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Record W4306670915 · doi:10.1038/s41467-022-33825-5

Effect of remdesivir post hospitalization for COVID-19 infection from the randomized SOLIDARITY Finland trial

2022· article· en· W4306670915 on OpenAlexafffund
Olli Nevalainen, Saana Horstia, Sanna Laakkonen, Jarno Rutanen, Jussi M. J. Mustonen, Ilkka Kalliala, Hanna Ansakorpi, Hanna‐Riikka Kreivi, Pauliina Kuutti, Juuso Paajanen, Seppo Parkkila, Erja‐Leena Paukkeri, Markus Perola, Negar Pourjamal, Andreas Renner, Tuomas Rosberg, Taija Rutanen, Joni Savolainen, Tero Ala‐Kokko, Jaakko Antonen, Jutta Delany, Heikki Ekroos, Riina Hankkio, Mia Haukipää, Iivo Hetemäki, Pia Holma, Ville Holmberg, Ville Jalkanen, Jenni Jouppila, Toni Jämsänen, Juuso Järventie, Petrus Järvinen, Heikki Kauma, Tuomas P. Kilpeläinen, Riitta Komulainen, Ilari Kuitunen, Satu Lamminmäki, Tiina Mattila, Marjukka Myllärniemi, Laura K. Mäkinen, Jarkko Mäntylä, Gitte Määttä, Joni Niskanen, Taina Nykänen, Miro Nyqvist, Terhi Partanen, Riitta-Liisa Patovirta, Emmi Puusti, Emma Reponen, Sari Risku, Mari Saalasti, Päivi Salonen, Marjatta U. Sinisalo, Katariina Sivenius, Petrus Säilä, Susanna Tuominen, Jari Haukka, Gordon Guyatt, Kari A.O. Tikkinen

Bibliographic record

VenueNature Communications · 2022
Typearticle
Languageen
FieldMedicine
TopicLong-Term Effects of COVID-19
Canadian institutionsImpactMcMaster University
FundersFaculty of Medicine and Health, University of SydneyTaysFilhaTampereen TuberkuloosisäätiöSigrid Juséliuksen SäätiöWorld Health OrganizationOulun YliopistoSuomen Tuberkuloosin Vastustamisyhdistyksen SäätiöPäivikki ja Sakari Sohlbergin SäätiöPirkanmaan SairaanhoitopiiriAcademy of FinlandImperial College LondonHelsingin YliopistoGilead SciencesMcMaster UniversityHelsingin ja Uudenmaan Sairaanhoitopiiri
KeywordsMedicineRandomized controlled trialCoronavirus disease 2019 (COVID-19)Confidence intervalQuality of life (healthcare)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakInternal medicineEmergency medicineVirology

Abstract

fetched live from OpenAlex

We report the first long-term follow-up of a randomized trial (NCT04978259) addressing the effects of remdesivir on recovery (primary outcome) and other patient-important outcomes one year after hospitalization resulting from COVID-19. Of the 208 patients recruited from 11 Finnish hospitals, 198 survived, of whom 181 (92%) completed follow-up. At one year, self-reported recovery occurred in 85% in remdesivir and 86% in standard of care (SoC) (RR 0.94, 95% CI 0.47-1.90). We infer no convincing difference between remdesivir and SoC in quality of life or symptom outcomes (p > 0.05). Of the 21 potential long-COVID symptoms, patients reported moderate/major bother from fatigue (26%), joint pain (22%), and problems with memory (19%) and attention/concentration (18%). In conclusion, after a one-year follow-up of hospitalized patients, one in six reported they had not recovered well from COVID-19. Our results provide no convincing evidence of remdesivir benefit, but wide confidence intervals included possible benefit and harm.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.032
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.116
Threshold uncertainty score0.976

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.032
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.358
Teacher spread0.343 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations61
Published2022
Admission routes2
Has abstractyes

Explore more

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