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
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