Evidence map›Paper›PMID 41671406›Full record

ArticleAmerican journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists2026

Management of patients hospitalized for SARS-CoV-2 infection: A real-world economic evaluation from the hospital perspective.

Andre C Kalil, Mohsen Yaghoubi, Neera Ahuja, Ananth Kadambi, Thomas Oppelt, Christina G Rivera, Daniel R Kuritzkes

Abstract read
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Article in American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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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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

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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

7 authors.

Andre C KalilDivision of Infectious Diseases, University of Nebraska Medical Center, Omaha, NE, USA.
Mohsen YaghoubiEvidence and Access, Certara, Radnor, PA, USA.
Neera AhujaDepartment of Internal Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Ananth KadambiEvidence and Access, Certara, Radnor, PA, USA.
Thomas OppeltMedical Affairs, Gilead Sciences, Foster City, CA, USA.ORCID 0000-0003-2865-9854
Christina G RiveraDepartment of Pharmacy, Mayo Clinic, Rochester, MN, USA.
Daniel R KuritzkesDivision of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSARS-CoV-2 infection continues to impact global health, particularly among high-risk vulnerable individuals. With the loss of federal funding for SARS-CoV-2 management, hospitals will need to budget appropriately for antivirals like remdesivir, which has demonstrated effectiveness in reducing mortality. We evaluated the economic impact realized by hospitals for patients hospitalized for SARS-CoV-2 infection and initiated on remdesivir therapy.

methodsWe conducted a retrospective analysis using data compiled in the Premier Healthcare Database from January 2023 to February 2024. Propensity score matching was used to compare remdesivir-treated (RDV) and untreated (No RDV) groups. The mortality rate, hazard ratios associated with remdesivir use, and hospitalization costs were assessed overall and among the elderly (age ≥65 years). We also conducted a cost-effectiveness analysis to assess the economic value of remdesivir treatment.

resultsAmong 25,498 hospitalized patients, the mortality rate in the RDV group was lower than in the No RDV group (6.2% versus 8.1%), with a greater reduction in the elderly (6.9% versus 9.0%). Remdesivir significantly reduced mortality risk by approximately 25% overall and among the elderly. Each life saved was realized at a minimal increase in average hospitalization costs ($18,329 in the RDV group versus $14,845 in the No RDV group). Remdesivir was a cost-effective treatment option at a willingness-to-pay threshold of $25,000 overall and among the elderly.

conclusionsOur evaluation provides contemporaneous evidence of benefits and costs associated with management of individuals hospitalized for SARS-CoV-2 infection. Initiation of remdesivir was associated with minimal incremental hospitalization costs for lives saved as compared to not initiating remdesivir. Hospital pharmacy leadership can utilize this real-world evidence to appropriately budget for remdesivir treatment.

Indexed as

Adenosine MonophosphateAlanineAntiviral AgentsCOVID-19COVID-19 Drug TreatmentHospital CostsHospitalizationAgedAged, 80 and overCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleHumansMaleMiddle AgedRetrospective StudiesAdenosine MonophosphateAlanineAntiviral AgentsremdesivircostsCOVID-19remdesivirSARS-CoV-2

Identifiers

PMID41671406
PMCPMC13070688

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LicenceCC BY
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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.