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. 2021 Jul 31;27(9):1312–1325. doi: 10.1002/lt.26194

TABLE 2.

Outcomes and Predictors of COVID‐19 in Liver Transplantation Recipients

Study Cohort Outcomes in SOT and Liver Transplantation Recipients Outcomes in Comparator Group
Pereira et al.( 72 )
  • 90 SOT recipients, including 13 liver and 1 liver‐kidney recipient

  • 75.6% of patients had moderate or severe disease

  • Mortality rate of 17.8%

  • No difference in outcomes by type of organ transplantation

N/A
May 2020
2 centers in New York City
Belli et al.( 73 )
  • 103 liver transplantation recipients

  • Mortality rate of 15.0%

  • No patient deaths reported among the 27 patients under the age of 60 years

N/A
June 2020
Multicenter European cohort
Colmenero et al.( 74 )
  • 111 liver transplantation recipients

  • Comparator group: matched patients from general population

  • Mortality rate of 18.0%

  • No patient deaths reported in transplantation recipients under the age of 60 years

  • Risk of severe COVID‐19 with mycophenolate (relative risk, 3.94) but not calcineurin inhibitors or everolimus

  • Mortality rate of 14.9%

August 2020
25 centers in Spain
Webb et al.( 76 )
  • 151 liver transplantation recipients

  • Comparator group: 627 patients with SARS‐CoV‐2 infection without a history of transplantation

  • Mortality rate of 18.5%

  • Hospitalization in 82.1% of patients

  • ICU admission in 28.5% of patients

  • Increased age, serum creatinine, and nonliver cancer associated with increased mortality

  • Mortality rate of 26.6%

  • Hospitalization in 75.6% of patients

  • ICU admission in 8.3% of patients

August 2020
International registry study
Rabiee et al.( 75 )
  • 112 liver transplantation recipients

  • Comparator group: age‐ and sex‐matched nontransplantation patients with CLD and COVID‐19 (n = 375)

  • Mortality rate of 22.3%

  • ALI in 34.6%

  • Changes in immunosuppression not associated with ALI or mortality

  • ALI associated with mortality and ICU admission

  • ALI in 47.5%

September 2020
15 centers in the United States
Becchetti et al.( 92 )
  • 57 liver transplantation recipients

  • Mortality rate of 12.0%

  • Immunosuppression reduction in 38.6% and discontinuation in 7.0% of patients, no impact on patient outcomes

N/A
June 2020
12 centers in Europe
Mansoor et al.( 77 )
  • 126 liver transplantation recipients

  • Comparator group: propensity score–matched (on age, race, key comorbidities) nonliver transplantation recipients

  • Risk of hospitalization 40.0%

  • Risk of hospitalization 23.0%

  • In adjusted analysis, no difference in risk of mortality, thrombosis, and ICU requirement between liver transplantation and comparator group

September 2020
Health research network database