Effectiveness of HA330 hemoperfusion as an adjunctive therapy for severe COVID-19 patients: a single center experience

被引:0
作者
Phongphithakchai, Atthaphong [1 ]
Saelue, Pirun [2 ]
Wongpraphairot, Suwikran [1 ]
Boonsrirat, Ussanee [1 ]
机构
[1] Prince Songkla Univ, Fac Med, Div Internal Med, Hematol Unit, Hat Yai 90110, Songkhla, Thailand
[2] Prince Songkla Univ, Fac Med, Div Internal Med, Clin Hematol Unit, Hat Yai 90110, Songkhla, Thailand
关键词
Hemoperfusion; Coronavirus Disease-2019; Cytokine; Extracorporeal Membrane Oxygenation;
D O I
10.35975/apic.v28i2.2429
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background & objective: Cytokine storms play a significant role in conditions leading to multi -organ failure in patients with severe corona virus disease -2019 (COVID-19). The eradication of pro -inflammatory cytokines through hemoperfusion has been suggested to be a possible strategy to improve outcomes in these patients. We evaluated the impact of adjunctive HA330 hemoperfusion on outcomes in severe COVID-19 patients. Methodology: A single -center retrospective cohort study was conducted from December 2021 to December 2022. We included severe COVID-19 patients with elevated pro -inflammatory markers, who received three consecutive sessions of HA330 hemoperfusion in addition to the standard treatment protocol. Clinical data, including demographic information, baseline characteristics, and treatment outcomes, were analyzed. Results: We evaluated 24 severe COVID-19 patients. We observed a significant reduction in levels of CRP (P < 0.001) and IL -6 (P = 0.042), as well as a significant increase in arterial partial pressure of oxygen (P = 0.041). Importantly, no patient experienced cytotoxicity after the HA330 hemoperfusion sessions, confirming the biocompatibility of the treatment. Conclusion: Three consecutive sessions of HA330 hemoperfusion, used as an adjunctive therapy to standard care in severe COVID-19 patients, effectively reduced pro -inflammatory cytokine levels and improved oxygenation. However, large multicenter trials are required to validate these clinical outcomes.
引用
收藏
页码:265 / 271
页数:7
相关论文
共 33 条
[21]   EFFICACY OF SUPPLEMENTAL HEMOADSORPTION THERAPY ON SEVERE AND CRITICAL PATIENTS WITH COVID-19: AN EVIDENCE-BASED ANALYSIS [J].
He, Junbing ;
Lin, Yao ;
Cai, Weiming ;
Lin, Yingying ;
Qin, Wanbing ;
Shao, Yiming ;
Liu, Qinghua .
SHOCK, 2023, 60 (03) :333-344
[22]   Efficacy of extracorporeal membrane oxygenation in pediatric COVID-19 and MIS-C cases: A single-center experience [J].
Varol, Fatih ;
Sahinl, Ebru ;
Kilic, Aziz ;
Sahin, Berkay Suleyman ;
Onalan, Mehmet A. ;
Ugur, Murat ;
Tuncer, Tunc ;
Cam, Halit .
TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2022, 30 (03) :363-371
[23]   Extracorporeal membrane oxygenation in COVID-19 compared to other etiologies of acute respiratory failure: A single-center experience [J].
Yaqoob, Hamid ;
Greenberg, Daniel ;
Huang, Lawrence ;
Henson, Theresa ;
Pitaktong, Areen ;
Peneyra, Daniel ;
Spencer, Philip J. ;
Malekan, Ramin ;
Goldberg, Joshua B. ;
Kai, Masashi ;
Ohira, Suguru ;
Wang, Zhen ;
Murad, M. Hassan ;
Chandy, Dipak ;
Epelbaum, Oleg .
HEART & LUNG, 2023, 57 :243-249
[24]   Investigation of plasma exchange and hemoperfusion effects and complications for the treatment of patients with severe COVID-19 (SARS-CoV-2) disease: A systematic scoping review [J].
Mousavi-Roknabadi, Razieh Sadat ;
Haddad, Fatemeh ;
Fazlzadeh, Aylar ;
Kheirabadi, Dorna ;
Dehghan, Hamidreza ;
Rezaeisadrabadi, Mohammad .
JOURNAL OF MEDICAL VIROLOGY, 2021, 93 (10) :5742-5755
[25]   Adjuvant hemoadsorption therapy in patients with severe COVID-19 and related organ failure requiring CRRT or ECMO therapy: A case series [J].
Wunderlich-Sperl, Florian ;
Kautzky, Sebastian ;
Pickem, Christian ;
Hoermann, Christoph .
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 2021, 44 (10) :694-702
[26]   Cytokine profile and antioxidants status in the moderate and severe COVID-19 patients: a trial of ozone therapy impact as a medicinal supplement [J].
Ghaleh, Hadi Esmaeili Gouvarchin ;
Izadi, Morteza ;
Javanbakht, Mohammad ;
Ghanei, Mostafa ;
Einollahi, Behzad ;
Jafari, Nematollah Jonaidi ;
Alishiri, Gholamhossein ;
Aslani, Jafar ;
Abolghasemi, Hassan ;
Simonetti, Vincenzo ;
Khafaei, Mostafa ;
Zhao, Shi ;
Saadat, Seyed Hassan ;
Ahmadi, Majid ;
Parvin, Shahram ;
Vazifedoust, Soheil ;
Alvanagh, Akbar Ghorbani .
INFLAMMOPHARMACOLOGY, 2023, 31 (06) :3029-3036
[27]   Cytokine profile and antioxidants status in the moderate and severe COVID-19 patients: a trial of ozone therapy impact as a medicinal supplement [J].
Hadi Esmaeili Gouvarchin Ghaleh ;
Morteza Izadi ;
Mohammad Javanbakht ;
Mostafa Ghanei ;
Behzad Einollahi ;
Nematollah Jonaidi Jafari ;
Gholamhossein Alishiri ;
Jafar Aslani ;
Hassan Abolghasemi ;
Vincenzo Simonetti ;
Mostafa Khafaei ;
Shi Zhao ;
Seyed Hassan Saadat ;
Majid Ahmadi ;
Shahram Parvin ;
Soheil Vazifedoust ;
Akbar Ghorbani Alvanagh .
Inflammopharmacology, 2023, 31 :3029-3036
[28]   The effect of therapeutic plasma exchange therapy on veno-venous ECMO weaning success in severe COVID-19 ARDS patients [J].
Aslan, Murat ;
Yilmaz, Rabia ;
Dogan, Murat ;
Cukurova, Zafer .
THERAPEUTIC APHERESIS AND DIALYSIS, 2023, 27 (04) :780-789
[29]   Ability of the respiratory ECMO survival prediction (RESP) score to predict survival for patients with COVID-19 ARDS and non-COVID-19 ARDS: a single-center retrospective study [J].
Pratt, Elias H. ;
Morrison, Samantha ;
Green, Cynthia L. ;
Rackley, Craig R. .
JOURNAL OF INTENSIVE CARE, 2023, 11 (01)
[30]   The role of clinical and immunological parameters in predicting the effectiveness of additional immunotropic therapy in oxygen-dependent patients with COVID-19 coronavirus disease [J].
Riabokon, O. V. ;
Cherkaskyi, V. V. ;
Riabokon, Yu. Yu. ;
Vynokurova, A. V. .
PATHOLOGIA, 2023, 20 (03) :207-217