Evidence map›Paper›PMID 35533831›Full record

Observational studyInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

Early remdesivir to prevent severe COVID-19 in recipients of solid organ transplant: a real-life study from Northern Italy.

Marta Colaneri, Nicolò Amarasinghe, Leonardo Rezzonico, Teresa Chiara Pieri, Emilio Segalini, Margherita Sambo, Silvia Roda, Federica Meloni, Marilena Gregorini, Teresa Rampino and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 9% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Remdesivir: treatment of COVID-19 in special populations.Naunyn-Schmiedeberg's archives of pharmacology · 2024
    Review
  6. Therapeutic strategy in the transplanted patient.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. COVID-19 in donation and transplant.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
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

13 authors at 2 institutions in 1 country.

Marta ColaneriDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. Electronic address: m.colaneri@smatteo.pv.it.
Nicolò AmarasingheDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Leonardo RezzonicoDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Teresa Chiara PieriDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Emilio SegaliniDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Margherita SamboDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Silvia RodaDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Federica MeloniDivision of Pneumology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Marilena GregoriniDivision of Nefrology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Teresa RampinoDivision of Nefrology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Stefano PelenghiDivision of Cardiac Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Alessandra RicciardiDivision of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Raffaele BrunoDepartment of Medical, Surgical, Diagnostic and Paediatric Science, University of Pavia, Italy.
Policlinico San Matteo Fondazione · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe effectiveness of a 3-day course of remdesivir to prevent severe disease in patients with COVID-19 who received solid organ transplant (SOT) is unknown. We wanted to study the efficacy of this therapeutic option in patients with COVID-19 who received SOT in preventing both hospitalizations for outpatients and clinical worsening due to COVID-19 for those already hospitalized for other reasons.

methodsThis is a single-center, retrospective, observational study conducted in the Fondazione IRCSS Policlinico San Matteo of Pavia, Northern Italy. We extracted all the data of patients with COVID-19 receiving SOT who received and did not receive pre-emptive remdesivir between December 23, 2021, and February 26, 2022. We used a Cox proportional hazard model to assess whether receiving pre-emptive remdesivir was associated with lower rates of hospitalization.

resultsA total of 24 patients who received SOT were identified. Among these, seven patients (29, 1%) received pre-emptive remdesivir, whereas 17 (70, 9%) patients did not. Receiving remdesivir significantly reduced the hospitalization rate in outpatients who received SOT and the clinical worsening of the condition of already hospitalized patients who received SOT (hazard ratio 0.05; confidence interval [0.00-0.65], P-value = 0.01).

conclusionIn our cohort of patients infected with SARS-CoV-2 who received SOT, pre-emptive remdesivir was effective in reducing the hospitalization rate due to COVID-19 and in preventing the clinical worsening of the condition of patients who received SOT who were hospitalized for reasons other than COVID-19.

Indexed as

COVID-19COVID-19 Drug TreatmentOrgan TransplantationAdenosine MonophosphateAlanineHumansRetrospective StudiesSARS-CoV-2Transplant RecipientsAdenosine MonophosphateAlanineremdesivir3-day course remdesivirCOVID-19Solid organ transplant recipients

Identifiers

PMID35533831
PMCPMC9076039
OpenAlexW4229036518

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.