tetano
Editor, Senior Moderator
J Matern Fetal Neonatal Med
. 2022 Feb 15;1-7.
doi: 10.1080/14767058.2022.2041595. Online ahead of print.
Remdesivir use in pregnancy during the SARS-CoV-2 pandemic
Rigoberto Gutierrez[SUP] 1 [/SUP], Hector Mendez-Figueroa[SUP] 2 [/SUP], John G Biebighauser[SUP] 3 [/SUP], Asha Bhalwal[SUP] 2 [/SUP], Beth L Pineles[SUP] 2 [/SUP], Suneet P Chauhan[SUP] 2 [/SUP]
Affiliations
Abstract
Objective: To ascertain the composite maternal and neonatal outcomes in pregnant individuals with moderate, severe, or critical coronavirus disease 2019 (COVID-19) treated with remdesivir.
Materials and methods: This is a secondary analysis of the COVID in Pregnancy Registry in Houston, Texas. Women were included if they met the criteria of moderate, severe or critical COVID-19 illness. Composite adverse maternal outcome was defined as any of the following outcomes: placental abruption, pregnancy-related hypertension, chorioamnionitis, stroke, delivery with estimated blood loss >1000 mL, diagnosis of pulmonary embolism or deep venous thromboembolism, or maternal death. Composite adverse neonatal outcome was defined as any of the following: Apgar score ≤3 at 5 min, arterial cord pH <7.0, positive SAR-CoV-2 test, intraventricular hemorrhage, periventricular leukomalacia, stillbirth, or neonatal death. Comparative analyses between participants receiving remdesivir versus those not exposed were performed.
Results: A total of 994 patients were diagnosed with COVID-19 infection. Of these, 95 (9.6%) met criteria for moderate, severe, or critical disease. Forty-one percent of these patients (n = 39) received remdesivir. Baseline demographic characteristics were not different between groups. No patients reported an allergic reaction with the administration of remdesivir; however, 16.7% of the patients had the medication discontinued due to transaminitis. Patients receiving the drug were more likely to have a longer illness duration on admission, more likely to require oxygen support on arrival and have a longer hospital stay.
Conclusions: Remdesivir appears to be safe, well tolerated within our cohort with no cases of recorded adverse reaction.
Keywords: pregnancy; COVID-19; Remdesivir; coronavirus; pandemic.
. 2022 Feb 15;1-7.
doi: 10.1080/14767058.2022.2041595. Online ahead of print.
Remdesivir use in pregnancy during the SARS-CoV-2 pandemic
Rigoberto Gutierrez[SUP] 1 [/SUP], Hector Mendez-Figueroa[SUP] 2 [/SUP], John G Biebighauser[SUP] 3 [/SUP], Asha Bhalwal[SUP] 2 [/SUP], Beth L Pineles[SUP] 2 [/SUP], Suneet P Chauhan[SUP] 2 [/SUP]
Affiliations
- PMID: 35168447
- DOI: 10.1080/14767058.2022.2041595
Abstract
Objective: To ascertain the composite maternal and neonatal outcomes in pregnant individuals with moderate, severe, or critical coronavirus disease 2019 (COVID-19) treated with remdesivir.
Materials and methods: This is a secondary analysis of the COVID in Pregnancy Registry in Houston, Texas. Women were included if they met the criteria of moderate, severe or critical COVID-19 illness. Composite adverse maternal outcome was defined as any of the following outcomes: placental abruption, pregnancy-related hypertension, chorioamnionitis, stroke, delivery with estimated blood loss >1000 mL, diagnosis of pulmonary embolism or deep venous thromboembolism, or maternal death. Composite adverse neonatal outcome was defined as any of the following: Apgar score ≤3 at 5 min, arterial cord pH <7.0, positive SAR-CoV-2 test, intraventricular hemorrhage, periventricular leukomalacia, stillbirth, or neonatal death. Comparative analyses between participants receiving remdesivir versus those not exposed were performed.
Results: A total of 994 patients were diagnosed with COVID-19 infection. Of these, 95 (9.6%) met criteria for moderate, severe, or critical disease. Forty-one percent of these patients (n = 39) received remdesivir. Baseline demographic characteristics were not different between groups. No patients reported an allergic reaction with the administration of remdesivir; however, 16.7% of the patients had the medication discontinued due to transaminitis. Patients receiving the drug were more likely to have a longer illness duration on admission, more likely to require oxygen support on arrival and have a longer hospital stay.
Conclusions: Remdesivir appears to be safe, well tolerated within our cohort with no cases of recorded adverse reaction.
Keywords: pregnancy; COVID-19; Remdesivir; coronavirus; pandemic.