Evidence map›Paper›PMID 32583620›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society2020

COVID-19 in recent heart transplant recipients: Clinicopathologic features and early outcomes.

Brian Lima, Gregory T Gibson, Sirish Vullaganti, Kathryn Malhame, Simon Maybaum, Syed T Hussain, Samit Shah, David T Majure, Fran Wallach, Kristine Jang and 7 more

Abstract read
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Effect of immunosuppression maintenance in solid organ transplant recipients with COVID-19: Systematic review and meta-analysis.Transplant infectious disease : an official journal of the Transplantation Society · 2021
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Article
  10. Orthotopic Heart Transplantation in a Covid-19 Recipient.Arquivos brasileiros de cardiologia · 2023
    Article
  11. Article
  12. Article
  13. COVID-19 in heart transplant recipients: Outcomes according to vaccination status.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Article
  14. Early report from the Pediatric Heart Transplant Society on COVID-19 infections in pediatric heart transplant candidates and recipients.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022
    Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Brian LimaDepartment of Cardiovascular and Thoracic Surgery, North Shore University Hospital / Northwell Health, Manhasset, NY, USA.ORCID https://orcid.org/0000-0002-2555-2229
Gregory T GibsonDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Sirish VullagantiDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Kathryn MalhameDepartment of Cardiovascular and Thoracic Surgery, North Shore University Hospital / Northwell Health, Manhasset, NY, USA.
Simon MaybaumDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Syed T HussainDepartment of Cardiovascular and Thoracic Surgery, North Shore University Hospital / Northwell Health, Manhasset, NY, USA.
Samit ShahDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
David T MajureDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Fran WallachDivision of Infectious Diseases, Northwell Health and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Kristine JangDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Vanesa BijolDepartment of Pathology and Laboratory Medicine, Northwell Health and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Michael J EspositoDepartment of Pathology and Laboratory Medicine, Northwell Health and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Alex K WilliamsonDepartment of Pathology and Laboratory Medicine, Northwell Health and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Rebecca M ThomasDepartment of Pathology and Laboratory Medicine, Northwell Health and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Tawfiqul A BhuiyaDepartment of Pathology and Laboratory Medicine, Northwell Health and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Harold A FernandezDepartment of Cardiovascular and Thoracic Surgery, North Shore University Hospital / Northwell Health, Manhasset, NY, USA.
Gerin R StevensDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.ORCID https://orcid.org/0000-0002-8235-5045

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of COVID-19 on heart transplant (HTx) recipients remains unclear, particularly in the early post-transplant period.

methodsWe share novel insights from our experience in five HTx patients with COVID-19 (three within 2 months post-transplant) from our institution at the epicenter of the pandemic.

resultsAll five exhibited moderate (requiring hospitalization, n = 3) or severe (requiring ICU and/or mechanical ventilation, n = 2) illness. Both cases with severe illness were transplanted approximately 6 weeks before presentation and acquired COVID-19 through community spread. All five patients were on immunosuppressive therapy with mycophenolate mofetil (MMF) and tacrolimus, and three that were transplanted within the prior 2 months were additionally on prednisone. The two cases with severe illness had profound lymphopenia with markedly elevated C-reactive protein, procalcitonin, and ferritin. All had bilateral ground-glass opacities on chest imaging. MMF was discontinued in all five, and both severe cases received convalescent plasma. All three recent transplants underwent routine endomyocardial biopsies, revealing mild (n = 1) or no acute cellular rejection (n = 2), and no visible viral particles on electron microscopy. Within 30 days of admission, the two cases with severe illness remain hospitalized but have clinically improved, while the other three have been discharged.

conclusionsCOVID-19 appears to negatively impact outcomes early after heart transplantation.

Indexed as

AgedAllograftsBiopsyCOVID-19COVID-19 Nucleic Acid TestingEndocardiumFemaleGraft RejectionHeart TransplantationHumansImmunosuppressive AgentsMaleMicroscopy, ElectronMiddle AgedMyocardiumNew York CityImmunosuppressive AgentsCOVID-19heart transplant

Identifiers

PMID32583620
PMCPMC7361062

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.