Evidence map›Paper›PMID 34508325›Full record

ArticleInfection & chemotherapy2021

A Meta-Analysis of Association between Remdesivir and Mortality among Critically-Ill COVID-19 Patients.

Aminah Abdul Razzack, Syed Adeel Hassan, Sai Kumar Reddy Pasya, Greeshma Erasani, Sham Kumar, Dario Missael Rocha-Castellanos, Alfonso Lopez-Mendez, Sarah Abdul Razzack

Abstract read
In one paragraph

Article in Infection & chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Off-the-shelf allogeneic natural killer cells for the treatment of COVID-19.Molecular therapy. Methods & clinical development · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Aminah Abdul RazzackDepartment of Internal Medicine, Dr. NTR University of Health Sciences, Vijayawada, India. aminahrazzack1@gmail.com.ORCID https://orcid.org/0000-0001-7310-6824
Syed Adeel HassanDepartment of Medicine, University of Louisville, Kentucky, USA.ORCID https://orcid.org/0000-0002-8484-0319
Sai Kumar Reddy PasyaDepartment of Internal Medicine, Dr. NTR University of Health Sciences, Vijayawada, India.ORCID https://orcid.org/0000-0001-5556-5269
Greeshma ErasaniDepartment of Internal Medicine, Dr. NTR University of Health Sciences, Vijayawada, India.ORCID https://orcid.org/0000-0001-7546-5126
Sham KumarDow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-3046-9259
Dario Missael Rocha-CastellanosDepartamento de Cirug, Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterre, Monterrey, Mexico.ORCID https://orcid.org/0000-0002-6227-9161
Alfonso Lopez-MendezUniversity Hospital, Dr. Jose Eleuterio Gonzalez, Faculty of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico.ORCID https://orcid.org/0000-0002-0650-5259
Sarah Abdul RazzackDepartment of Internal Medicine, Dr. NTR University of Health Sciences, Vijayawada, India.ORCID https://orcid.org/0000-0002-8405-5505

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization guidelines did not make a recommendation on use of remdesivir based on disease severity. Little is known regarding effectiveness of remdesivir in critically ill coronavirus disease 2019 (COVID-19) patients. This has led to a state of dilemma for doctors leaving them skeptical of whether they should continue to recommend the drug or not. MATERIALS AND

methodsA systematic search adhering to preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was conducted from inception until February 20, 2020. Electronic bibliographic databases (PubMed, Cochrane database, Scopus, Embase) were included. Using dichotomous data for select values, the unadjusted odds ratios (ORs) were calculated applying Mantel Haenszel (M-H) using random-effects model. The primary outcome of interest was all-cause mortality in ventilated and non-ventilated patients.

resultsThe Remdesivir arm was associated with similar rates of 28-day all-cause mortality (OR: 0.93, 95% confidence interval [CI]: 0.80 - 1.08;

conclusionNon-ventilated patients were associated with significant lower all-cause mortality rates. Prudent use of remdesivir is recommended in critically ill COVID-19 patients.

Indexed as

Antiviral therapyCOVID-19Critical careRemdesivir

Identifiers

PMID34508325
PMCPMC8511372

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.