Journal article
COVID‐19 in pediatric kidney transplantation: The Improving Renal Outcomes Collaborative
American journal of transplantation, Vol.21(8), pp.2740-2748
02/11/2021
DOI: 10.1111/ajt.16501
PMID: 33452854
Abstract
There are limited data on the impact of COVID‐19 in children with a kidney transplant (KT). We conducted a prospective cohort study through the Improving Renal Outcomes Collaborative (IROC) to collect clinical outcome data about COVID‐19 in pediatric KT patients. Twenty‐two IROC centers that care for 2732 patients submitted testing and outcomes data for 281 patients tested for SARS‐CoV‐2 by PCR. Testing indications included symptoms and/or potential exposures to COVID‐19 (N = 134, 47.7%) and/or testing per hospital policy (N = 154, 54.8%). Overall, 24 (8.5%) patients tested positive, of which 15 (63%) were symptomatic. Of the COVID‐19‐positive patients, 16 were managed as outpatients, six received non‐ICU inpatient care and two were admitted to the ICU. There were no episodes of respiratory failure, allograft loss, or death associated with COVID‐19. To estimate incidence, subanalysis was performed for 13 centers that care for 1686 patients that submitted all negative and positive COVID‐19 results. Of the 229 tested patients at these 13 centers, 10 (5 asymptomatic) patients tested positive, yielding an overall incidence of 0.6% and an incidence among tested patients of 4.4%. Pediatric KT patients in the United States had a low estimated incidence of COVID‐19 disease and excellent short‐term outcomes.
Details
- Title: Subtitle
- COVID‐19 in pediatric kidney transplantation: The Improving Renal Outcomes Collaborative
- Creators
- Charles Varnell - Cincinnati Children’s Hospital Medical Center Cincinnati Ohio, University of Cincinnati College of Medicine Cincinnati OhioLyndsay A Harshman - University of Iowa Stead Family Children’s Hospital Iowa City IowaLaurie Smith - Cincinnati Children’s Hospital Medical Center Cincinnati OhioChunyan Liu - Cincinnati Children’s Hospital Medical Center Cincinnati OhioShiran Chen - Cincinnati Children’s Hospital Medical Center Cincinnati OhioSamhar Al‐Akash - Driscoll Children’s Hospital Corpus Christi TexasGina‐Marie Barletta - Phoenix Children’s HospitalUniversity of Arizona Phoenix ArizonaCraig Belsha - SSM Health Cardinal Glennon Children's Hospital Saint Louis MissouriPaul Brakeman - Department of Pediatrics University of California San Francisco CaliforniaAbanti Chaudhuri - Lucile Packard Children’s HospitalStanford University Stanford CaliforniaPaul Fadakar - UPMC Children’s Hospital of Pittsburgh Pittsburgh PennsylvaniaRouba Garro - Children’s Healthcare of AtlantaEmory School of Medicine Atlanta GeorgiaCaroline Gluck - Nemours/Alfred I. duPont Hospital for Children Wilmington DelawareJens Goebel - Children’s Hospital Colorado Aurora ColoradoDavid Kershaw - C.S. Mott Children’s Hospital Ann Arbor MichiganDebora Matossian - Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago IllinoisCorina Nailescu - Riley Hospital for Children at Indiana University Health Indianapolis IndianaHiren P Patel - Nationwide Children’s Hospital Columbus OhioCozumel Pruette - Johns Hopkins University School of Medicine Baltimore MarylandSaritha Ranabothu - Arkansas Children’s Hospital Little Rock ArkansasNancy Rodig - Boston Children’s HospitalHarvard Medical School Boston MassachusettsJodi Smith - Seattle Children’s Hospital Seattle WashingtonJudith Sebestyen VanSickle - Children’s Mercy Kansas City Kansas City MissouriPatricia Weng - UCLA Mattel Children’s Hospital Los Angeles CaliforniaLara Danziger‐Isakov - Cincinnati Children’s Hospital Medical Center Cincinnati Ohio, University of Cincinnati College of Medicine Cincinnati OhioDavid K Hooper - Cincinnati Children’s Hospital Medical Center Cincinnati Ohio, University of Cincinnati College of Medicine Cincinnati OhioMichael Seifert - University of Alabama at BirminghamChildren’s of Alabama Birmingham Alabama
- Resource Type
- Journal article
- Publication Details
- American journal of transplantation, Vol.21(8), pp.2740-2748
- DOI
- 10.1111/ajt.16501
- PMID
- 33452854
- ISSN
- 1600-6135
- eISSN
- 1600-6143
- Grant note
- DOI: 10.13039/100006108, name: National Center for Advancing Translational Sciences, award: 2KL2TR001426‐05A1; DOI: 10.13039/100000062, name: National Institute of Diabetes and Digestive and Kidney Diseases, award: R01DK126807
- Language
- English
- Date published
- 02/11/2021
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Radiation Oncology
- Record Identifier
- 9984070837302771
Metrics
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