From: Predicting the outcome of COVID-19 infection in kidney transplant recipients
Characteristic | All patients N = 109 | Survivors (N = 95) | Non-Survivors (N = 14) | p-value | |
---|---|---|---|---|---|
Gender, Male, n (%) | 63 (57.8) | 57 (60.0) | 6 (42.9) | 0.225 | |
Age (years), mean ± SD | 48.4 ± 12.4 | 47.9 ± 12.4 | 51.7 ± 12.4 | 0.334 | |
Donor type, n, (%) | Deceased | 17 (15.6) | 14 (14.7) | 3 (21.4) | 0.519 |
Living | 92 (84.4) | 81 (85.3) | 11 (78.6) | ||
Age >  60 years, n (%) | 21 (19.4) | 16 (76.2) | 5 (23.8) | 0.065 | |
Time from symptom onset to admission, days, median (IQR) | 4.5 (3.0–7.0) | 5.0 (3.0–7.0) | 4.0 (3.0–8.5) | 0.634 | |
LOS (days), median (IQR) | 9.0 (6.0–14.0) | 8.0 (6.0–13.5) | 14 (8.0–17.5) | 0.038 | |
Time to from symptom onset to death or discharge, days, median (IQR) | 14.0 (10.0–21.0) | 13.0 (10.0–20.0) | 21.0 (13.0–25.0) | 0.092 | |
Tx Duration, years, median (IQR) | 5.0 (3.0–9.0) | 5.0 (2.9–9.0) | 5 (3.0–8.0) | 0.899 | |
Tx Duration < 1 year n (%) | 17 (15.6) | 15 (15.8) | 2 (14.3) | 0.885 | |
Coexisting disorder, n/N (%) | Diabetes mellitus | 25/107 (23.4) | 21/93 (22.6) | 4/14 (28.6) | 0.621 |
Hypertension | 81/106 (76.4) | 70/92 (76.1) | 11/14 (78.6) | 0.838 | |
Ischemic heart disease | 18/103 (17.5) | 13/90 (15.3) | 5/13 (38.5) | 0.033 | |
Heart failure | 4/105 (3.8) | 2/91 (2.2) | 2/14 (14.3) | 0.033 | |
COPD | 5/105 (4.8) | 4/92 (4.6) | 1/13 (7.7) | 0.491 | |
Cancer | 6/105 (5.7) | 6/92 (6.9) | 0/13 (0) | 1.000 | |
Chronic liver disease | 1/105 (1.0) | 1/92 (1.1) | 0 (0) | 1.000 | |
Cause of kidney disease, n (%) | Diabetic nephropathy | 13 (11.9) | 10 (10.5) | 3 (21.4) | 0.764 |
Glomerular disease | 13 (11.9) | 9 (9.4) | 4 (28.6) | ||
Hypertensive nephrosclerosis | 28 (25.7) | 25 (26.3) | 3 (21.4) | ||
ADPCKD | 5 (4.6) | 5 (5.2) | 0 (0) | ||
Amyloidosis | 4 (3.7) | 4 (4.2) | 0 (0) | ||
Chronic pyelonephritis | 6 (5.5) | 6 (6.3) | 0 (0) | ||
Urological diseases | 6 (5.5) | 6 (6.3) | 0 (0) | ||
Unknown | 31 (28.4) | 27 (28.4) | 4 (28.5) | ||
Others | 3 (2.7) | 3 (3.1) | 0 (0) | ||
Smoking, n (%) | Former smoked | 22 (20.2) | 20/90 (22.2) | 2/14 (14.3) | 0.834 |
Never smoker | 43 (39.4) | 36/90 (40.0) | 7/14 (50.0) | ||
Current smoker | 1 (0.9) | 1/90 (1.1) | 0/14 (0) | ||
Unknown | 43 (39.4) | 38/90 (42.2) | 5/14 (35.7) | ||
Medications, n/N (%) | ACEi | 21/103 (20.4) | 17/85 (20.0) | 4/14 (28.6) | 0.414 |
ARBs | 14/102(13.7) | 14/87(16.1) | 0/14(0) | 0.108 | |
Statins | 11/101 (10.9) | 9 (9.5) | 2 (14.0) | 0.308 | |
Anticoagulant or antiplatelet agent | 45/102 (44.1) | 37 (41.1) | 8 (66.7) | 0.094 | |
Oral antidiabetics | 8/102 (7.8) | 7 (8.0) | 1 (7.4) | 0.916 | |
Tacrolimus | 86/109 (78.9) | 75 (78.9) | 11 (78.6) | 0.974 | |
CsA | 9/109 (8.3) | 9 (9.5) | 0 (0) | 0.229 | |
MPA derivatives | 94/109 (86.2) | 80 (84.2) | 14 (100) | 0.109 | |
MTORi | 12/109 (11.0) | 10 (10.5) | 2 (14.3) | 0.651 | |
Azathioprine | 6/103 (5.5) | 6 (6.3) | 0 (0) | 0.333 | |
Prednisone | 106/109 (97.2) | 92 (96.8) | 14 (100) | 1.000 | |
Induction therapy, yes, n, (%) | 80 (73.4) | 71 (74.7) | 9 (64.3) | 0.409 | |
Induction therapy n, (%) | ATLG | 67 (61.5) | 61 (64.2) | 6 (42.9) | 0.270 |
Basiliximab | 13 (11.9) | 10 (10.5) | 3 (21.4) | ||
Modification of immunosuppression, n, (%) | No changed | 3 (2.8) | 3 (3.2) | 0 (0.0) | 0.163 |
CNI withdrawal | 0 (0.0) | 0 (0.0) | 0 (0.0) | ||
MPA/AZA withdrawal | 92 (84.4) | 82 (86.3) | 10 (71.4) | ||
CNI + MPA/AZA withdrawal | 14 (12.8) | 10 (10.5) | 4 (28.6) | ||
COVID-19 related clinic presentation at the time of diagnosis, n (%) | Mild disease | 67 (61.4) | 65 (59.6) | 2 (14.3) | < 0.001 |
Moderate Disease | 33 (30.3) | 27 (28.4) | 6 (42.9) | ||
Severe-Critical Disease | 9 (8.3) | 3 (3.2) | 6 (42.9) | ||
Presentation symptoms n, (%) | Fever | 70 (64.2) | 60 (63.2) | 10 (71.4) | 0.547 |
Myalgia | 32 (29.4) | 29 (30.5) | 3 (21.4) | 0.485 | |
Dyspnea | 53 (48.6) | 41 (43.2) | 12 (85.7) | 0.003 | |
Diarrhea | 12 (11.0) | 11 (11.6) | 1 (7.1) | 0.621 | |
Cough | 72 (66.1) | 64 (67.4) | 8 (57.1) | 0.451 | |
Throat pain | 6 (5.5) | 5 (5.3) | 1 (7.1) | 0.773 | |
Headache | 14 (12.8) | 14 (14.7) | 0 (0.0) | 0.124 | |
Fatigue | 47 (43.1) | 38 (40.0) | 9 (64.3) | 0.504 | |
COVID-19 drug treatments, n/N (%) | Macrolides | 71/106 (67.0) | 60 (64.5) | 11 (84.6) | 0.149 |
Oseltamivir | 59/105 (56.2) | 50 (54.3) | 9 (69.2) | 0.311 | |
Hydroxychloroquine | 108/109 (99.1) | 94 (98.9) | 14 (100.0) | 0.700 | |
Lopinavir-ritonavir | 10/94 (10.6) | 10 (12.2) | 0 (.0) | 0.201 | |
Favipiravir | 49/100 (49.0) | 38 (43.2) | 11 (91.7) | 0.002 | |
Glucocorticoids | 59/101 (58.4) | 47 (54.0) | 12 (85.7) | 0.026 | |
Tocilizumab | 10 /99 (10.1) | 5 (5.7) | 5 (41.7) | < 0.001 | |
Anakinra | 3/100 (3.0) | 3(3.4) | 0(.0) | 0.497 | |
Apheresis / immunoadsorption | 3/100 (3.0) | 2 (2.3) | 1(7.7) | 0.357 | |
Laboratory findings at admission, median (IQR) | Creatinine (μmol/l) | 132.6 (97.2–194.5) | 132.6 (97.2–181.2) | 198.0 (97.2–293.7) | 0.018 |
Albumin (g/dl) | 3.8 (3.4–4.1) | 3.8 (3.4–4.0) | 3.5 (3.0–3.83) | 0.170 | |
Ferritin (μg/l) | 369.5 (152–906) | 338.0 (132–891) | 679 (265–1718) | 0.112 | |
Hemoglobin (g/dl) mean ± SD | 11.6 ± 2.3 | 11.5 ± 2.4 | 12.0 ± 1.9 | 0.195 | |
Lymphocyte count (/μl) | 850 (541–1257) | 850 (540–1330) | 790(557–1015) | 0.412 | |
Lymphopenia (< 800 /μL) n, (%) | 53 (48.6) | 46 (48.4) | 7 (50.0) | 0.912 | |
Platelet count (×103/μl) | 199 (171–245) | 199 (170–248) | 189 (158–239) | 0.474 | |
Follow-up parameters | ICU admission, n (%) | 22 (20.2) | 9 (40.9) | 13 (59.1) | < 0.001 |
Bacterial superinfection, n, (%) | 9 (8.3) | 7 (7.4) | 2 (14.3) | 0.416 | |
Mechanical ventilation in ICU, n (%) | 19 (17.4) | 6 (31.6) | 13 (68.4) | 0.025 | |
Acute kidney injury, n (%) | 46 (42.2) | 36 (37.9) | 10 (71.4) | 0.018 | |
RRT, n (%) | 4 (3.7) | 1 (1.1) | 3 (21.4) | < 0.001 | |
Leukopenia (< 4.0 × 103/μl) | 36 (33.0) | 33(34.7) | 3(21.4) | 0.323 | |
Lymphopenia (< 800 /μl) | 77/108 (71.3) | 66 (69.5) | 11(84.6) | 0.258 | |
Thrombocytopenia (< 150 × 103/μL) | 16 (14.7) | 13 (13.7) | 3(21.4) | 0.445 | |
LDH (>  2 × upper limit of normal) | 29/104 (27.9) | 21 (23.1) | 8 (61.5) | 0.004 | |
AST (>  2 × upper limit of normal) | 15/98 (15.3) | 10 (11.8) | 5 (38.5) | 0.013 | |
CRP (> 10 × upper limit of normal) | 47 (43.1) | 37 (38.9) | 10 (71.4) | 0.022 |