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Journal of Clinical and

                                                                  Translational Research



                                        ORIGINAL ARTICLE
                                        Clinical characteristics and outcomes of

                                        hospitalized coronavirus disease 2019 patients
                                        treated with remdesivir in Saudi Arabia: A 1-year

                                        retrospective study



                                        Basem M. Alraddadi * , Abdullah Alraddadi 1  , Lama Hefni 1  ,
                                                         1,2
                                        Yazeed Waleed Alfadl 1  , Wafaa Adel Toonsi 1  , and Mohammad Al Hroub 1
                                        1 King Faisal Specialist Hospital and Research Center Jeddah, Jeddah, Saudi Arabia King Faisal
                                        Specialist Hospital and Research Center, Jeddah, Saudi Arabia
                                        2 Department of Medical, Alfaisal University, Riyadh, Saudi Arabia




                                        Abstract
                                        Background: The recent pandemic caused by coronavirus disease 2019 (COVID-19)
                                        has resulted in increased deaths globally, and effective treatment is crucial as a form
                                        of disease management. Aims: This study was aimed to describe the epidemiological
                                        characteristics and outcomes of hospitalized COVID-19  patients who have been
            *Corresponding author:      administered with remdesivir (RDV) at King Faisal Specialized Hospital in Saudi Arabia.
            Basem M Alraddadi           Methods: Hospitalized COVID-19 adult patients who received RDV therapy (from
            (balraddadi@kfshrc.edu.sa)
                                        January to December 2021) were included in this retrospective case series. Patients’
            Citation: Alraddadi BM,     demographics, medical history, presenting symptoms, and laboratory results were
            Alraddadi A, Hefni L, Alfadl YW,
            Toonsi WA, Al Hroub M. Clinical   collected. Statistical analyses were performed using the Statistical Packages for
            characteristics and outcomes   the Social Sciences and data were presented based on their statistical variables.
            of hospitalized coronavirus   Results: A total of 210 patients (56.1% females, 43.9% males) with a mean ± standard
            disease 2019 patients treated
            with remdesivir in Saudi Arabia: A   deviation (SD) age of 57.43 ± 18.4 years were included in our analysis. Pneumonia
            1-year retrospective study. J Clin   was manifested in 52.4% of patients. The most common associated comorbidities
            Transl Res. 2025;11(3):80-87.   were hypertension (54.76%) and diabetes (44.76%). From 180 participants that
            doi: 10.36922/jctr.24.00027  were vaccinated, 73 and 90 patients received two or three COVID-19 vaccine doses,
            Received: June 13, 2024     respectively. The most frequent presenting symptoms were fever (80.1%) and cough
            Revised: August 28, 2024    (62.6%). About 48.1% and 10.48% of the cohort received RDV with dexamethasone
                                        or tocilizumab, respectively. Overall, 45.71% of the patients needed oxygen therapy
            Accepted: March 26, 2025    during hospitalization, and 21  patients with pneumonia required mechanical
            Published Online: May 21, 2025  ventilation for a mean ± SD of 15.15 ± 16.46 days with the mean ± SD length of the
            Copyright: © 2025 Author(s).   hospital stay which was 14.9 ± 46.29 days. Moreover, 41 patients were admitted to
            This is an Open-Access article   the intensive care unit for a mean ± SD stay of 10.5 ± 11.05 days, and 26 patients had
            distributed under the terms of the   died. Conclusion: Despite previous vaccination, a significant portion of hospitalized
            Creative Commons AttributionNon-
            Commercial 4.0 International (CC   COVID-19 patients in our cohort required oxygen therapy and experienced longer
            BY-NC 4.0), which permits all   periods of hospital stay, highlighting the seriousness of COVID-19 infection for
            non-commercial use, distribution,   some patients regardless of vaccination status. Relevance for patients: This study
            and reproduction in any medium,
            provided the original work is   highlights RDV’s role in reducing oxygen need and hospitalization duration, aiding
            properly cited.             better outcomes for COVID-19 patients.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Coronavirus disease-2019; Remdesivir; Saudi Arabia; Vaccination; Intensive
            regard to jurisdictional claims in
            published maps and institutional   care unit
            affiliations.

            Volume 11 Issue 3 (2025)                        80                            doi: 10.36922/jctr.24.00027
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