Efficiency of therapeutic plasma exchange in critically ill systemic rheumatologic diseases: A single-center 9-year experience.

Jing Guo, Xiaolong Huang, Jianhua Li, Xiaorong Zhang, Ping Zhong, Guiyang Lu, Xinxin Wang, Weiyuan Luo, Yaogui Ning
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Abstract

Introduction: Therapeutic plasma exchange (TPE), an effective method to eliminate harmful soluble mediators associated with tissue injury, serves as a crucial intervention for systemic rheumatologic diseases (SRDs). However, its value in critically ill SRDs remains uncertain. This retrospective study aims to evaluate the efficacy of TPE in SRDs.

Methods: Critically ill SRD patients admitted to the department of intensive care unit of a large tertiary hospital receiving TPE from January 2011 to December 2019 were included.

Results: A total of 91 critically ill SRD patients received TPE were enrolled. Their mean age was 47.67 ± 16.35 years with a female predominance (n = 68). Significant decrease in SOFA score post-TPE treatment was observed (p < 0.05). There were no TPE-related fatalities. Improvement was observed in 64 (70.32%) patients.

Conclusion: This study shows favorable clinical outcomes. TPE may be an acceptable treatment option for critically ill SRD patients.

治疗性血浆置换在系统性风湿病重症患者中的疗效:单中心 9 年经验。
简介:治疗性血浆置换(TPE)是消除与组织损伤相关的有害可溶性介质的有效方法,是治疗全身性风湿病(SRD)的重要干预措施。然而,其在重症 SRD 中的价值仍不确定。这项回顾性研究旨在评估 TPE 对 SRD 的疗效:方法:纳入2011年1月至2019年12月期间在一家大型三甲医院重症监护室接受TPE治疗的SRD重症患者:结果:共纳入91例接受TPE治疗的重症SRD患者。他们的平均年龄为(47.67 ± 16.35)岁,女性居多(68 人)。TPE治疗后,SOFA评分显著下降(p 结论:TPE治疗后,SOFA评分显著下降:本研究显示了良好的临床效果。对于重症 SRD 患者来说,TPE 可能是一种可接受的治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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