Sepsis & infection

Influence of therapeutic plasma exchange treatment on short-term mortality of critically ill adult patients with sepsis-induced organ dysfunction: a systematic review and meta-analysis

Crit CarePublished Systematic review and meta-analysis of randomised trials and matched cohort studies

Pooled resultResult — go to the resultRelative risk 0.59 95% CI 0.47–0.74

Authors' conclusion

Our comprehensive and up-to-date review demonstrates that adjunct TPE may provide potential survival benefits when compared to standard care for critically ill adult patients with sepsis-induced organ dysfunction.

Study context

Population
Critically ill adults with sepsis-induced organ dysfunction
Participants
937 adults · 5 randomized clinical trials (RCTs) · 15 MCSs
Comparison
Adjunct therapeutic plasma exchange (TPE) vs standard therapy alone
  • TPEn = 300
  • Standard therapyn = 327reference
Outcome
Short-term mortality
Methodological detailsrandom effects model
  • Random effects model

Pooled result

As reported in the abstract

Relative risk

0.59

95% CI 0.47–0.74

TPE vs Standard therapy
RR 0.59 (95% CI 0.47–0.74)

Further pooled results

Clinical and/or laboratory recovery (systematic review, all 20 trials)

Faster clinical and/or laboratory recovery with adjunct TPE

Original publication

Influence of therapeutic plasma exchange treatment on short-term mortality of critically ill adult patients with sepsis-induced organ dysfunction: a systematic review and meta-analysis. Crit Care. Published 4 January 2024. doi:10.1186/s13054-023-04795-x

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