Evidence map›Paper›PMID 38830017›Full record

ArticleAnnals of medicine2024

Safety and effectiveness of remdesivir in hospitalized patients with COVID-19 and severe renal impairment: experience at a large medical center.

Hsuan-Yu Chang, Chia-Chen Hsu, Li-Fang Hu, Chian-Ying Chou, Yuh-Lih Chang, Chih-Chia Lu, Li-Jen Chang

Abstract read
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Article in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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

  1. Pooled it
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4 · The record

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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

7 authors.

Hsuan-Yu ChangDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.
Chia-Chen HsuDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0001-5218-716X
Li-Fang HuDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.
Chian-Ying ChouDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.
Yuh-Lih ChangDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.
Chih-Chia LuDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.
Li-Jen ChangDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiterature on the safety of remdesivir in hospitalized COVID-19 patients with severe renal impairment is limited. We aimed to investigate the safety and effectiveness of remdesivir in this population.

methodsWe conducted a retrospective cohort study of adult hospitalized COVID-19 patients who received remdesivir between April 2022 and October 2022. Outcomes were compared between estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m

resultsA total of 1,343 patients were recruited, with 307 (22.9%) in the eGFR <30 group and 1,036 (77.1%) in the eGFR ≥30 group. Patients with an eGFR <30 had higher risks of AKI (adjusted hazard ratio [aHR] 2.92, 95% CI 1.93-4.44) and hospital mortality (aHR 1.47, 95% CI 1.06-2.05) but had comparable risks of bradycardia (aHR 1.15, 95% CI 0.85-1.56) and mortality in dedicated wards (aHR 1.43, 95% CI 0.90-2.28) than patients with an eGFR ≥30. Risk of disease progression was higher in the eGFR <30 group (adjusted odds ratio 1.62, 95% CI 1.16-2.26). No difference between the two groups in laboratory changes and recovery time.

conclusionsHospitalized COVID-19 patients receiving remdesivir with severe renal impairment had an increased risk of AKI, hospital mortality, and COVID-19 disease progression compared to patients without severe renal impairment.

Indexed as

Acute Kidney InjuryAdenosine MonophosphateAlanineAntiviral AgentsCOVID-19 Drug TreatmentGlomerular Filtration RateHospitalizationHospital MortalitySARS-CoV-2AdultAgedBradycardiaCOVID-19FemaleHumansMaleAdenosine MonophosphateAlanineAntiviral Agentsremdesiviracute kidney injuryCOVID-19remdesivirsevere renal impairment

Identifiers

PMID38830017
PMCPMC11149583

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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.