TABLE 1

Baseline characteristics of patients

CharacteristicsConvalescent Plasma (n=80)Control (n=80)
Gender, male49 (61.2)44 (55.0)
Age, years59.0 (48.0–68.5)62.0 (49.5–68.0)
Age category#
 <65 years55 (68.8)52 (65.0)
 ≥65 to <80 years20 (25.0)27 (33.8)
 ≥80 years5 (6.3)1 (1.3)
Comorbidities
 Diabetes34 (42.5)29 (36.3)
 Hypertension49 (61.3)49 (61.3)
 Cardiovascular Disease19 (23.8)16 (20.0)
 Chronic Pulmonary Disease13 (16.3)9 (11.3)
 Obesity43 (53.8)38 (47.5)
Randomisation location
 Intensive Care Unit53 (66.3)53 (66.3)
 Medical Ward27 (33.8)27 (33.8)
 Time from symptom onset to randomisation, days10.0±3.09.8±3.2
 Time from hospitalisation to randomisation, days3 (2–5)3 (2–5)
Score on six-level ordinal scale
 2- hospitalisation without supplemental oxygen0 (0)1 (1.3)
 3 - hospitalisation plus supplemental oxygen18 (22.5)21 (26.3)
 4 - hospitalisation plus noninvasive ventilation or high-flow supplemental oxygen28 (35.0)24 (30.0)
 5 - hospitalisation plus invasive mechanical ventilation and/or extracorporeal membrane oxygenation34 (42.5)34 (42.5)
 Vasoactive Drugs17 (21.3)14 (17.5)
 NEWS 27 (6–10)7 (6–9)
 PaO2/FiO2+191 (134–246)167 (100–258)
 SOFA+3.5 (2–7)4 (2–7.8)
CharacteristicsConvalescent Plasma (n=80)Control (n=80)
Laboratorial findings at randomisation
 Neutralising Antibody Titre+,§960 (160–2560)1280 (640–2560)
 Neutralising Antibody Titre≤80§19/80 (23.8)8/78 (10.3)
 White blood cell count, cells×103/μL7.7 (5.2–11.7)8.2 (6.3–11.3)
 Neutrophil count, cells×103/μLƒ6.4 (4.2–8.4)7.1 (4.9–9.4)
 Lymphocyte count, cells/μLƒ0.8 (0.6–1.2)0.8 (0.5–1.1)
 Platelet count, cells×103/μL224.3±85.2225.9±81.5
 C reactive protein, mg·L−1ƒ117.4 (60.9–203.2)90.6 (56.8–155.3)
 D-dimer, μg·mL−1+,ƒ1.7 (0.9–4.1)1.3 (0.7–3.1)
 Interleukin-6, pg·mL−1+,ƒ7.0 (2.9–17.3)3.7 (2.8–8.7)
 Tumor necrosis factor-alpha, pg·mL−1+,ƒ10.9 (8.5–13.6)11.3 (10–14.9)
Medications at randomisation
 Glucocorticoids##79 (98.8)79 (98.8)
 Antibacterials73 (91.3)71 (88.8)

Data are n (%), median (Interquartile Range) or mean±standard deviation. Abbreviations: PaO2/FiO2, arterial oxygen partial pressure/fractional inspired oxygen; NEWS, National Early Warning Score; SOFA, Sepsis-Related Organ Failure Assessment.

#p=0.15. This variable was selected for post hoc analysis by a Poisson regression model to adjust the effect of intervention;

p=0.11. This variable was selected for post hoc analysis by a Poisson regression model to adjust the effect of intervention;

+Ten control (12.5%) and 10 convalescent plasma (12.5%) had PaO2/FiO2 estimated from peripheral oxygen saturation /FiO2 ratio adjusted to the positive end-expiratory pressure. One patient (1.3%) in the intervention group and one (1.3%) in the control group did not collect blood samples for neutralising antibody titre measurement. One (1.3%) patient in the intervention group did not collect D-dimer; one (1.3%) patient in the control group did not collect interleukin-6 and tumor necrosis factor-alpha at randomisation;

§p=0.002 for median neutralising antibody titres and p=0.041 for neutralising antibody titre ≤1:80. Median neutralising antibody titres was selected for post hoc analysis by a Poisson regression model to adjust the effect of intervention;

ƒLeukocyte counts and inflammatory markers: p=0.14 for median white blood cell count; p=0.17 for median neutrophil count; p=0.16 for C Reactive Protein; p=0.11 for D-dimer; p=0.046 for Interleukine-6; and p=0.20 for Tumor Necrosis Factor-alpha. These variables were selected for post hoc analysis by a Poisson regression model to adjust the effect of intervention;

##Among patients who were treated with corticosteroids, 78 (99.7%) and 77 (97.5%) received dexamethasone in plasma convalescent and control groups, respectively. Other corticosteroid drugs were used in 10 (12.7%) and 16 (20.1%) patients from intervention and control groups, respectively.