Evidence map›Paper›PMID 33483166›Full record

ArticleTransplantation proceedings2021

COVID-19 in Kidney Transplant Patients From a Large UK Transplant Center: Exploring Risk Factors for Disease Severity.

K Sran, J Olsburgh, T Kasimatis, K Clark, R Gökmen, R Hilton, S Shah, C Shaw, C Farmer, H Kilbride and 1 more

Open access · greenAbstract read
In one paragraph

Article in Transplantation proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Initial Experience With SARS-CoV-2-Neutralizing Monoclonal Antibodies in Kidney or Combined Kidney-Pancreas Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  3. Article
  4. Article
  5. 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

11 authors at 3 institutions in 1 country.

K SranDepartment of Nephrology & Transplantation, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom. Electronic address: Kiran.sran@gstt.nhs.uk.
J OlsburghDepartment of Nephrology & Transplantation, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom.
T KasimatisDepartment of Nephrology & Transplantation, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom.
K ClarkDepartment of Nephrology & Transplantation, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom.
R GökmenDepartment of Nephrology & Transplantation, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom.
R HiltonDepartment of Nephrology & Transplantation, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom.
S ShahRenal Unit, King's College Hospital NHS Foundation Trust, London, United Kingdom.
C ShawRenal Unit, King's College Hospital NHS Foundation Trust, London, United Kingdom.
C FarmerKent Kidney Care Centre, East Kent Hospitals University NHS Foundation Trust, Canterbury, Kent, United Kingdom.
H KilbrideKent Kidney Care Centre, East Kent Hospitals University NHS Foundation Trust, Canterbury, Kent, United Kingdom.
E AsgariDepartment of Nephrology & Transplantation, Guy's & St. Thomas' NHS Foundation Trust, London, United Kingdom.
Guy's and St Thomas' NHS Foundation Trust · GBEast Kent Hospitals University NHS Foundation Trust · GBKing's College Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has raised concern for the health of immunocompromised individuals, who are potentially at higher risk of more severe infection and poorer outcomes. As a large London transplant center serving a diverse patient population, we report the outcomes of SARS-CoV-2 infection in our cohort of 2848 kidney and/or pancreas transplant patients.

methodsData were obtained retrospectively for all transplant patients who attended hospital during the peak of the pandemic and had a positive nasopharyngeal SARS-CoV-2 test.

resultsSixty-six patients were found to be positive for SARS-CoV-2. Twenty percent were treated as outpatients, 59% were admitted to the general ward, and 21% required intensive care. Treatment consisted of reduced immunosuppression, antibiotics for pneumonia or sepsis, and other supportive treatments. Within our cohort, 12 patients died (18%), with an overall mortality of 0.4%. Predictive risk factors for COVID-19 severity were explored.

conclusionsSevere disease was associated with lower hemoglobin prior to COVID-19 diagnosis and lower lymphocyte count at the time of diagnosis but not age, sex, ethnicity, or preexisting comorbidities. Lower glomerular filtration rate and higher C-reactive protein were associated with more severe disease. Despite no use of hydroxychloroquine, azithromycin, antiviral, or immunomodulatory medications, our mortality rate (kidney and pancreas transplant patients) is similar to current international rates.

Indexed as

AdultAgedComorbidityCOVID-19FemaleHospitalizationHumansImmunocompromised HostImmunosuppression TherapyIntensive Care UnitsKidney TransplantationMaleMiddle AgedPancreas TransplantationPostoperative ComplicationsRetrospective Studies

Identifiers

PMID33483166
PMCPMC7833961
OpenAlexW3111564233

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.