Middle-term outcomes in renal transplant recipients with COVID-19: a national, multicenter, controlled study

被引:4
|
作者
Oto, Ozgur Akin [1 ]
Ozturk, Savas [1 ]
Arici, Mustafa [2 ]
Velioglu, Arzu [3 ]
Dursun, Belda [4 ]
Guller, Nurana [1 ]
Sahin, Idris [5 ]
Eser, Zeynep Ebru [6 ]
Paydas, Saime [7 ]
Trabulus, Sinan [8 ]
Koyuncu, Sumeyra [9 ]
Uyar, Murathan [10 ]
Ural, Zeynep [11 ]
Sadioglu, Rezzan Eren [12 ]
Dheir, Hamad [13 ]
Koc, Neriman Sila [2 ]
Ozer, Hakan [14 ]
Durak, Beyza Algul [15 ]
Gul, Cuma Bulent [16 ]
Kasapoglu, Umut [17 ]
Oguz, Ebru Gok [18 ]
Tanrisev, Mehmet [19 ]
Kuzgun, Gulsah Sasak [20 ]
Mirioglu, Safak [21 ]
Dervisoglu, Erkan [22 ]
Erken, Ertugrul [23 ]
Gorgulu, Numan [24 ]
Ozkurt, Sultan [25 ]
Aydin, Zeki [26 ]
Kurultak, ilhan [27 ]
Ogutmen, Melike Betul [28 ]
Bakirdogen, Serkan [29 ]
Kaya, Burcu [3 ]
Karadag, Serhat [30 ]
Ulu, Memnune Sena [31 ]
Gungor, Ozkan [23 ]
Bakir, Elif Ari [32 ]
Odabas, Ali Riza [33 ]
Seyahi, Nurhan [8 ]
Yildiz, Alaattin [1 ]
Ates, Kenan [12 ]
机构
[1] Istanbul Univ, Dept Internal Med, Div Nephrol, Istanbul Fac Med, Istanbul, Turkey
[2] Hacettepe Univ, Dept Nephrol, Fac Med, Ankara, Turkey
[3] Marmara Univ, Sch Med, Dept Internal Med, Div Nephrol, Istanbul, Turkey
[4] Pamukkale Univ, Fac Med, Dept Internal Med, Div Nephrol, Denizli, Turkey
[5] Inonu Univ, Fac Med, Dept Internal Med, Nephrol Div, Malatya, Turkey
[6] Mersin Univ, Mersin Fac Med, Dept Internal Med, Div Nephrol, Mersin, Turkey
[7] Cukurova Univ, Dept Internal Med, Div Nephrol, Fac Med, Adana, Turkey
[8] Istanbul Univ Cerrahpasa, Cerrahpasa Med Fac, Div Nephrol, Dept Internal Med, Istanbul, Turkey
[9] Erciyes Univ, Erciyes Fac Med, Dept Internal Med, Div Nephrol, Kayseri, Turkey
[10] Yeni Yuzyil Univ, Gaziosmanpasa Hosp, Div Nephrol, Dept Internal Med, Istanbul, Turkey
[11] Gazi Univ, Fac Med, Dept Internal Med, Div Nephrol, Ankara, Turkey
[12] Ankara Univ, Dept Nephrol, Sch Med, Ankara, Turkey
[13] Sakarya Univ Training & Res Hosp, Div Nephrol, Dept Internal Med, Sakarya, Turkey
[14] Konya Necmettin Erbakan Univ, Meram Fac Med, Div Nephrol, Konya, Turkey
[15] Ankara Bilkent City Hosp, Dept Nephrol, Ankara, Turkey
[16] Univ Hlth Sci, Bursa Yuksek Ihtisas Training & Res Hosp, Dept Nephrol, Istanbul, Turkey
[17] Univ Hlth Sci, Bakirkoy Dr Sadi Konuk Training & Res Hosp, Dept Nephrol, Istanbul, Turkey
[18] Univ Hlth Sci, Diskapi Yildirim Beyazit Educ & Res Hosp, Dept Nephrol, Ankara, Turkey
[19] Univ Hlth Sci, Tepecik Training & Res Hosp, Izmir Fac Med, Dept Nephrol, Izmir, Turkey
[20] Gortepe Prof Dr Suleyman Yalcin City Hosp, Dept Nephrol, Istanbul, Turkey
[21] Bezmialem Vakif Univ, Dept Internal Med, Div Nephrol, Sch Med, Istanbul, Turkey
[22] Kocaeli Univ, Fac Med, Dept Internal Med, Div Nephrol, Kocaeli, Turkey
[23] Kahramanmaras Sutcu Imam Univ, Dept Nephrol, Kahramanmaras, Turkey
[24] Univ Hlth Sci, Bagcilar Training & Res Hosp, Dept Nephrol, Istanbul, Turkey
[25] Eskisehir Osmangazi Univ, Fac Med, Dept Internal Med, Div Nephrol, Eskisehir, Turkey
[26] Univ Hlth Sci, Darica Farabi Training & Res Hosp, Dept Nephrol, Darica, Turkey
[27] Trakya Univ, Fac Med, Dept Internal Med, Div Nephrol, Edirne, Turkey
[28] Univ Hlth Sci, Haydarpasa Numune Training & Res Hosp, Dept Nephrol, Istanbul, Turkey
[29] Canakkale Onsekiz Mart Univ, Sch Med, Dept Internal Med, Div Nephrol, Canakkale, Turkey
[30] Univ Hlth Sci, Haseki Training & Res Hosp, Dept Nephrol, Istanbul, Turkey
[31] Bahcesehir Univ, Fac Med, Dept Internal Med, Div Nephrol, Istanbul, Turkey
[32] Univ Hlth Sci, Kartal Training Hosp, Dept Internal Med, Div Nephrol, Istanbul, Turkey
[33] Univ Hlth Sci, Sultan 2 Abdulhamid Han Training & Res Hosp, Dept Nephrol, Istanbul, Turkey
关键词
COVID-19; kidney transplantation; mortality; outcome; registry;
D O I
10.1093/ckj/sfac045
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background In this study, we evaluated 3-month clinical outcomes of kidney transplant recipients (KTR) recovering from COVID-19 and compared them with a control group. Method The primary endpoint was death in the third month. Secondary endpoints were ongoing respiratory symptoms, need for home oxygen therapy, rehospitalization for any reason, lower respiratory tract infection, urinary tract infection, biopsy-proven acute rejection, venous/arterial thromboembolic event, cytomegalovirus (CMV) infection/disease and BK viruria/viremia at 3 months. Results A total of 944 KTR from 29 different centers were included in this study (523 patients in the COVID-19 group; 421 patients in the control group). The mean age was 46 +/- 12 years (interquartile range 37-55) and 532 (56.4%) of them were male. Total number of deaths was 8 [7 (1.3%) in COVID-19 group, 1 (0.2%) in control group; P = 0.082]. The proportion of patients with ongoing respiratory symptoms [43 (8.2%) versus 4 (1.0%); P Conclusion The prevalence of ongoing respiratory symptoms increased in the first 3 months post-COVID in KTRs who have recovered from COVID-19, but mortality was not significantly different.
引用
收藏
页码:999 / 1006
页数:8
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