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BACKGROUND Remdesivir is a broad-spectrum antiviral drug having in vitro activity against severe acute respiratory syndrome coronavirus 2 and is currently being used on a compassionate basis outside of clinical trials.AIM To analyze the efficacy and safety of remdesivir compared with other interventions in coronavirus disease 2019(COVID-19)patients.METHODS We searched online databases to include randomized controlled trials evaluating the efficacy and safety of remdesivir compared with other interventions in COVID-19 patients.We summarized efficacy and safety data as risk ratios(RRs)with 95%confidence interval(CI)and used Mantel-Haenszel fixed or randomeffect models.We estimated the number needed to treat(NNT)to cause one additional outcome.We used the GRADE approach to assess the quality of the evidence for all outcome parameters.RESULTS We included four randomized controlled trials.We observed no significant difference in mortality(RR:0.83;95%CI:0.57–1.20;I2=59%)and rate of ventilation(RR:0.69;95%CI:0.41-1.18;I2=77%)between remdesivir-and placebo-treated patients.Remdesivir showed higher rates of clinical recovery than placebo(RR:1.10;95%CI:1.04–1.16;I2=0%;NNT:14.3).We observed no difference in overall adverse events between remdesivir-and placebo-treated patients(RR:1.05;95%CI:0.86–1.27;I2=77%).We observed less risk of serious adverse events(RR:0.75;95%CI:0.63–0.89;I2=0%)in remdesivir-than placebo-treated patients.The GRADE approach suggested moderate quality of evidence for all efficacy and safety outcomes.CONCLUSION We observed limited clinical benefit of remdesivir over placebo in the treatment of COVID-19.Our findings could be biased because of the small number of trials.
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篇名 Efficacy and safety outcomes with remdesivir in COVID-19 patients:A meta-analysis
来源期刊 世界荟萃分析杂志 学科 医学
关键词 COVID-19 SARS-CoV-2 ANTIVIRAL PNEUMONIA Remdesivir META-ANALYSIS Systematic review
年,卷(期) 2021,(1) 所属期刊栏目
研究方向 页码范围 74-87
页数 14页 分类号 R73
字数 语种
DOI
五维指标
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研究主题发展历程
节点文献
COVID-19
SARS-CoV-2
ANTIVIRAL
PNEUMONIA
Remdesivir
META-ANALYSIS
Systematic
review
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界荟萃分析杂志
不定期
2308-3840
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
37
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0
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