Evidence map›Paper›PMID 39405450›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

Remdesivir Effectiveness in Reducing the Risk of 30-Day Readmission in Vulnerable Patients Hospitalized for COVID-19: A Retrospective US Cohort Study Using Propensity Scores.

Essy Mozaffari, Aastha Chandak, Robert L Gottlieb, Andre C Kalil, Heng Jiang, Thomas Oppelt, Mark Berry, Chidinma Chima-Melton, Alpesh N Amin

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Cancer and COVID-19: A review of immune insights and partnerships to inform public health strategy.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Remdesivir for Patients Hospitalized With COVID-19: Evidence of Effectiveness From Cohort Studies in the Omicron Era.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    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

9 authors.

Essy MozaffariMedical Affairs, Gilead Sciences, Foster City, California, USA.
Aastha ChandakEvidence and Access, Certara, New York, New York, USA.ORCID 0000-0001-5653-435X
Robert L GottliebDepartment of Internal Medicine, Baylor University Medical Center, Dallas, Texas, USA.ORCID 0000-0001-8376-8709
Andre C KalilDivision of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.ORCID 0000-0002-6489-6294
Heng JiangEvidence and Access, Certara, Paris, France.ORCID 0000-0001-7536-9089
Thomas OppeltMedical Affairs, Gilead Sciences, Foster City, California, USA.ORCID 0000-0003-2865-9854
Mark BerryReal World Evidence, Gilead Sciences, Foster City, California, USA.ORCID 0000-0002-8534-2012
Chidinma Chima-MeltonPulmonary Division, Tele-ICU Inc, Los Angeles, California, USA.ORCID 0000-0003-0730-9871
Alpesh N AminDivision of Hospital Medicine & Palliative Medicine, Department of Medicine, University of California Irvine, Orange, California, USA.ORCID 0000-0002-9790-0245

Funding

Gilead Sciences, Inc.
6 · The paper itself

Abstract

backgroundReducing hospital readmission offer potential benefits for patients, providers, payers, and policymakers to improve quality of healthcare, reduce cost, and improve patient experience. We investigated effectiveness of remdesivir in reducing 30-day coronavirus disease 2019 (COVID-19)-related readmission during the Omicron era, including older adults and those with underlying immunocompromising conditions.

methodsThis retrospective study utilized the US PINC AI Healthcare Database to identify adult patients discharged alive from an index COVID-19 hospitalization between December 2021 and February 2024. Odds of 30-day COVID-19-related readmission to the same hospital were compared between patients who received remdesivir vs those who did not, after balancing characteristics of the two groups using inverse probability of treatment weighting (IPTW). Analyses were stratified by maximum supplemental oxygen requirement during index hospitalization.

resultsOf 326 033 patients hospitalized for COVID-19 during study period, 210 586 patients met the eligibility criteria. Of these, 109 551 (52%) patients were treated with remdesivir. After IPTW, lower odds of 30-day COVID-19-related readmission were observed in patients who received remdesivir vs those who did not, in the overall population (3.3% vs 4.2%, respectively; odds ratio [95% confidence interval {CI}]: 0.78 [.75-.80]), elderly population (3.7% vs 4.7%, respectively; 0.78 [.75-.81]), and those with underlying immunocompromising conditions (5.3% vs 6.2%, respectively; 0.86 [.80-.92]). These results were consistent irrespective of supplemental oxygen requirements.

conclusionsTreating patients hospitalized for COVID-19 with remdesivir was associated with a significantly lower likelihood of 30-day COVID-19-related readmission across all patients discharged alive from the initial COVID-19 hospitalization, including older adults and those with underlying immunocompromising conditions.

Indexed as

Adenosine MonophosphateAlanineAntiviral AgentsCOVID-19COVID-19 Drug TreatmentPatient ReadmissionPropensity ScoreSARS-CoV-2AdultAgedAged, 80 and overFemaleHospitalizationHumansMaleMiddle AgedAdenosine MonophosphateAlanineAntiviral AgentsremdesivircomorbidityCOVID-19data scienceelderlyimmunocompromisedinverse probability of treatment weightingomicronpropensity scoresreadmissionreal-world evidenceremdesivirSARS-CoV-2

Identifiers

PMID39405450
PMCPMC11638780

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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.