{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T12:27:43Z","timestamp":1782563263372,"version":"3.54.5"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T00:00:00Z","timestamp":1666051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Therapeutic plasma exchange (TPE) has been used in severe COVID\u201019 disease to eliminate the cytokine storm. This meta\u2010analysis aims to assess the effectiveness of TPE in reducing mortality in severe COVID\u201019 disease compared to standard treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A comprehensive literature search was performed in PubMed, the Cochrane database and the International Clinical Trial Registry Platform (ICTRP). The random\u2010effect model was used to calculate the risk ratio and standardized mean difference (SMD) as pooled effect size for the difference in mortality and length of the intensive care unit (ICU) stay. The risk of bias and publication bias were assessed in R version 4.1.0. The certainty of the evidence was calculated using the GradePro tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The database identified 382 participants from six studies, including one randomized control trial. Egger's test did not detect any publication bias (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.178). The random model analysis for mortality evaluated a risk ratio of 0.38 (95% CI: 0.28\u20130.52) with a significant reduction in the TPE group. The certainty of the evidence was moderate, with a risk ratio of 0.34 (95% CI: 0.24\u20130.49). Length of ICU stays between TPE versus standard care showed an SMD of 0.08 (95% CI: \u22120.38, 0.55) and was not significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The length of ICU stay in the TPE group was not different from standard care. However, this meta\u2010analysis revealed a significant benefit of TPE in reducing mortality in severe COVID\u201019 disease compared to standard treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vox.13367","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T10:14:59Z","timestamp":1666088099000},"page":"49-58","source":"Crossref","is-referenced-by-count":7,"title":["Efficacy of therapeutic plasma exchange in severe <scp>COVID<\/scp>\u201019 disease: A meta\u2010analysis"],"prefix":"10.1111","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6814-8106","authenticated-orcid":false,"given":"Satya","family":"Prakash","sequence":"first","affiliation":[{"name":"Department of Transfusion Medicine All India Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ansuman","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine All India Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4780-4033","authenticated-orcid":false,"given":"Suman Sudha","family":"Routray","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine All India Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rituparna","family":"Maiti","sequence":"additional","affiliation":[{"name":"Department of Pharmacology All India Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayanta Kumar","family":"Mitra","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology All India Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2272-5569","authenticated-orcid":false,"given":"Somnath","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Transfusion Medicine All India Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.01.009"},{"key":"e_1_2_8_3_1","unstructured":"WHO Coronavirus (COVID\u201019) Dashboard | WHO Coronavirus (COVID\u201019) Dashboard With Vaccination Data. 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