• Curr Med Res Opin · Dec 2022

    Reduced risk of death in people with SARS-CoV-2 infection treated with remdesivir: a nested case-control study.

    • Andrea De Vito, Mariacristina Poliseno, Agnese Colpani, Beatrice Zauli, Mariangela Valentina Puci, Teresa Santantonio, Maria Chiara Meloni, Marco Fois, Chiara Fanelli, Laura Saderi, Alessandro Fois, Vito Fiore, Giovanni Sotgiu, Sergio Babudieri, Sergio Lo Caputo, and Giordano Madeddu.
    • Unit of Infectious Diseases, Department of Clinical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.
    • Curr Med Res Opin. 2022 Dec 1; 38 (12): 202920332029-2033.

    IntroductionSince the start of the SARS-CoV-2 pandemic, several treatment options have been proposed (e.g. steroids, heparin, antivirals and monoclonal antibodies). Remdesivir was the first antiviral approved for the treatment of COVID-19, even though controversial evidence exists concerning the efficacy. Therefore, we aimed to conduct a study to evaluate whether the use of remdesivir was associated with lower mortality in patients with COVID-19.MethodsWe conducted a nested case-control study of a retrospective cohort collecting medical records of people with SARS-CoV-2 infection admitted in the infectious Disease Unit of Sassari University Hospital (S.C. Clinica di Malattie Infettive, AOU di Sassari, Italy), or in the Infectious Disease Unit of Foggia (AOU "Ospedali Riuniti" Foggia), between 1 July 2020 and 10 November 2021. The outcome considered was death; thus, we matched death (cases) to survivors (controls) by sex and age (1:1).ResultsWe included in the study 342 patients, with 171 deaths (cases) and 171 survivors (controls). Remdesivir was administered to 60 people in the control group and to 18 people in the case group (35.1% vs. 10.5%, p < .0001). In the multivariate analysis, treatment with remdesivir and heparin was associated with lower mortality (OR: 0.19 [95% CI :0.10-0.38], p <.0001; OR: 0.39 [95% CI: 0.21-0.74] p = .004, respectively). On the contrary, diabetes, oxygen therapy and CPAP/NIV were associated with higher mortality.ConclusionOur study showed lower mortality in people with SARS-CoV-2 infection treated with remdesivir.

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