Evidence map›Paper›PMID 39633492›Full record

ArticleVirology journal2024

Risk factors for SARS-CoV-2 pneumonia among renal transplant recipients in Omicron pandemic-a prospective cohort study.

Sai Zhang, Xiang Ding, Chunmi Geng, Hong Zhang

Abstract read
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Article in Virology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sai ZhangInstitute of Medical Sciences, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Xiang DingDepartment of Organ Transplantation, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Chunmi GengDepartment of Organ Transplantation, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Hong ZhangTeaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China. Zhong2800@csu.edu.cn.

Funding

Innovative Environment Development Initiative in Hunan Province of China 2023ZK4058Natural Science Foundation in Hunan Province of China 2021JJ31057Natural Science Foundation in Hunan Province of China 2022JJ70083
6 · The paper itself

Abstract

backgroundThe coronavirus disease (COVID-19) pandemic is a global health emergency, and SARS-CoV-2 pneumonia poses significant challenges to health systems worldwide. Renal transplant recipients (RTRs) are a special group and are more vulnerable to viral pneumonia. However, few studies have elucidated the risk factors of SARS-CoV-2 pneumonia in RTRs infected with COVID-19. This study aimed to build a risk prediction model for SARS-CoV-2 pneumonia among RTRs based on demographic and clinical information.

methodsWe conducted a prospective cohort study among 383 RTRs (age ≥ 18 years) diagnosed with COVID-19 from December 21, 2022, to March 26, 2023. Patients' demographic and clinical information was collected through a questionnaire survey combined with electronic medical records. A stepwise logistic regression model was established to test the predictors of SARS-CoV-2 pneumonia. We assessed the diagnostic performance of the model by calculating the area under the curve (AUC) of the receiver operating characteristic (ROC) and calibration using the Hosmer-Lemeshow (HL) goodness-of-fit test.

resultsOur study showed that the incidence of SARS-CoV-2 pneumonia among RTRs was 31.1%. Older age (OR = 2.08-3.37,95%CI:1.05-7.23), shorter post-transplantation duration (OR = 0.92,95% CI: 0.87,0.99), higher post-transplant Charlson Comorbidity Index (CCI) (OR = 1.84, 95%CI: 1.14,2.98), pulmonary infection history (OR = 3.44, 95%CI: 1.459, 8.099, P = 0.005), fatigue (OR = 2.11, 95%CI: 1.14, 3.90), cough (OR = 2.03, 95%CI: 1.08, 3.81), and lower estimated glomerular filtration rate (eGFR) at COVID-19 diagnosis (OR = 0.98, 95%CI:0.97,0.99) predicted a higher risk for SARS-CoV-2 pneumonia. The model showed good diagnostic performance with Chi-Square = 10.832 (P > 0.05) and AUC = 0.839 (P < 0.001).

conclusionsOur study showed a high incidence of SARS-CoV-2 pneumonia among RTRs, and we built a risk prediction model for SARS-CoV-2 pneumonia based on patients' demographic and clinical characteristics. The model can help identify RTRs infected with COVID-19 at high risk of SARS-CoV-2 pneumonia to inform timely, targeted, and effective prevention and intervention efforts.

Indexed as

COVID-19Kidney TransplantationSARS-CoV-2Transplant RecipientsAdultAgedFemaleHumansIncidenceMaleMiddle AgedPandemicsProspective StudiesRisk FactorsROC CurveOmicronPneumoniaRenal transplant recipientsRisk factorsRisk prediction modelSARS-CoV-2

Identifiers

PMID39633492
PMCPMC11619572

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LicenceCC BY-NC-ND
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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.