Abolghasemi, H; Eshghi, P; Cheraghali, AM; Imani Fooladi, AA; Bolouki Moghaddam, F; Imanizadeh, S; Moeini Maleki, M; Ranjkesh, M; Rezapour, M; Bahramifar, A; Einollahi, B; Hosseini, MJ; Jafari, NJ; Nikpouraghdam, M; Sadri, N; Tazik, M; Sali, S; Okati, S; Askari, E; Tabarsi, P; Aslani, J; Sharifipour, E; Jarahzadeh, MH; Khodakarim, N; Salesi, M; Jafari, R; Shahverdi, S
Since Dec. 2019 the new coronavirus (SARS-CoV-2) has infected millions and claimed life of several hundred thousand worldwide. However, so far no approved vaccine or drug therapy is available for treatment of virus infection. Convalescent plasma has been considered a potential modality for COVID-19 infection. One hundred eighty-nine COVID-19 positive patients including 115 patients in plasma therapy group and 74 patients in control group, registered in the hospitals with confirmed COVID-19 infection, entered this multi-center clinical study. Comparison of outcomes including all-cause mortality, total hospitalization days and patients' need for intubation between the two patient groups shows that total of 98 (98.2 %) of patients who received convalescent plasma were discharged from hospital which is substantially higher compared to 56 (78.7 %) patients in control group. Length of hospitalization days was significantly lower (9.54 days) in convalescent plasma group compared with that of control group (12.88 days). Only 8 patients (7%) in convalescent plasma group required intubation while that was 20 % in control group. This clinical study provides strong evidence to support the efficacy of convalescent plasma therapy in COVID-19 patients and recommends this treatment for management of these patients. Clinical efficacy, immediate availability and potential cost effectiveness could be considered as main advantages of convalescent plasma therapy.
Health technology assessment; COVID-19; Mortality rate; Hospital stay; Clinical trial; Convalescent plasma; Young Adult; SARS-CoV-2 -- immunology; Middle Aged; SARS-CoV-2 -- physiology; Aged, 80 and over; Immunization, Passive -- adverse effects; Treatment Outcome; COVID-19 -- immunology; COVID-19 -- therapy