Analysis of COVID-19 Infection in Kidney Transplant Recipients.

Transplantation proceedings Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI:10.1016/j.transproceed.2024.04.016
Thamiris Quiqueto Marinelli, Heloisa Cristina Caldas, Maria Alice Sperto Ferreira-Baptista, Fernanda Salomão Gorayeb-Polacchini, Ana Carolina Brecher Souza, Ludimila Leite Marzochi, Guilherme Jairo Luiz da Silva, Ida Maria Maximina Fernandes-Charpiot, Mario Abbud-Filho
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Abstract

Background: COVID-19, caused by SARS-CoV-2, was responsible for higher morbidity and mortality in renal transplant recipients (RTx). The objective of the study was to evaluate the impact of COVID-19 infection on RTx in a single center in Brazil.

Methods: A cohort of 135 RTx was evaluated between December 2019 and June 202l, and demographics, clinical, and laboratory profiles were analyzed from deceased donors with COVID-19.

Results: Diabetic and RTx from extended criterion donors presented more frequently the severe form of the disease. Serum creatinine (sCr) after 3 months of diagnosis of COVID-19 varied according to the severity of infection. The lethality rate was higher in the group with severe symptoms (65%) compared with those with mild infection (1.5%).

Conclusion: The increase in sCr was associated with disease severity. The lethality rate for COVID-19 was 26.6%. These rates are 10-20 times higher than those reported in the general population and suggest that rigorous observation, early diagnosis, and disease prevention measures are crucial in RTx.

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肾移植受者的 COVID-19 感染分析
背景:由 SARS-CoV-2 引起的 COVID-19 是肾移植受者(RTx)发病率和死亡率较高的原因。本研究旨在评估 COVID-19 感染对巴西一个中心的肾移植受者的影响:方法:对2019年12月至2021年6月期间的135例RTx进行了评估,并分析了COVID-19死亡供体的人口统计学、临床和实验室概况:结果:糖尿病患者和来自扩展标准捐献者的 RTx 更多表现为严重疾病。COVID-19确诊3个月后的血清肌酐(sCr)因感染严重程度而异。与轻度感染者(1.5%)相比,重度感染者(65%)的致死率更高:结论:sCr的升高与疾病的严重程度有关。COVID-19的致死率为26.6%。这些致死率是普通人群的 10-20 倍,表明严格观察、早期诊断和疾病预防措施对 RTx 至关重要。
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