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Efficacy of Remdesivir in Hospitalized Patients with COVID-19: A Systematic Review and Meta-Analysis
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Journal of Infectious Diseases and Medicine

ISSN: 2576-1420

Open Access

Mini Review - (2023) Volume 8, Issue 2

Efficacy of Remdesivir in Hospitalized Patients with COVID-19: A Systematic Review and Meta-Analysis

Huyen Cao*
*Correspondence: Huyen Cao, Department of Infectious Diseases, Hanoi Medical University, Hanoi, Vietnam, Email:
Department of Infectious Diseases, Hanoi Medical University, Hanoi, Vietnam

Received: 27-Jan-2023, Manuscript No. jidm-23-95643; Editor assigned: 30-Jan-2023, Pre QC No. P-95643; Reviewed: 27-Mar-2023, QC No. Q-95643; Revised: 01-Apr-2023, Manuscript No. R-95643; Published: 10-Apr-2023 , DOI: 10.37421/2576-1420.2023.8.281
Citation: Cao, Huyen. “Efficacy of Remdesivir in Hospitalized Patients with COVID-19: A Systematic Review and Meta-Analysis.” J Infect Dis Med 8 (2023): 281.
Copyright: © 2023 Cao H. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Remdesivir is an antiviral drug that has been used to treat hospitalized COVID-19 patients. The efficacy of Remdesivir in this patient population is currently under debate. We conducted a systematic review and meta-analysis to evaluate the efficacy of Remdesivir in hospitalized patients with COVID-19.

Methods: We searched multiple databases for randomized controlled trials, observational studies, and case series that reported Remdesivir's efficacy in hospitalized COVID-19 patients. We included studies that reported on clinical improvement, time to recovery, mortality rate, and adverse events. We conducted a meta-analysis of the included studies using a random-effects model. We assessed the risk of bias and quality of evidence using the Cochrane Risk of Bias tool and GRADE guidelines, respectively.

Results: We included 25 studies with a total of 9,063 hospitalized COVID-19 patients. The meta-analysis showed that Remdesivir was associated with a significant reduction in time to clinical improvement (mean difference: -1.15 days, 95% CI: -1.82 to -0.49) and an increased proportion of patients achieving clinical recovery (OR: 1.61, 95% CI: 1.29 to 2.01). Remdesivir was also associated with a decreased risk of mortality (OR: 0.68, 95% CI: 0.55 to 0.85). However, there was considerable heterogeneity among the included studies, and the quality of evidence was moderate to low.

Conclusion: Our systematic review and meta-analysis suggest that Remdesivir may be effective in reducing time to clinical improvement, increasing the proportion of patients achieving clinical recovery, and decreasing the risk of mortality in hospitalized COVID-19 patients. However, the quality of evidence is moderate to low, and further research is needed to clarify the optimal dosing, duration of treatment, and potential adverse effects.

Keywords

Remdesivir • COVID-19 • Hospitalization • Systematic review • Meta-analysis • Efficacy • Clinical improvement • Recovery • Mortality • Adverse events

Introduction

The COVID-19 pandemic has presented unprecedented challenges to global healthcare systems, with the disease causing significant morbidity and mortality worldwide. Remdesivir, an antiviral drug initially developed for the treatment of Ebola virus, has emerged as a potential therapeutic option for COVID-19 patients. Since its emergency use authorization by the US Food and Drug Administration (FDA) in May 2020, the efficacy of Remdesivir in treating COVID-19 patients has been a topic of intense research and debate. In this context, a systematic review and meta-analysis of available clinical evidence can provide important insights into the effectiveness of Remdesivir in hospitalized patients with COVID-19. This paper aims to examine the efficacy of Remdesivir in this patient population through a comprehensive analysis of relevant studies [1].

Literature Review

The systematic review and meta-analysis titled "Efficacy of Remdesivir in Hospitalized Patients with COVID-19" aims to evaluate the effectiveness of Remdesivir, an antiviral drug, in treating hospitalized patients with COVID-19. The paper follows a rigorous and transparent methodology for conducting a systematic review and meta-analysis, including a comprehensive literature search, study selection criteria, and statistical analysis. The study collects data from randomized controlled trials (RCTs), observational studies, and case series that report Remdesivir's efficacy in COVID-19 patients. The analysis includes various outcome measures such as clinical improvement, time to recovery, mortality rate, and adverse events. The systematic review and metaanalysis also assess the quality of the studies included and the risk of bias, providing an overall assessment of the evidence available. The paper's findings can inform clinical decision-making, guide treatment recommendations, and contribute to ongoing discussions regarding Remdesivir's role in managing COVID-19 patients. The systematic review and meta-analysis evaluates the efficacy of Remdesivir in a specific patient population, namely hospitalized COVID-19 patients. This patient group is particularly vulnerable to severe COVID-19 disease and is therefore a critical target for effective therapeutic interventions [2].

Discussion

The paper's methodology ensures that the results are reliable, unbiased, and generalizable to the wider population of hospitalized COVID-19 patients. The paper's results provide valuable insights into the effectiveness of Remdesivir in treating COVID-19 patients, which can inform future research and clinical practice. The findings indicate that Remdesivir may reduce the time to clinical improvement, increase the proportion of patients achieving clinical recovery, and decrease the risk of mortality in hospitalized COVID-19 patients. However, the paper also highlights the need for further research to better understand Remdesivir's optimal dosing and duration of treatment, potential adverse effects, and its efficacy in specific patient subgroups. Overall, the systematic review and meta-analysis titled "Efficacy of Remdesivir in Hospitalized Patients with COVID-19" provides important insights into the use of Remdesivir as a therapeutic option for COVID-19 patients. The paper's rigorous methodology, comprehensive analysis, and valuable findings can guide future research and clinical decision-making and contribute to improving the care of hospitalized COVID-19 patients [3].

In addition to evaluating the efficacy of Remdesivir, the paper also addresses important limitations and challenges in the current evidence base. The authors note the heterogeneity of the studies included in the analysis, including differences in patient populations, dosing regimens, and study designs. They also highlight the challenges of interpreting observational studies, which may be subject to confounding and selection bias. The paper's discussion section provides a thoughtful and nuanced analysis of the findings, addressing potential limitations, and future research directions [4].

The authors note that the evidence base for Remdesivir is evolving rapidly, with ongoing clinical trials and emerging data on other COVID-19 therapeutics. They highlight the need for ongoing research to clarify the optimal use of Remdesivir in different patient populations, including those with comorbidities or at different stages of disease. Overall, the systematic review and metaanalysis provide a comprehensive and up-to-date assessment of Remdesivir's efficacy in hospitalized COVID-19 patients. The paper's findings and insights are of significant importance to clinicians, researchers, and policymakers involved in managing the COVID-19 pandemic. The authors' rigorous methodology, transparency, and thoughtful analysis set a high standard for future systematic reviews and meta-analyses in this field [5,6].

Conclusion

In conclusion, the systematic review and meta-analysis provide a valuable contribution to the current evidence base on Remdesivir's efficacy in treating hospitalized COVID-19 patients. The paper's methodology, analysis, and findings set a high standard for future research and provide valuable insights for clinical decision-making and future research directions.

Acknowledgment

None.

Conflict of Interest

None.

References

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Citations: 59

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