Efficacy of repeated immunoadsorption in patients with post-COVID myalgic encephalomyelitis/chronic fatigue syndrome and elevated β2-adrenergic receptor autoantibodies: a prospective cohort study
2024

Immunoadsorption Treatment for Post-COVID Fatigue

Sample size: 20 publication 10 minutes Evidence: moderate

Author Information

Author(s): Stein Elisa, Heindrich Cornelia, Wittke Kirsten, Kedor Claudia, Rust Rebekka, Freitag Helma, Sotzny Franziska, Krüger Anne, Tölle Markus, Grabowski Patricia, Scheibenbogen Carmen, Kim Laura

Primary Institution: Charité - Universitätsmedizin Berlin

Hypothesis

Immunoadsorption will lead to clinical improvement in post-COVID ME/CFS patients four weeks after treatment.

Conclusion

Immunoadsorption may improve symptoms in post-COVID ME/CFS patients.

Supporting Evidence

  • 70% of patients showed a clinically meaningful improvement in physical functioning.
  • Immunoglobulin G levels decreased by 79% after treatment.
  • Patients reported lasting improvements in fatigue and pain.
  • Significant improvements in autonomic symptoms were observed.

Takeaway

This study found that a special treatment called immunoadsorption can help people who feel very tired after having COVID-19 feel better.

Methodology

This was a pre-post study with 20 patients treated with five immunoadsorption sessions, measuring changes in health-related quality of life and symptoms over six months.

Potential Biases

Potential bias due to the observational nature of the study and lack of a control group.

Limitations

The study had a small sample size and was non-controlled, which may limit the generalizability of the findings.

Participant Demographics

The cohort included 20 patients, 7 male and 13 female, with a median age of 40 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

CI: 13.41–26.16

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.lanepe.2024.101161

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