Outcomes of COVID-19 in solid organ transplant recipients: A matched cohort study

Marcus R. Pereira, Selim Arcasoy, Maryjane A. Farr, Sumit Mohan, Jean C. Emond, Demetra S. Tsapepas, Qiuhu Shi, Lawrence Purpura, Anne Catrin Uhlemann, Jason Zucker, Elizabeth C. Verna

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Whether solid organ transplant (SOT) recipients are at increased risk of poor outcomes due to COVID-19 in comparison to the general population remains uncertain. In this study, we compared outcomes of SOT recipients and non-SOT patients hospitalized with COVID-19 in a propensity score matched analysis based on age, race, ethnicity, BMI, diabetes, and hypertension. After propensity matching, 117 SOT recipients and 350 non-SOT patients were evaluated. The median age of SOT recipients was 61 years, with a median time from transplant of 5.68 years. The most common transplanted organs were kidney (48%), followed by lung (21%), heart (19%), and liver (10%). Overall, SOT recipients were more likely to receive COVID-19 specific therapies and to require ICU admission. However, mortality (23.08% in SOT recipients vs. 23.14% in controls, P =.21) and highest level of supplemental oxygen (P =.32) required during hospitalization did not significantly differ between groups. In this propensity matched cohort study, SOT recipients hospitalized with COVID-19 had similar overall outcomes as non-SOT recipients, suggesting that chronic immunosuppression may not be an independent risk factor for poor outcomes in COVID-19.

Original languageEnglish (US)
Article numbere13637
JournalTransplant Infectious Disease
Volume23
Issue number4
DOIs
StatePublished - Aug 2021
Externally publishedYes

Keywords

  • COVID-19
  • transplant
  • viral infections

ASJC Scopus subject areas

  • Infectious Diseases
  • Transplantation

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