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Table 1 Summary of the published studies investigating the effect of therapeutic plasma exchange for COVID-19

From: Blood purification could tackle COVID-19?

Trials

Study design

Sample size (TPE/control)

TPE replacement fluids

Number of TPE treatment

Results (mortality rate, MV, LOS)

Gucyetmez et al. [13]

Retrospective study with PSM

12/12

Not mentioned

Not mentioned

・ Mortality rate—mortality, 8% vs. 58%, p < 0.01

・ MV—duration of MV, 316 h vs. 278 h, p = 0.67

・LOS—ICU LOS, 20 days vs. 14 days, p = 0.07

Kamran et al. [14]

Retrospective study with PSM

45/45

FFP: normal saline = 2:1

Daily until recovery

・Mortality rate—overall survival, 91% vs. 62%, p < 0.01

・ LOS—Total LOS, 10 days vs. 15 days, p = 0.01

Khamis et al. [15]

Retrospective study

11/20

FFP

5 times

・ Mortality rate—all-cause mortality, 9% vs. 45%, p = 0.055

28 day mortality, 0% vs. 35%, p = 0.033

14 day mortality, 0% vs. 35%, p = 0.033

・ MV—extubation, 73% vs. 20%, p = 0.02

・ LOS—total LOS, 19 days vs. 11 days, p = 0.13

ICU LOS, 14 days vs. 6 days, p = 0.03

Faqihi et al. [16]

RCT

34/39

FFP or artificial Ocyaplas LG®

Maximum of 5 times

・ Mortality rate—35 day mortality, 21% vs. 34%, p = 0.09

・ MV—duration of MV, 15 days vs. 19 days, p < 0.01

・ LOS—ICU LOS, 19 days vs. 26 days, p = 0.02

  1. APACHE Acute Physiology and Chronic Health Evaluation, ARDS acute respiratory distress syndrome, FFP fresh frozen plasma, ICU intensive care unit, LOS length of stay, MDOS multiple organ dysfunction syndrome, MV mechanical ventilation, TPE therapeutic plasma exchange, PSM propensity score matching, RCT randomized controlled trial