Treatment and Outcomes of Coronavirus Disease 2019 in Kidney Transplant Recipients: A Single-center Experience.
Shyam Bihari BansalMayur BabrasAbhyuday RanaAshwini GaddePranaw JhaManish JainDinesh YadavDinesh BansalSidharth SethiVijay KherPublished in: Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia (2023)
There is a paucity of literature about the outcomes of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 after kidney transplantation in developing countries (e.g., India). We included 50 consecutive kidney transplant recipients diagnosed with COVID-19 from August 2020 to December 2020. The mean age was 50 ± 10 years, and the median interval since transplantation was 34 months. Fever (100%), cough (40%), and shortness of breath (32%) were the most common presenting symptoms. Mild disease occurred in 26 patients, moderate disease in 12, and severe disease in 12. All 24 patients with moderate-to-severe disease received remdesivir and high-dose steroids, whereas 17 of 26 patients with mild disease received favipiravir. Convalescent plasma was given to 13 of 24 patients with moderate-to-severe disease, and 7 of 12 patients with severe disease received tocilizumab. The median hospital stay was 7 days (interquartile range: 4-20 days). Of 30 patients who developed acute kidney injury, seven required renal replacement therapy and eight required mechanical ventilation. Eight patients with severe disease died. An age of >50 years, coughing, shortness of breath at presentation, C-reactive protein levels of >100 mg/dL, D-dimer levels of >1 mg/L, computed tomography severity scores of >20 at presentation, supplemental oxygen, and mechanical ventilation correlated significantly with mortality in our cohort. COVID-19 infection in kidney transplant recipients had a high mortality rate; however, remdesivir and high-dose steroids were associated with better outcomes compared with earlier studies.
Keyphrases
- coronavirus disease
- mechanical ventilation
- high dose
- acute kidney injury
- respiratory syndrome coronavirus
- computed tomography
- early onset
- healthcare
- intensive care unit
- end stage renal disease
- acute respiratory distress syndrome
- newly diagnosed
- rheumatoid arthritis
- magnetic resonance
- metabolic syndrome
- type diabetes
- emergency department
- low dose
- peritoneal dialysis
- stem cells
- coronary artery disease
- high intensity
- stem cell transplantation
- ejection fraction
- weight loss
- adipose tissue
- bone marrow
- prognostic factors
- juvenile idiopathic arthritis
- positron emission tomography
- contrast enhanced
- smoking cessation
- adverse drug
- case control