Evidence map›Paper›PMID 36534667›Full record

ArticlePloS one2022

Hospitalization and survival of solid organ transplant recipients with coronavirus disease 2019: A propensity matched cohort study.

Joshua T Swan, Elsie Rizk, Stephen L Jones, Nwabunie Nwana, Juan C Nicolas, Anh Thu Tran, Jiaqiong Xu, Tariq Nisar, Terri Menser, Stephanie G Yi and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
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

15 authors at 1 institution in 1 country.

Joshua T SwanDepartment of Pharmacy, Houston Methodist, Houston, TX, United States of America.ORCID 0000-0002-6390-2322
Elsie RizkDepartment of Pharmacy, Houston Methodist, Houston, TX, United States of America.
Stephen L JonesCenter for Outcomes Research, Houston Methodist, Houston, TX, United States of America.ORCID 0000-0002-1106-171X
Nwabunie NwanaCenter for Outcomes Research, Houston Methodist, Houston, TX, United States of America.
Juan C NicolasCenter for Outcomes Research, Houston Methodist, Houston, TX, United States of America.
Anh Thu TranDepartment of Pharmacy, Houston Methodist, Houston, TX, United States of America.ORCID 0000-0002-9605-936X
Jiaqiong XuCenter for Outcomes Research, Houston Methodist, Houston, TX, United States of America.
Tariq NisarCenter for Outcomes Research, Houston Methodist, Houston, TX, United States of America.ORCID 0000-0003-2954-9825
Terri MenserDepartment of Surgery, Houston Methodist, Houston, TX, United States of America.ORCID 0000-0003-3095-2590
Stephanie G YiDepartment of Surgery, Houston Methodist, Houston, TX, United States of America.
Linda W MooreDepartment of Surgery, Houston Methodist, Houston, TX, United States of America.
Howard J HuangDepartment of Surgery, Houston Methodist, Houston, TX, United States of America.
R Mark GhobrialDepartment of Surgery, Houston Methodist, Houston, TX, United States of America.
A Osama GaberDepartment of Surgery, Houston Methodist, Houston, TX, United States of America.
Richard J KnightDepartment of Surgery, Houston Methodist, Houston, TX, United States of America.
Houston Methodist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSolid organ transplant (SOT) recipients are predicted to have worse COVID-19 outcomes due to their compromised immunity. However, this association remains uncertain because published studies have had small sample sizes and variability in chronic comorbidity adjustment.

methodsIn this retrospective cohort study conducted at a multihospital health system, we compared COVID-19 outcomes and survival up to 60 days following hospital admission in SOT recipients taking baseline immunosuppressants versus hospitalized control patients.

resultsThe study included 4,562 patients who were hospitalized with COVID-19 (108 SOT recipients and 4,454 controls) from 03/2020 to 08/2020. Mortality at 60 days was higher for SOT recipients (17% SOT vs 10% control; unadjusted odds ratio (OR) = 1.74, 95% confidence interval (CI) 1.04-2.91, P = 0.04). We then conducted a 1:5 propensity matched cohort analysis (100 SOT recipients; 500 controls) using age, sex, race, body mass index, hypertension, diabetes, chronic kidney disease, liver disease, admission month, and area deprivation index. Within 28 days of admission, SOT recipients had fewer hospital-free days (median; 17 SOT vs 21 control; OR = 0.64, 95%CI 0.46-0.90, P = 0.01) but had similar ICU-free days (OR = 1.20, 95%CI 0.72-2.00, P = 0.49) and ventilator-free days (OR = 0.91, 95%CI 0.53-1.57, P = 0.75). There was no statistically significant difference in 28-day mortality (9% SOT vs 12% control; OR = 0.76, 95%CI 0.36-1.57, P = 0.46) or 60-day mortality (16% SOT vs 14% control; OR = 1.15, 95%CI 0.64-2.08, P = 0.64).

conclusionsHospitalized SOT recipients appear to need additional days of hospital care but can achieve short-term mortality outcomes from COVID-19 that are similar to non-SOT recipients in a propensity matched cohort study.

Indexed as

COVID-19Organ TransplantationCohort StudiesHospitalizationHumansRetrospective StudiesTransplant Recipients

Identifiers

PMID36534667
PMCPMC9762563
OpenAlexW4311942729

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.