Unmatched cohort | Propensity score-matched cohort | |||||
---|---|---|---|---|---|---|
Remdesivir (N = 229) | Standard care (N = 335) | P value | Remdesivir (N = 178) | Standard care (N = 178) | P value | |
Age (year), median (IQR) | 76 (66–83) | 73 (60–83) | 0.026 | 75 (66–83) | 74 (63.8–84) | 0.405 |
Male, N (%) | 75 (32.8) | 147 (43.9) | 0.009 | 54 (30.3) | 64 (36.0) | 0.260 |
BMI (kg/m2), median (IQR) | 23.3 (20.8–26.4) | 22.8 (20.4–25.5) | 0.205 | 23.3 (20.8–26.4) | 23 (20.2–24.9) | 0.242 |
Underlying disease, N (%) | ||||||
Hypertension | 194 (84.7) | 256 (76.4) | 0.016 | 152 (85.4) | 139 (78.1) | 0.075 |
Diabetes mellitus | 142 (62.0) | 170 (50.7) | 0.008 | 112 (62.9) | 105(59.0) | 0.447 |
Congestive heart disease | 19 (8.3) | 40 (11.9) | 0.165 | 15 (8.4) | 24 (13.5) | 0.127 |
Cerebrovascular accident | 42 (18.3) | 41 (12.2) | 0.045 | 36 (20.2) | 28 (15.7) | 0.270 |
Chronic liver disease | 14 (6.1) | 15 (4.5) | 0.388 | 13 (7.3) | 10 (5.6) | 0.518 |
Solid cancer | 30 (13.1) | 33 (9.9) | 0.229 | 22 (12.4) | 16 (9.0) | 0.303 |
Hematologic malignancy | 3 (1.3) | 1 (0.3) | 0.309 | 1 (0.6) | 1 (0.6) | 0.999 |
ESRD (iHD or PD) | 70 (30.6) | 109 (32.5) | 0.622 | 61 (34.3) | 52 (29.2) | 0.305 |
Kidney transplantation | 8 (3.5) | 15 (4.5) | 0.562 | 5 (2.8) | 7 (3.9) | 0.557 |
Immunosuppressant use, N (%) | 12 (5.2) | 18 (5.4) | 0.945 | 8 (4.5) | 10 (5.6) | 0.629 |
Charlson Comorbidity Index, score, median (IQR) | 7 (5–8) | 6 (4–8) | 0.012 | 7 (5–8) | 7 (5–8) | 0.431 |
Baseline severity | ||||||
NEWS-2 score at admission, median (IQR) | 5 (2–8) | 1 (0–4) | < 0.001 | 5 (2–8) | 2 (1–5) | < 0.001 |
Disease severity scores, median (IQR) | 3 (2–3) | 2 (1–2) | < 0.001 | 3 (1.8–3) | 2 (1–3) | < 0.001 |
Pneumonia, N (%) | 172/225 (76.4) | 169/324 (52.2) | < 0.001 | 137 (77) | 100 (56.2) | < 0.001 |
Remdesivir 5-day course indicationa | 211 (92.1) | 206 (61.5) | < 0.001 | 161 (90.4) | 123 (69.1) | < 0.001 |
Steroid use for treatmentb | 171 (74.7) | 83 (24.8) | < 0.001 | 85 (47.8) | 81 (45.5) | 0.671 |
Oxygen requirement, N (%) | 127 (55.5) | 71 (21.2) | < 0.001 | 100 (56.2) | 47 (26.4) | < 0.001 |
No oxygen requirement | 102 (44.5) | 264 (78.8) | < 0.001 | 78 (43.8) | 131 (73.6) | < 0.001 |
Nasal cannula | 102 (44.5) | 46 (13.7) | 81 (45.5) | 33 (18.5) | ||
Facial mask | 11 (4.8) | 10 (3.0) | 7 (3.9) | 6 (3.4) | ||
High flow nasal cannula | 8 (3.5) | 11 (3.3) | 7 (3.9) | 5 (2.8) | ||
Invasive ventilation | 6 (2.6) | 4 (1.2) | 5 (2.8) | 3 (1.7) | ||
ECMO | 0 (0) | 0 (0) | 0 (0) | 0 (0) | ||
Initial laboratory result, median (IQR) | ||||||
Creatinine (mg/dL) | 3.2 (2.4–6.7) | 3.6 (2.5–7.8) | 0.168 | 3.5 (2–8) | 3 (3–7) | 0.631 |
AST (IU/L) | 34 (22–53) | 24 (17–35) | < 0.001 | 32.5 (21–51) | 24 (17–37) | < 0.001 |
ALT (IU/L) | 17 (12–27) | 15 (11–22) | 0.006 | 17 (12–27) | 16 (11–22.3) | 0.089 |
eGFR (mL/min/1.73m2) | 18 (8–24) | 15 (6–23) | 0.058 | 16 (7–23.3) | 16.5 (7–23) | 0.822 |