Evidence map›Paper›PMID 41797786›Full record

ArticleFrontiers in medicine2026

Nirmatrelvir/ritonavir reduced mortality in severe or critical COVID-19 patients: a multicenter retrospective cohort study.

Heng Zhao, Wanting Meng, Xing Lv, Shaokui Si, Shunjun Wu, Jing Li, Zhigui Cai, Ruoqi Jin, Ling Yang, Chenyao Li and 1 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Heng Zhao *Department of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Wanting Meng *Department of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Xing LvDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Shaokui SiDepartment of Pulmonary and Critical Care Medicine, The 987th Hospital of the PLA Joint Service Support Force, Baoji, China.
Shunjun WuDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Jing LiDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Zhigui CaiDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Ruoqi JinDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Ling YangDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Chenyao LiDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.
Liqiang SongDepartment of Pulmonary and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with severe or critical coronavirus disease 2019 (COVID-19) remain at a high risk of mortality. Although nirmatrelvir/ritonavir has demonstrated efficacy in non-severe COVID-19 patients with high-risk factors, its effectiveness in hospitalized patients with severe or critical COVID-19 remains unclear. This study evaluates the effectiveness of nirmatrelvir/ritonavir in this specific population. Methods: In this multicenter retrospective cohort study, we included adults hospitalized with severe or critical COVID-19 at three tertiary hospitals in Shaanxi Province between December 2022 and November 2023. Participants were non-randomly categorized into either the nirmatrelvir/ritonavir group or the non-antiviral group based on whether they received nirmatrelvir/ritonavir during hospitalization. The primary outcome was 28-day mortality, and secondary outcomes included in-hospital mortality and post-baseline hospitalization duration. Results: Among the 386 patients (nirmatrelvir/ritonavir group, Conclusion: Nirmatrelvir/ritonavir was associated with significantly reduced mortality in patients hospitalized with severe or critical COVID-19, supporting its clinical use in this population.

Indexed as

COVID-19critical illnessmortalitynirmatrelvir/ritonavirsevere disease

Identifiers

PMID41797786
PMCPMC12962894

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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.