Expert recommendations on blood purification treatment protocol for patients with severe COVID-19

Coronavirus disease (COVID-19) was first diagnosed in Wuhan in December 2019. The World Health Organization defined the subsequent outbreak of COVID-19 worldwide as a public health emergency of international concern. Epidemiological data indicate that at least 20% of COVID-19 patients have severe di...

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Autores principales: Xiang-Hong Yang, Ren-Hua Sun, Ming-Yan Zhao, Er-Zhen Chen, Jiao Liu, Hong-Liang Wang, Rong-Li Yang, De-Chang Chen
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Publicado: KeAi Communications Co., Ltd. 2020
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Acceso en línea:https://doaj.org/article/06810ccab53d49149b1c0067fe2b3803
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spelling oai:doaj.org-article:06810ccab53d49149b1c0067fe2b38032021-12-02T15:56:13ZExpert recommendations on blood purification treatment protocol for patients with severe COVID-192095-882X10.1016/j.cdtm.2020.04.002https://doaj.org/article/06810ccab53d49149b1c0067fe2b38032020-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X20300372https://doaj.org/toc/2095-882XCoronavirus disease (COVID-19) was first diagnosed in Wuhan in December 2019. The World Health Organization defined the subsequent outbreak of COVID-19 worldwide as a public health emergency of international concern. Epidemiological data indicate that at least 20% of COVID-19 patients have severe disease. In addition to impairment of the respiratory system, acute kidney injury (AKI) is a major complication. Immune damage mediated by cytokine storms and concomitant AKI is a key factor for poor prognosis. Based on previous experience of blood purification for patients with severe acute respiratory syndrome and Middle East respiratory syndrome combined with clinical front-line practice, we developed a blood purification protocol for patients with severe COVID-19. This protocol is divided into four major steps. The first step is to assess whether patients with severe COVID-19 require blood purification. The second step is to prescribe a blood purification treatment for patients with COVID-19. The third step is to monitor and adjust parameters of blood purification. The fourth step is to evaluate the timing of discontinuation of blood purification. It is expected that blood purification will play a key role in effectively reducing the mortality of patients with severe COVID-19 through the standardized implementation of the present protocol.Xiang-Hong YangRen-Hua SunMing-Yan ZhaoEr-Zhen ChenJiao LiuHong-Liang WangRong-Li YangDe-Chang ChenKeAi Communications Co., Ltd.articleCOVID-19Blood purification treatmentSARS-CoV-2Medicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 6, Iss 2, Pp 106-114 (2020)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
Blood purification treatment
SARS-CoV-2
Medicine (General)
R5-920
spellingShingle COVID-19
Blood purification treatment
SARS-CoV-2
Medicine (General)
R5-920
Xiang-Hong Yang
Ren-Hua Sun
Ming-Yan Zhao
Er-Zhen Chen
Jiao Liu
Hong-Liang Wang
Rong-Li Yang
De-Chang Chen
Expert recommendations on blood purification treatment protocol for patients with severe COVID-19
description Coronavirus disease (COVID-19) was first diagnosed in Wuhan in December 2019. The World Health Organization defined the subsequent outbreak of COVID-19 worldwide as a public health emergency of international concern. Epidemiological data indicate that at least 20% of COVID-19 patients have severe disease. In addition to impairment of the respiratory system, acute kidney injury (AKI) is a major complication. Immune damage mediated by cytokine storms and concomitant AKI is a key factor for poor prognosis. Based on previous experience of blood purification for patients with severe acute respiratory syndrome and Middle East respiratory syndrome combined with clinical front-line practice, we developed a blood purification protocol for patients with severe COVID-19. This protocol is divided into four major steps. The first step is to assess whether patients with severe COVID-19 require blood purification. The second step is to prescribe a blood purification treatment for patients with COVID-19. The third step is to monitor and adjust parameters of blood purification. The fourth step is to evaluate the timing of discontinuation of blood purification. It is expected that blood purification will play a key role in effectively reducing the mortality of patients with severe COVID-19 through the standardized implementation of the present protocol.
format article
author Xiang-Hong Yang
Ren-Hua Sun
Ming-Yan Zhao
Er-Zhen Chen
Jiao Liu
Hong-Liang Wang
Rong-Li Yang
De-Chang Chen
author_facet Xiang-Hong Yang
Ren-Hua Sun
Ming-Yan Zhao
Er-Zhen Chen
Jiao Liu
Hong-Liang Wang
Rong-Li Yang
De-Chang Chen
author_sort Xiang-Hong Yang
title Expert recommendations on blood purification treatment protocol for patients with severe COVID-19
title_short Expert recommendations on blood purification treatment protocol for patients with severe COVID-19
title_full Expert recommendations on blood purification treatment protocol for patients with severe COVID-19
title_fullStr Expert recommendations on blood purification treatment protocol for patients with severe COVID-19
title_full_unstemmed Expert recommendations on blood purification treatment protocol for patients with severe COVID-19
title_sort expert recommendations on blood purification treatment protocol for patients with severe covid-19
publisher KeAi Communications Co., Ltd.
publishDate 2020
url https://doaj.org/article/06810ccab53d49149b1c0067fe2b3803
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