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10.1016/j.transproceed.2020.12.002

http://scihub22266oqcxt.onion/10.1016/j.transproceed.2020.12.002
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suck abstract from ncbi


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pmid33478747      Transplant+Proc 2021 ; 53 (4): 1154-1159
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  • SARS-CoV-2 in Kidney Transplant and Waitlisted Patients During the First Peak: The Welsh Experience #MMPMID33478747
  • Khalid U; Ilham MA; Nagaraja P; Elker D; Asderakis A
  • Transplant Proc 2021[May]; 53 (4): 1154-1159 PMID33478747show ga
  • The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) global pandemic has led to many health care services, including transplantation, being temporarily suspended. For transplantation to safely recommence, there is a need to understand the effects of SARS-CoV-2 in transplant and waitlist patients. We identified 21 patients with proven SARS-CoV-2 infection (13 transplant; 8 waitlist) during the first peak of coronavirus disease 2019 in Wales. Median patient age was 57 years (range, 24-69), 62% were male, and all were white. Median body mass index was 29 kg/m(2) (range, 22-42), and 81% had 1 or more significant comorbidities. Median time from transplant to SARS-CoV-2 infection was 135 months (range, 9-356) and median time since being listed was 17.5 months (range, 5-69) for waitlisted patients. Seventeen patients were admitted to the hospital (81%), 18% (n = 3) in intensive care unit, and 5 patients died (4 transplant recipients and 1 waitlist patient; 24%). Two of the 4 transplant patients who died had recent malignancy. Although the mortality of hospitalized transplant patients was high, their infection rate of 0.87% meant that the overall mortality of transplant patients due to SARS-CoV-2 was low and comparable to that of patients on the waitlist. These data provide confidence in restarting the transplant program, provided that a series of measures aiming to avoid infections in newly transplanted patients are taken.
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/*mortality[MESH]
  • |Comorbidity[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Kidney Transplantation/*mortality[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Postoperative Complications/*mortality/virology[MESH]
  • |Waiting Lists/*mortality[MESH]
  • |Wales/epidemiology[MESH]


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