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[Preprint]. 2021 Feb 2:2020.07.29.20162917. [Version 4] doi: 10.1101/2020.07.29.20162917

The Effect of Convalescent Plasma Therapy on COVID-19 Patient Mortality: Systematic Review and Meta-analysis

Stephen A Klassen, Jonathon Senefeld, Patrick W Johnson, Rickey E Carter, Chad C Wiggins, Shmuel Shoham, Brenda J Grossman, Jeffrey P Henderson, James M Musser, Eric Salazar, William R Hartman, Nicole M Bouvier, Sean TH Liu, Liise-anne Pirofski, Sarah E Baker, Noud Van Helmond, R Scott Wright, DeLisa Fairweather, Katelyn A Bruno, Nigel S Paneth, Arturo Casadevall, Michael J Joyner
PMCID: PMC7605561  PMID: 33140056

Abstract

To determine the effect of COVID-19 convalescent plasma on mortality, we aggregated patient outcome data from 10 randomized clinical trials (RCT), 20 matched-control studies, two dose-response studies, and 96 case-reports or case series. Studies published between January 1, 2020 to January 16, 2021 were identified through a systematic search of online PubMed and MEDLINE databases. Random effects analyses of RCT and matched-control data demonstrated that COVID-19 patients transfused with convalescent plasma exhibited a lower mortality rate compared to patients receiving standard treatments. Additional analyses showed that early transfusion (within 3 days of hospital admission) of higher titer plasma is associated with lower patient mortality. These data provide evidence favoring the efficacy of human convalescent plasma as a therapeutic agent in hospitalized COVID-19 patients.

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