TABLE 1.
Demographic and clinical characteristics of kidney transplant patients with coronavirus disease 2019 pneumonia
Patient characteristics | |
Age (y, mean ± SD) | 59.7 ± 12.48 |
Sex: male/female (n, %) | 60/44 (55.7/42.3) |
Race (n, %) | |
Caucasian | 90 (86.5) |
African/African American | 4 (3.8) |
Latin American | 9 (8.7) |
Asian | 1 (1) |
Primary end-stage renal disease (n, %): | |
Nephroangiosclerosis | 12 (11.5) |
Diabetic nephropathy | 17 (16.3) |
Glomerulonephritis | 30 (28.8) |
Polycystic kidney disease | 13 (12.5) |
Other | 11 (10.6) |
Uncertain | 21 (20.2) |
Comorbidities (n, %) | |
Diabetes | 32 (30.8) |
Arterial hypertension | 90 (86.5) |
Obesity | 28 (26.9) |
Pulmonary disease | 16 (15.4) |
Heart disease | 31 (29.8) |
Active neoplasm | 8 (7.7) |
Lymphopenia before admission | 45 (43.3) |
ACEI/ARB use (n, %) | 37 (35.6) |
Nosocomial COVID-19 infection (n, %) | 15 (14.4) |
Transplant characteristics | |
Time after transplant <6 mo (n, %) | 15 (14.4) |
Time (mo, median, IQR) | 59 (18-130) |
Type of transplant (n, %) | |
KT/combined transplanta | 100/4 (96.2/3.8) |
First KT/repeat transplant | 88/16 (84.6/15.4) |
Type of donor (n, %) | |
Deceased/living | 90/14 (86.5/13.5) |
Standard criteria/expanded criteriab | 48/42 (46.1)/ (40.3) |
Induction therapy (n, %) | |
None | 11 (10.6) |
Rabbit antithymocyte globulin | 37 (35.6) |
Basiliximab | 56 (53.8) |
Maintenance therapy (n, %) | |
TAC use | 89 (85.5) |
Cyclosporine use | 3 (2.88) |
mTOR inhibitor use | 20 (19.28) |
MMF/MPA use | 87 (83.6) |
Prednisone use | 96 (92.3) |
Basal serum creatinine (µmol/L) (mean ± SD) | 158.6 ± 79.1 |
Basal eGFR CKD-EPI (mL/min/1.73 m2) (mean ± SD) | 48.2 ± 21.9 |
Initial clinical symptoms | |
Cough (n, %) | 71 (68.3) |
Dyspnea (n, %) | 38 (36.5) |
Diarrhea (n, %) | 32 (30.8) |
Myalgias (n, %) | 34 (32.7) |
Fever (n, %) | 81 (77.9) |
Abbreviations: CNI, calcineurin inhibitor; eGFR, estimated glomerular filtration rate; MMF/MPA, mycophenolate mofetil or mycophenolic acid; mTOR, mammalian target of rapamycin; TAC, tacrolimus.
Multiorgan transplant: 1 pancreas–kidney and 3 liver–kidney.
Expanded criteria donor refer to older kidney donors (≥60 years old) or donors who are aged 50-59 years and have 2 of the following 3 features: hypertension, terminal serum creatinine >1.5 mg/dL, or death from cerebrovascular accident.