-ANALYSIS'
named entity 'ETIOLOGY'
named entity 'ADMINISTRATION'
named entity 'OVERALL'
named entity 'IMMUNOGLOBULIN'
named entity 'META-ANALYSIS'
named entity 'SYSTEMATIC REVIEW'
named entity 'SERUM'
named entity 'ASSESS'
named entity 'TREATMENT'
named entity 'EVIDENCE'
named entity 'convalescent'
named entity 'Viral'
named entity 'Acute Respiratory Infections'
named entity 'adverse event'
named entity 'World Health Organization'
named entity 'convalescent plasma'
named entity 'selection bias'
named entity 'etiology'
named entity 'infection'
named entity 'severe acute respiratory syndrome coronavirus'
named entity 'influenza'
named entity 'convalescent plasma'
named entity 'infection'
named entity 'infection'
named entity 'Convalescent plasma'
named entity 'randomized control trial'
named entity 'MERS-CoV'
named entity 'steroids'
named entity 'SARS-CoV'
named entity 'infection'
named entity 'comorbidities'
named entity 'titer'
named entity 'A(H1N1)pdm09'
named entity 'convalescent plasma'
named entity 'confounding'
named entity 'clinical trial'
named entity 'convalescent plasma'
named entity 'A(H1N1)pdm09'
named entity 'Spanish influenza'
named entity 'convalescent plasma'
named entity 'convalescent plasma'
named entity 'convalescent plasma'
named entity 'subgroup analysis'
named entity 'SARI'
named entity '95% CI'
named entity 'convalescent plasma'
named entity 'immunoglobulin'
named entity 'influenza'
named entity 'critical care'
named entity 'influenza'
named entity '85%'
named entity 'WHO'
named entity 'Agency for Healthcare Research and Quality'
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