Evidence map›Paper›PMID 35807058›Full record

ArticleJournal of clinical medicine2022

Remdesivir in Very Old Patients (≥80 Years) Hospitalized with COVID-19: Real World Data from the SEMI-COVID-19 Registry.

Jose-Manuel Ramos-Rincon, María-Dolores López-Carmona, Lidia Cobos-Palacios, Almudena López-Sampalo, Manuel Rubio-Rivas, María-Dolores Martín-Escalante, Santiago de-Cossio-Tejido, María-Luisa Taboada-Martínez, Antonio Muiño-Miguez, Maria Areses-Manrique and 12 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
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  11. Perspective: repurposed drugs for COVID-19.Archives of medical science : AMS · 2022
    Article
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

22 authors.

Jose-Manuel Ramos-RinconDepartment of Clinical Medicine, Miguel Hernandez University of Elche, Ctra N332 s/n, 03550 Alicante, Spain.ORCID 0000-0002-6501-9867
María-Dolores López-CarmonaDepartment of Internal Medicine, Instituto de Investigacion Biomedica de Málaga (IBIMA), Regional University Hospital of Málaga, 29010 Málaga, Spain.ORCID 0000-0001-9333-076X
Lidia Cobos-PalaciosDepartment of Internal Medicine, Instituto de Investigacion Biomedica de Málaga (IBIMA), Regional University Hospital of Málaga, 29010 Málaga, Spain.ORCID 0000-0003-4401-233X
Almudena López-SampaloDepartment of Internal Medicine, Instituto de Investigacion Biomedica de Málaga (IBIMA), Regional University Hospital of Málaga, 29010 Málaga, Spain.ORCID 0000-0002-3483-8536
Manuel Rubio-RivasInternal Medicine Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.ORCID 0000-0002-9548-1374
María-Dolores Martín-EscalanteInternal Medicine Department, Costa del Sol Hospital, 29603 Marbella, Spain.ORCID 0000-0003-1932-8682
Santiago de-Cossio-TejidoInternal Medicine Department, Doce de Octubre University Hospital, 28041 Madrid, Spain.ORCID 0000-0001-5296-1119
María-Luisa Taboada-MartínezInternal Medicine Department, Cabueñes University Hospital, 33394 Gijón, Spain.
Antonio Muiño-MiguezInternal Medicine Department, Gregorio Marañón General University Hospital, 28007 Madrid, Spain.
Maria Areses-ManriqueInternal Medicine Department, Santa Marina Hospital, 48004 Bilbo, Spain.
Carmen Martinez-CillerosInternal Medicine Department, HLA Moncloa University Hospital, 28008 Madrid, Spain.ORCID 0000-0001-7862-9288
Carlota Tuñón-de-AlmeidaInternal Medicine Department, Zamora Hospital Complex, 49022 Zamora, Spain.
Lucy Abella-VázquezInternal Medicine Department, Nuestra Señora Candelaria University Hospital, 38010 Santa Cruz de Tenerife, Spain.
Angel-Luís Martínez-GonzalezInternal Medicine Department, Leon University Hospital Complex, 24071 León, Spain.
Luis-Felipe Díez-GarcíaInternal Medicine Department, Torrecárdenas University Hospital, 04009 Almería, Spain.
Carlos-Jorge RipperInternal Medicine Department, Insular University Hospital Complex, 35016 Las Palmas de Gran Canaria, Spain.ORCID 0000-0002-2032-7540
Victor AsensiInternal Medicine Department, Central Asturias, University Hospital, 33011 Oviedo, Spain.ORCID 0000-0003-4211-456X
Angeles Martinez-PascualInternal Medicine Department, Francesc de Borja Hospital, 46702 Gandia, Spain.
Pablo Guisado-VascoInternal Medicine Department, Quironsalud A Coruña Hospital, 15009 A Coruña, Spain.ORCID 0000-0003-3019-4398
Carlos Lumbreras-BermejoInternal Medicine Department, Doce de Octubre University Hospital, 28041 Madrid, Spain.ORCID 0000-0003-4748-8288
Ricardo Gómez-HuelgasDepartment of Internal Medicine, Instituto de Investigacion Biomedica de Málaga (IBIMA), Regional University Hospital of Málaga, 29010 Málaga, Spain.ORCID 0000-0002-3285-8197
On Behalf Of The Semi-Covid-Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Large cohort studies of patients with COVID-19 treated with remdesivir have reported improved clinical outcomes, but data on older patients are scarce. Objective: This work aims to assess the potential benefit of remdesivir in unvaccinated very old patients hospitalized with COVID-19; (2) Methods: This is a retrospective analysis of patients ≥ 80 years hospitalized in Spain between 15 July and 31 December 2020 (SEMI-COVID-19 Registry). Differences in 30-day all-cause mortality were adjusted using a multivariable regression analysis. (3) Results: Of the 4331 patients admitted, 1312 (30.3%) were ≥80 years. Very old patients treated with remdesivir (n: 140, 10.7%) had a lower mortality rate than those not treated with remdesivir (OR (95% CI): 0.45 (0.29−0.69)). After multivariable adjustment by age, sex, and variables associated with lower mortality (place of COVID-19 acquisition; degree of dependence; comorbidities; dementia; duration of symptoms; admission qSOFA; chest X-ray; D-dimer; and treatment with corticosteroids, tocilizumab, beta-lactams, macrolides, and high-flow nasal canula oxygen), the use of remdesivir remained associated with a lower 30-day all-cause mortality rate (adjusted OR (95% CI): 0.40 (0.22−0.61) (p < 0.001)). (4) Conclusions: Remdesivir may reduce mortality in very old patients hospitalized with COVID-19.

Indexed as

age ≥ 80COVID-19mortalityremdesivirSARS-CoV-2Spain

Identifiers

PMID35807058
PMCPMC9267524

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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.