Evidence map›Paper›PMID 38725586›Full record

ArticleCritical care research and practice2024

Sequelae of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection among Kidney Transplant Recipients: A Large Single-Center Experience.

Emily E Zona, Mina L Gibes, Asha S Jain, Juan S Danobeitia, Jacqueline Garonzik-Wang, Jeannina A Smith, Didier A Mandelbrot, Sandesh Parajuli

Abstract read
In one paragraph

Article in Critical care research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Emily E ZonaDivision of Nephrology, Department of Medicine, University of Wisconsin Health, Madison, WI, USA.ORCID https://orcid.org/0000-0002-7532-4793
Mina L GibesDivision of Nephrology, Department of Medicine, University of Wisconsin Health, Madison, WI, USA.ORCID https://orcid.org/0009-0004-3458-913X
Asha S JainDivision of Nephrology, Department of Medicine, University of Wisconsin Health, Madison, WI, USA.ORCID https://orcid.org/0000-0002-9352-6612
Juan S DanobeitiaBaylor University Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0003-1641-3822
Jacqueline Garonzik-WangDivision of Transplantation, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID https://orcid.org/0000-0002-2789-7503
Jeannina A SmithDepartment of Infectious Disease, University of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0001-9379-6332
Didier A MandelbrotDivision of Nephrology, Department of Medicine, University of Wisconsin Health, Madison, WI, USA.ORCID https://orcid.org/0000-0003-3326-8583
Sandesh ParajuliDivision of Nephrology, Department of Medicine, University of Wisconsin Health, Madison, WI, USA.ORCID https://orcid.org/0000-0003-1667-7465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Kidney transplant recipients (KTRs) are a vulnerable immunocompromised population at risk of severe COVID-19 disease and mortality after SARS-CoV-2 infection. We sought to characterize the post-infection sequelae in KTRs at our center. Methods: We studied all adult KTRs (with a functioning allograft) who had their first episode of SARS-CoV-2 infection between 04/2020 and 04/2022. Outcomes of interest included risk factors for hospitalization, all-cause mortality, COVID-19-related mortality, and allograft failure. Results: Of 979 KTRs with SARS-CoV-2 infection, 381 (39%) were hospitalized. In the multivariate analysis, risk factors for hospitalization included advanced age/year (HR: 1.03, 95% CI: 1.02-1.04), male sex (HR: 1.29, 95% CI: 1.04-1.60), non-white race (HR: 1.48, 95% CI: 1.17-1.88), and diabetes as a cause of ESKD (HR: 1.77, 95% CI: 1.41-2.21). SARS-CoV-2 Vaccination was associated with decreased risk of hospitalization (HR: 0.73, 95% CI: 0.59-0.90), all-cause mortality (HR: 0.52, 95% CI: 0.37-0.74), and COVID-19-related mortality (HR: 0.47, 95% CI: 0.31-0.71) in the univariate and multivariate analyses. Risk factors for both all-cause and COVID-19-related mortality in the multivariate analyses included advanced age, hospitalization, and respiratory symptoms for hospital admission. Furthermore, additional risk factors for all-cause mortality in the multivariate analysis included being a non-white recipient and diabetes as a cause of ESKD, with being a recipient of a living donor as protective. Conclusions: Hospitalization due to COVID-19-associated symptoms is associated with increased mortality. Vaccination is a protective factor against hospitalization and mortality.

Identifiers

PMID38725586
PMCPMC11081755

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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.