Early Treatment, Inflammation and Post-COVID Conditions Article Swipe
Kelly A. Gebo
,
Sonya L. Heath
,
Yuriko Fukuta
,
Xianming Zhu
,
Sheriza Baksh
,
Alison G. Abraham
,
Feben Habtehyimer
,
David Shade
,
Jessica E. Ruff
,
Malathi Ram
,
Oliver Laeyendecker
,
Reinaldo E. Fernández
,
Eshan U. Patel
,
Owen R. Baker
,
Shmuel Shoham
,
Edward R. Cachay
,
Judith S. Currier
,
Jonathan M. Gerber
,
Barry Meisenberg
,
Donald N. Forthal
,
Laura L. Hammitt
,
Moisés A. Huamán
,
Adam C. Levine
,
Giselle Mosnaim
,
Bela Patel
,
James H. Paxton
,
Jay S. Raval
,
Catherine G. Sutcliffe
,
Shweta Anjan
,
Thomas J. Gniadek
,
Seble Kassaye
,
Janis E. Blair
,
Karen Lane
,
Nichol McBee
,
Amy L. Gawad
,
Piyali Das
,
Sabra L. Klein
,
Andrew Pekosz
,
Arturo Casadevall
,
Evan M. Bloch
,
Daniel F. Hanley
,
Aaron A.R. Tobian
,
David Sullivan
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1101/2023.02.13.23285855
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1101/2023.02.13.23285855
Background Post-COVID conditions (PCC) are common and have significant morbidity. Risk factors for PCC include advancing age, female sex, obesity, and diabetes mellitus. Little is known about early treatment, inflammation, and PCC. Methods Among 883 individuals with confirmed SARS-CoV-2 infection participating in a randomized trial of CCP vs. control plasma with available biospecimens and symptom data, the association between early COVID treatment, cytokine levels and PCC was evaluated. Cytokine and chemokine levels were assessed at baseline, day 14 and day 90 using a multiplexed sandwich immuosassay (Mesoscale Discovery). Presence of any self-reported PCC symptoms was assessed at day 90. Associations between COVID treatment, cytokine levels and PCC were examined using multivariate logistic regression models. Results One-third of the 882 participants had day 90 PCC symptoms, with fatigue (14.5%) and loss of smell (14.5%) being most common. Cytokine levels decreased from baseline to day 90. In a multivariable analysis including diabetes, body mass index, race, and vaccine status, female sex (adjusted odds ratio[AOR]=2.70[1.93-3.81]), older age (AOR=1.32[1.17-1.50]), and elevated baseline levels of IL-6 (AOR=1.59[1.02-2.47]) were associated with development of PCC. There was a trend for decreased PCC in those with early CCP treatment ( < 5 days after symptom onset) compared to late CCP treatment. Conclusion Increased IL-6 levels were associated with the development of PCC and there was a trend for decreased PCC with early CCP treatment in this predominately unvaccinated population. Future treatment studies should evaluate the effect of early treatment and anti-IL-6 therapies on PCC development. Summary Increased IL-6 levels were associated with the development of Post-COVID Conditions (PCC) and there was a trend for decreased PCC with early COVID convalescent plasma treatment in this predominately unvaccinated population.
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- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2023.02.13.23285855
- https://www.medrxiv.org/content/medrxiv/early/2023/02/16/2023.02.13.23285855.full.pdf
- OA Status
- green
- Cited By
- 5
- References
- 37
- Related Works
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- OpenAlex ID
- https://openalex.org/W4321017822
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4321017822Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1101/2023.02.13.23285855Digital Object Identifier
- Title
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Early Treatment, Inflammation and Post-COVID ConditionsWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-02-16Full publication date if available
- Authors
-
Kelly A. Gebo, Sonya L. Heath, Yuriko Fukuta, Xianming Zhu, Sheriza Baksh, Alison G. Abraham, Feben Habtehyimer, David Shade, Jessica E. Ruff, Malathi Ram, Oliver Laeyendecker, Reinaldo E. Fernández, Eshan U. Patel, Owen R. Baker, Shmuel Shoham, Edward R. Cachay, Judith S. Currier, Jonathan M. Gerber, Barry Meisenberg, Donald N. Forthal, Laura L. Hammitt, Moisés A. Huamán, Adam C. Levine, Giselle Mosnaim, Bela Patel, James H. Paxton, Jay S. Raval, Catherine G. Sutcliffe, Shweta Anjan, Thomas J. Gniadek, Seble Kassaye, Janis E. Blair, Karen Lane, Nichol McBee, Amy L. Gawad, Piyali Das, Sabra L. Klein, Andrew Pekosz, Arturo Casadevall, Evan M. Bloch, Daniel F. Hanley, Aaron A.R. Tobian, David SullivanList of authors in order
- Landing page
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https://doi.org/10.1101/2023.02.13.23285855Publisher landing page
- PDF URL
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https://www.medrxiv.org/content/medrxiv/early/2023/02/16/2023.02.13.23285855.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.medrxiv.org/content/medrxiv/early/2023/02/16/2023.02.13.23285855.full.pdfDirect OA link when available
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Medicine, Internal medicine, Diabetes mellitus, Odds ratio, Body mass index, Population, Randomized controlled trial, Cytokine, Logistic regression, Obesity, Immunology, Endocrinology, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 1, 2023: 3Per-year citation counts (last 5 years)
- References (count)
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37Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W3206065137, https://openalex.org/W4281399142, https://openalex.org/W4283747371, https://openalex.org/W3202053386, https://openalex.org/W4281386852, https://openalex.org/W3149633446, https://openalex.org/W4283738986, https://openalex.org/W4280606735, https://openalex.org/W4308380844, https://openalex.org/W3080981445, https://openalex.org/W3118487076, https://openalex.org/W3102226582, https://openalex.org/W3049325061, https://openalex.org/W3032543466, https://openalex.org/W3197904967, https://openalex.org/W3206070584, https://openalex.org/W3193191879, https://openalex.org/W4281559925, https://openalex.org/W4206896921, https://openalex.org/W4283764413, https://openalex.org/W4283011049, https://openalex.org/W4281393381, https://openalex.org/W4220665894, https://openalex.org/W2196401402, https://openalex.org/W3107806804, https://openalex.org/W4210395246, https://openalex.org/W3201058531, https://openalex.org/W4308052871, https://openalex.org/W3014853902, https://openalex.org/W3118278606, https://openalex.org/W4291690734, https://openalex.org/W4200571293, https://openalex.org/W3207979685, https://openalex.org/W3094755878, https://openalex.org/W3011379523, https://openalex.org/W2893631054, https://openalex.org/W4226510544 |
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