COVID-19 Research Center, Institute of Laboratory Medicine, Jinling Hospital, Nanjing University School of Medicine, The First School of Clinical Medicine, Southern Medical University, Nanjing, Jiangsu, China.
Department of Animal Science and Technology, Jinling Institute of Technology, Nanjing, Jiangsu, China.
J Med Virol. 2021 Apr;93(4):2321-2331. doi: 10.1002/jmv.26712. Epub 2020 Dec 17.
The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is wreaking havoc on public health systems worldwide. The diagnosis of COVID-19 is well defined, but efficacious treatment is lacking. There is a big gap in knowledge regarding COVID-19 patients receiving convalescent plasma transfusion (CPT), especially those also suffering from diabetes mellitus (DM). In this study, among 3059 COVID-19 patients admitted to Wuhan Huoshenshan Hospital of China, we documented the characteristics of 39 COVID-19 patients with DM receiving CPT and compared their baseline information and clinical outcomes to COVID-19 patients with DM receiving conventional treatment. We also performed the propensity-matched comparison of COVID-19 patients with DM between conventional treatment and CPT. The CPT was efficacious and beneficial for COVID-19 patients with DM, including severe or critically ill patients, without obvious adverse effects. Our data demonstrated that CPT significantly improved the clinical outcomes of COVID-19 patients with DM, especially the cure rate and duration of hospitalization compared with that in COVID-19 patients with DM receiving conventional treatment. This study not only provided a deeper understanding of characteristics in COVID-19 patients with DM receiving CPT but also highlighted the efficaciousness of CPT for COVID-19 patients with DM.
由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)大流行正在对全球公共卫生系统造成严重破坏。COVID-19 的诊断定义明确,但缺乏有效的治疗方法。对于接受恢复期血浆输注(CPT)的 COVID-19 患者,特别是同时患有糖尿病(DM)的患者,人们对其了解甚少。在这项研究中,我们在中国武汉火神山医院收治的 3059 例 COVID-19 患者中,记录了 39 例 DM 合并 COVID-19 患者接受 CPT 的特征,并将他们的基线信息和临床结局与接受常规治疗的 DM 合并 COVID-19 患者进行了比较。我们还对接受常规治疗和 CPT 的 DM 合并 COVID-19 患者进行了倾向评分匹配比较。CPT 对 DM 合并 COVID-19 患者有效且有益,包括重症或危重症患者,且无明显不良反应。我们的数据表明,CPT 显著改善了 DM 合并 COVID-19 患者的临床结局,尤其是与接受常规治疗的 DM 合并 COVID-19 患者相比,治愈率和住院时间。这项研究不仅深入了解了接受 CPT 的 DM 合并 COVID-19 患者的特征,还强调了 CPT 对 DM 合并 COVID-19 患者的有效性。