Evidence map›Paper›PMID 32667716›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society2021

Liver transplant recipients infected with SARS-CoV-2 in the early postoperative period: Lessons from a single center in the epicenter of the pandemic.

Daniel Reis Waisberg, Edson Abdala, Lucas Souto Nacif, Luciana Bertocco Haddad, Liliana Ducatti, Vinicius Rocha Santos, Larissa Nunes Gouveia, Carolina Santos Lazari, Rodrigo Bronze Martino, Rafael Soares Pinheiro and 6 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 18% of its field
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. COVID-19 and liver diseases, what we know so far.World journal of clinical cases · 2022
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. COVID-19 in Liver Transplant Recipients.Journal of clinical and translational hepatology · 2021
    Article
  11. Liver transplantation for acute liver failure in a SARS-CoV-2 PCR-positive patient.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  12. Review
  13. Impact of COVID-19 in solid organ transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Review
  14. Article
  15. Article
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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

16 authors at 1 institution in 1 country.

Daniel Reis WaisbergLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.ORCID https://orcid.org/0000-0003-4284-0633
Edson AbdalaLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.ORCID https://orcid.org/0000-0003-0765-6654
Lucas Souto NacifLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-7059-3978
Luciana Bertocco HaddadLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Liliana DucattiLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Vinicius Rocha SantosLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Larissa Nunes GouveiaLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Carolina Santos LazariDivision of Central Laboratory, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Rodrigo Bronze MartinoLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Rafael Soares PinheiroLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Rubens Macedo ArantesLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Debora Raquel TerrabuioLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Luiz Marcelo MalbouissonLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Flavio Henrique GalvaoLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Wellington AndrausLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Luiz Augusto Carneiro-D'AlbuquerqueLiver and Abdominal Organs Transplantation Division, Department of Gastroenterology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC-FMUSP), São Paulo, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of coronavirus disease-19 (COVID-19) in liver recipients remains largely unknown. Most data derive from small retrospective series of patients transplanted years ago. We aimed to report a single-center case series of five consecutive patients in the early postoperative period of deceased-donor liver transplantation who developed nosocomial COVID-19. Two patients presented important respiratory discomfort and eventually died. One was 69 years old and had severe coronary disease. She rapidly worsened after COVID-19 diagnosis on 9th postoperative day. The other was 67 years old with non-alcoholic steatohepatitis, who experienced prolonged postoperative course, complicated with cytomegalovirus infection and kidney failure. He was diagnosed on 36th postoperative day and remained on mechanical ventilation for 20 days, ultimately succumbing of secondary bacterial infection. The third, fourth, and fifth patients were diagnosed on 10th, 11th, and 18th postoperative day, respectively, and presented satisfactory clinical evolution. These last two patients were severely immunosuppressed, since one underwent steroid bolus for acute cellular rejection and another also used anti-thymocyte globulin for treating steroid-resistant rejection. Our novel experience highlights that COVID-19 may negatively impact the postoperative course, especially in elder and obese patients with comorbidities, and draws attention to COVID-19 nosocomial spread in the early postoperative period.

Indexed as

Liver TransplantationSARS-CoV-2Transplant RecipientsAdultAgedCOVID-19Fatal OutcomeFemaleHumansMaleMiddle AgedTreatment OutcomeCOVID-19liver transplantationpostoperative periodsevere acute respiratory syndrome coronavirus 2

Identifiers

PMID32667716
PMCPMC7404440
OpenAlexW3043152307

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.