Cytokine absorption in critically ill old COVID-19 patients with renal failure: A retrospective analysis of 503 intensive care unit patients Article Swipe
Stephan Binneboessel
,
Raphael Romano Bruno
,
Bernhard Wernly
,
Maryna Masyuk
,
Hans Flaatten
,
Jesper Fjølner
,
Georg Wolff
,
Malte Kelm
,
Michael Beil
,
Sigal Sviri
,
Wojciech Szczeklik
,
Susannah Leaver
,
Dylan W. de Lange
,
Bertrand Guidet
,
Christian Jung
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3233/ch-221579
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3233/ch-221579
BACKGROUND: COVID-19 is associated with cytokine release in critical disease states. Thus, cytokine absorption has been proposed as a therapeutic option. This study investigated the influence of cytokine absorption on mortality in old critical patients with COVID-19 and renal failure admitted to intensive care units (ICU). METHODS: This retrospective analysis of a prospective international observation study (the COVIP study) analysed ICU patients≥70 years with COVID-19. Data on Sequential Organ Failure Assessment (SOFA) score, clinical frailty scale (CFS), ICU therapy details including renal replacement therapy (RRT) with/without cytokine absorption were collected. The cytokine absorption group was compared to patients receiving RRT without cytokine absorption RESULTS: Among 3927 patients, 503 received RRT; among them 47 patients were treated with cytokine absorption. Mortality rates were high in both groups with increased rates in the cytokine group for ICU mortality and 30-day mortality, but not for 3-month mortality. Logistic regression analysis indicated that SOFA-score, but not cytokine absorption was associated with mortality. CONCLUSIONS: Critical COVID-19 patients with renal failure treated with cytokine absorption showed higher short term mortality rates when compared to patients with renal replacement therapy alone. Mortality is associated with disease severity, but not cytokine absorption in a multivariate analysis.
Related Topics
Concepts
Critically ill
Intensive care unit
Medicine
Coronavirus disease 2019 (COVID-19)
Cytokine
Intensive care medicine
2019-20 coronavirus outbreak
Retrospective cohort study
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Intensive care
Interleukin 6
Immunology
Internal medicine
Pathology
Disease
Outbreak
Infectious disease (medical specialty)
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3233/ch-221579
- https://content.iospress.com:443/download/clinical-hemorheology-and-microcirculation/ch221579?id=clinical-hemorheology-and-microcirculation%2Fch221579
- OA Status
- bronze
- Cited By
- 3
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4306746782
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4306746782Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3233/ch-221579Digital Object Identifier
- Title
-
Cytokine absorption in critically ill old COVID-19 patients with renal failure: A retrospective analysis of 503 intensive care unit patientsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-10-18Full publication date if available
- Authors
-
Stephan Binneboessel, Raphael Romano Bruno, Bernhard Wernly, Maryna Masyuk, Hans Flaatten, Jesper Fjølner, Georg Wolff, Malte Kelm, Michael Beil, Sigal Sviri, Wojciech Szczeklik, Susannah Leaver, Dylan W. de Lange, Bertrand Guidet, Christian JungList of authors in order
- Landing page
-
https://doi.org/10.3233/ch-221579Publisher landing page
- PDF URL
-
https://content.iospress.com:443/download/clinical-hemorheology-and-microcirculation/ch221579?id=clinical-hemorheology-and-microcirculation%2Fch221579Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://content.iospress.com:443/download/clinical-hemorheology-and-microcirculation/ch221579?id=clinical-hemorheology-and-microcirculation%2Fch221579Direct OA link when available
- Concepts
-
Critically ill, Intensive care unit, Medicine, Coronavirus disease 2019 (COVID-19), Cytokine, Intensive care medicine, 2019-20 coronavirus outbreak, Retrospective cohort study, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Intensive care, Interleukin 6, Immunology, Internal medicine, Pathology, Disease, Outbreak, Infectious disease (medical specialty)Top concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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34Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.RRT | 99 |
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