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. 2020 Dec 8;25:e926992-1–e926992-12. doi: 10.12659/AOT.926992

Table 3.

Patient responses to questions on COVID-19 vs. presence of IHL (n=71).

Entire cohort (n=71) IHL |(n=34) Non-IHL (n=37) p-Value
General outlook of pandemic (%)

1) Do you think that the COVID-19 situation is serious in Singapore? Yes 81.7 76.5 86.5 0.54
No 14.1 17.6 10.8
Do not know 4.2 5.9 2.7

2) Do you think that the COVID-19 situation is serious globally? Yes 93.0 91.2 94.6 0.57
No 5.6 5.9 5.4
Do not know 1.4 2.9 0

3) Do you think that this COVID-19 situation will last less than a year? Yes 31.0 44.1 18.9 0.07
No 52.1 44.1 59.5
Do not know 16.9 11.8 21.6

4) Do you think that the COVID-19 situation will last beyond a year? Yes 59.2 52.9 64.9 0.43
No 25.4 32.4 18.9
Do not know 15.5 14.7 16.2

Self-assessment of situation on waitlist (%)

5) Do you feel hopeful of getting a transplant? (i.e. An organ will eventually come to you) Yes 73.2 70.6 75.7 0.71
No 12.7 11.8 13.5
Do not know 14.1 17.6 10.8

6) Are you aware that you can drop out of the waiting list if your condition changes such that you are not suitable for transplant? Yes 78.9 85.3 73.0 0.42
No 11.3 8.8 13.5
Do not know 9.9 5.9 13.5

7) Do you personally think that you will drop out of the waiting list (death or progression of disease) before you get called for an organ? Yes 16.9 17.6 16.2 0.94
No 57.7 58.8 56.8
Do not know 25.4 23.5 27.0

Impact of COVID-19 on transplant (%)

8) Do you think that organ transplantation should continue during this time? Yes 70.4 70.6 70.3 0.47
No 19.7 23.5 16.2
Do not know 9.9 5.9 13.5

9) Do you think COVID-19 is reducing your chance of getting a transplant? Yes 56.3 58.8 54.1 0.48
No 29.6 23.5 35.1
Do not know 14.1 17.6 10.8

10) Would you undergo an organ transplant now if an organ becomes available? Yes 83.1 85.3 81.1 0.76
No 8.5 8.8 8.1
Do not know 8.5 5.9 10.8

11) Do you think that it is easier for a transplanted patient to contract COVID-19 compared to a regular person? (If both were similarly exposed to patient with COVID-19) Yes 69.0 70.6 67.6 0.44
No 16.9 11.8 21.6
Do not know 14.1 17.6 10.8

12) Do you think a COVID-19 infection is more dangerous for a transplanted patient? (compared to a regular person) Yes 83.1 85.3 81.1 0.76
No 8.5 8.8 8.1
Do not know 8.5 5.9 10.8

Donor-derived infections (%)

13) Do you think it is safe to receive organs from a COVID-19 positive donor? Yes 8.5 11.8 5.4 0.06
No 71.8 58.8 83.8
Do not know 19.7 29.4 10.8

14) Do you think it is possible for COVID-19 to transmit via organ transplantation? Yes 54.9 61.8 48.6 0.41
No 9.9 5.9 13.5
Do not know 35.2 32.4 37.8

15) Do you feel confident that the donor can be adequately tested to exclude COVID-19? Yes 70.4 64.7 75.7 0.39
No 9.9 14.7 14.7
Do not know 19.7 20.6 20.6

16) All tests are imperfect. There is a chance that the donor can have COVID-19 even if the tests are negative (just like HIV, HCV). Knowing that, even though the chance is very small, would you still agree to a transplant? Yes 66.2 70.6 62.2 0.38
No 15.5 17.6 17.6
Do not know 18.3 11.8 11.8

Peri- and post-transplant care (%)

17) Do you feel that your hospital is taking adequate precautions in protecting you from hospital acquired COVID-19 infection? Yes 95.8 100 91.9 0.24
No 2.8 0 5.4
Do not know 1.4 0 2.7

18) If you are admitted for transplant, would you be worried about catching COVID-19 from other patients? Yes 40.8 50.0 32.4 0.26
No 53.5 47.1 59.5
Do not know 5.6 2.9 8.1

19) If you are admitted for transplant, would you be worried about catching COVID-19 from healthcare staff? Yes 35.2 38.2 32.4 0.17
No 54.9 58.8 51.4
Do not know 9.9 2.9 16.2

20) Would you undergo a transplant at a hospital that is treating COVID-19 patients? Yes 67.6 70.6 64.9 0.88
No 22.5 20.6 24.3
Do not know 9.9 8.8 10.8

21) Would you undergo an organ transplant now if you cannot have visitors during your hospitalization? Yes 70.4 73.5 67.6 0.38
No 26.8 26.5 27.0
Do not know 2.8 0.0 5.4

22) Are you concerned about travelling to and from the hospital after transplant during this time? Yes 29.6 32.4 27.0 0.62
No 70.4 67.6 73.0
Do not know 0 0 0

23) Are you concerned that COVID-19 will affect your ability to get your medications? Yes 19.7 20.6 18.9 0.56
No 78.9 76.5 81.1
Do not know 1.4 2.9 0

24) Are you concerned that your caregiver is at increased risk of contracting COVID-19 if you undergo a transplant? Yes 36.6 38.2 35.1 0.80
No 53.5 50.0 56.8
Do not know 9.9 11.8 8.1

25) Healthcare workers will have to travel around the country in order to perform organ donation procedures. Do you think this puts them at risk of contracting COVID-19? Yes 62.0 58.8 64.9 0.85
No 15.5 17.6 13.5
Do not know 22.5 23.5 21.6

26) Since healthcare workers must travel around the country for organ donation, do you think that organ transplantation should continue? Yes 73.2 70.6 75.7 0.10
No 12.7 20.6 5.4
Do not know 14.1 8.8 18.9

Willingness to proceed with transplant (%)

27) Since COVID-19 is everywhere, do you think that the process of transplant will put you at an increased risk of contracting COVID-19? Yes 56.3 61.8 51.4 0.46
No 36.6 29.4 29.4
Do not know 7.0 8.8 8.8

28) Would you rather wait till the whole COVID-19 situation is over before going for transplant? Yes 38.0 44.1 32.4 0.53
No 47.9 41.2 54.1
Do not know 14.1 14.7 13.5

29) If, you receive an organ offer today, and there is no foreseeable end to COVID-19, will you proceed with transplant? Yes 71.8 70.6 73.0 0.18
No 16.9 23.5 10.8
Do not know 11.3 5.9 16.2

30) If, you receive an organ offer today, and know that you cannot wait that long (medically) for COVID-19 to end, will you proceed with transplant? Yes 87.3 82.4 91.9 0.38
No 11.3 14.7 8.1
Do not know 1.4 2.9 0

IHL – inadequate health literacy.