Effectiveness of Convalescent Plasma Therapy in Treating COVID-19: an Evidence-based Case Report

Authors

  • Mira Yulianti Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Christian Johan Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
  • Gurmeet Singh Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Eric Daniel Tenda Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Herikurniawan Herikurniawan Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • I Putu Eka Krisnha Wijaya Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Keywords:

convalescent plasma, coronavirus, COVID-19, SARS-CoV-2

Abstract

Background: Convalescent plasma is a potentially beneficial, tolerable, and available additional treatment option for COVID-19. This study aims to evaluate whether the administration of convalescent plasma therapy leads to improved clinical outcomes in COVID-19 patients compared to standard medical therapy. Methods: We conducted a search of Pubmed, Cochrane, and EBSCO for studies assessing the clinical question using inclusion and exclusion criteria. Selected studies were critically appraised, and the results were summarized. Results: A meta-analysis of 10 randomized clinical trials (RCTs), an RCT, a case-control clinical study were selected and assessed. Only the case-control clinical study showed that convalescent plasma administration improved the clinical outcomes of patients with COVID-19, including all-cause mortality, hospital length of stay, and the need for mechanical ventilation. On the contrary, the other two studies of a higher level of evidence showed no significant clinical outcome improvement with convalescent plasma therapy. Conclusion: The effectiveness of convalescent plasma therapy in improving clinical outcomes of patients with COVID-19 was still inconclusive due to several study limitations and other possible causes.

Author Biographies

Mira Yulianti, Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Staff of the Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Christian Johan, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.

Research Assistant of the Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.

Gurmeet Singh, Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Head of the Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Eric Daniel Tenda, Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Staff of the Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Herikurniawan Herikurniawan, Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Staff of the Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

I Putu Eka Krisnha Wijaya, Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Staff of the Division of Respirology and Critical Illness, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

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Published

2022-01-10

How to Cite

Yulianti, M., Johan, C., Singh, G., Tenda, E. D., Herikurniawan, H., & Wijaya, I. P. E. K. (2022). Effectiveness of Convalescent Plasma Therapy in Treating COVID-19: an Evidence-based Case Report. Acta Medica Indonesiana, 53(4), 497. Retrieved from http://actamedindones.org/index.php/ijim/article/view/1856