From: Use of Remdesivir in children with COVID-19: report of an Italian multicenter study
RDV therapy > 5 days | RDV therapy ≤ 5 days | p-value | |
---|---|---|---|
Total | 9 | 32 | - |
Males - n (%) | 7 (78) | 19 (59) | 0.445 |
Weight (kg) - median ± IQR (range) | 36.0 ± 42.5 (3.2–70.0) | 67.5 ± 45.3 (4.0–130) | 0.022 |
Age (years) - median ± IQR (range) | 11.6 ± 13.1 (0.02–17.5) | 12.8 ± 4.4 (0.2–17.1) | 0.415 |
Hospitalization (days) - median ± IQR (range) | 20.5 ± 24 (10–42) | 10 ± 13 (2–63) | 0.034 |
PICU admission - n (%) PICU admission (days) | 6 (67) 22 ± 7.3 (15–24) | 7 (22) 7 ± 9 (4–15) | 0.018 0.010 |
Comorbidities - n (%) Obesity Neurological disorder Primary or secondary immunodeficiency Pulmonary or thoracic condition Congenital disorder Other | 6 (67) 0 (0) 2 (22) 2 (22) 0 (0) 0 (0) 0 (0) | 27 (84) 9 (28) 5 (16) 5 (16) 2 (6) 4 (13) 3 (9) | 0.342 0.167 0.637 0.637 1.000 0.559 1.000 |
Concomitant therapies - n (%) | 2 (25) | 8 (30) | 1.000 |
Reported contact with SARS-CoV-2 infected (%) | 6 (67) | 15 (47) | 0.454 |
Symptoms - n (%) | |||
Fever Temperature (°C, max value) - mean ± SD (range) | 8 (89) 39.1 ± 1.0 (38.0–40.8) | 30 (94) 38.9 ± 0.5 (37.5–40.0) | 0.535 0.317 |
Cough Dyspnea Rhinorrhea Sore throat Chest pain Diarrhea Abdominal pain Vomiting Fatigue Anorexia Headache Joint/muscle pain Dysgeusia/anosmia Hypotonia Rash Seizures Conjunctivitis | 6 (67) 7 (78) 5 (56) 0 (0) 0 (0) 3 (38) 2 (22) 2 (22) 0 (0) 2 (20) 0 (0) 0 (0) 0 (0) 0 (0) 1 (11) 0 (0) 0 (0) | 25 (78) 22 (69) 4 (13) 8 (25) 5 (16) 4 (13) 3 (9) 3 (9) 5 (16) 2 (7) 3 (9) 3 (9) 2 (6) 1 (3) 1 (3) 1 (3) 0 (0) | 0.662 0.702 0.014 0.164 0.563 0.128 0.299 0.299 0.568 0.213 1.000 1.000 1.000 1.000 0.395 1.000 - |
Complications - n (%) Pneumoniae Viral Bacterial Mixed Acute respiratory failure ARDS MIS-C | 7 (100) 9 (100) 3 (43) 0 (0) 4 (57) 7 (78) 5 (56) 2 (22) | 20 (77) 31 (97) 18 (69) 1 (4) 6 (23) 16 (50) 2 (7) 1 (3) | 0.301 1.000 0.337 1.000 0.161 0.254 0.003 0.116 |
Administration of O2 - n (%) | |||
Mask/nasal cannulae High-flow nasal cannulae - HFNC Non-invasive ventilation - NIV Mechanical ventilation Extra-Corporeal Membrane Oxygenation - ECMO | 5 (56) 2 (29) 3 (38) 4 (44) 0 (0) | 21 (66) 9 (38) 7 (22) 1 (3) 0 (0) | 0.701 1.000 0.388 0.007 - |
Total duration of O2 administration/ventilation (days)** | 5 ± 15.5 (0–24) | 2.5 ± 6 (0–19) | 0.392 |
Clinical outcome | |||
Recovery without sequelae - n (%) Death - n (%) | 5 (71) 0 (0) | 26 (96) 1 (3) | 0.101 1.000 |
Laboratory workup | |||
Leukocytosis - n (%) Leukopenia - n (%) Increased PCR - n (%) Increased PCT - n (%) Bacterial coinfection - n (%) | 2 (22) 7 (78) 6 (67) 3 (33) 4 (67) | 6 (17) 14 (61) 21 (68) 2 (7) 24 (86) | 0.653 0.441 1.000 0.070 0.281 |
RDV administration | |||
Time from onset to RDV administration (days)** | 8 ± 2 (5–11) | 5.5 ± 3 (0–15) | 0.069 |
Time from pneumonia to RDV administration (days)** | 3 ± 2 (2–8) | 1 ± 2 (0–7) | 0.010 |
Safety evaluation of RDV administration | |||
AST (U/L, max value) - median ± IQR (range) | 43 ± 26 (22–62) | 43 ± 72 (19–164) | 0.584 |
ALT (U/L, max value) - median ± IQR (range) | 25 ± 30 (21–58) | 66 ± 123 (6–350) | 0.057 |
Creatinine (mg/dl, max value) - median ± IQR (range) | 0.4 ± 0.4 (0.2–0.8) | 0.6 ± 0.3 (0.1–0.9) | 0.259 |
Ipertransaminasemia - n (%) Bradicardia - n (%) Rash - n (%) | 0 (0) 0 (0) 0 (0) | 15 (65) 2 (6) 3 (9) | 0.028 1.000 1.000 |
Antibiotic therapy | |||
Macrolides - n (%) Duration (days) - median ± IQR (range) | 3 (33) - - | 6 (22) 6.5 ± 8 (0–9) | 0.660 0.480 |
Other than macrolides - n (%) Duration (days) - median ± IQR (range) | 7 (78) 9 ± 16 (5–28) | 22 (69) 9.5 ± 9 (4–23) | 0.702 0.836 |
Corticosteroid therapy - n (%) Duration (days) - median ± IQR (range) | 7 (78) 11 ± 24 (4–36) | 27 (84) 9 ± 7 (3–36) | 0.637 0.784 |
Heparin - n (%) Duration (days) - median ± IQR (range) | 3 (43) 24 ± 13 (8–28) | 9 (38) 8.5 ± 11 (2–58) | 1.000 0.940 |