A Retrospective Observational Study of Adverse Reactions Associated With Intravenous Immunoglobulin Infusion

Autor: Hidefumi Kato, Megumi Hayashi, Wataru Ohashi, Takamasa Yamaguchi, Satomi Tanaka, Ayumi Kozono, Siqiang Gao, Akiko Katai, Reiko Niwa, Tomohito Matsuo, Kazuki Ishiyama, Takanori Ando, Mika Ogawa, Takayuki Nakayama
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Frontiers in Immunology, Vol 12 (2021)
Druh dokumentu: article
ISSN: 1664-3224
DOI: 10.3389/fimmu.2021.740517
Popis: BackgroundAlthough intravenous immunoglobulin (IVIG) therapy is generally safe and well tolerated, adverse reactions (ARs) do occur. The majority of these ARs are mild and transient. Risk factors for ARs associate with IVIG infusions are not well established. This study investigated possible risk factors influencing the occurrence of IVIG-associated ARs.Study Design and MethodsThis was a retrospective observational analysis of data accumulated over 5 years, including patient demographics, clinical condition, IVIG dosing regimens, number of IVIG infusions, and any ARs.ResultsARs were associated with IVIG in 4.9% of patients and 2.5% of infusions. By univariate analyses, ARs correlated with female sex, adult age, high dose IVIG, and autoimmune disease. Multivariate logistic regression identified three statistically significant of risk factors: on a per-patient basis, being female (p=0.0018), having neuromuscular disease (p=0.0002), and receiving higher doses of IVIG per patient body weight (p
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