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ABSTRACT: Purpose
To perform a systematic review and meta-analysis of randomized controlled trials that examined remdesivir treatment for COVID-19.Materials and methods
A systematic literature search was performed using Pubmed, Embase, and ClinicalTrials.gov to identify studies published up to October 25, 2020 that examined COVID-19 treatment with remdesivir. A total of 3 randomized controlled trials that consisted of 1691 patients were included in the meta-analysis.Results
The odds for mechanical ventilation (MV) or extracorporeal membrane oxygenation (ECMO) following treatment was significantly lower in the remdesivir group compared to the control group (OR = 0.48 [95% CI: 0.34; 0.69], p < 0.001). The odds of early (at day 14/15; OR = 1.42 [95% CI: 1.16; 1.74], p < 0.001) and late (at day 28/29; OR = 1.44 [95% CI: 1.16; 1.79], p = 0.001) hospital discharge were significantly higher in the remdesivir group compared to the control group. There was no difference in the odds for mortality in patients treated with remdesivir (OR = 0.77 [95% CI: 0.56; 1.06], p = 0.108).Conclusions
Remdesivir attenuates disease progression, leading to lower odds of MV/ECMO and greater odds of hospital discharge for COVID-19 patients. However, remdesivir does not affect odds of mortality.
SUBMITTER: Reddy Vegivinti CT
PROVIDER: S-EPMC7806502 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
Reddy Vegivinti Charan Thej CT Pederson John M JM Saravu Kavitha K Gupta Nitin N Barrett Averi A Davis Amber R AR Kallmes Kevin M KM Evanson Kirk W KW
Annals of medicine and surgery (2012) 20210106
<h4>Purpose</h4>To perform a systematic review and meta-analysis of randomized controlled trials that examined remdesivir treatment for COVID-19.<h4>Materials and methods</h4>A systematic literature search was performed using Pubmed, Embase, and ClinicalTrials.gov to identify studies published up to October 25, 2020 that examined COVID-19 treatment with remdesivir. A total of 3 randomized controlled trials that consisted of 1691 patients were included in the meta-analysis.<h4>Results</h4>The odd ...[more]