Comparison of 30-day case-fatality rate between dialysis and transplant Covid-19 patients: a propensity score matched cohort study

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Federal Do Ceará-
Autor(es): dc.contributorHospital Universitário Walter Cantídio-
Autor(es): dc.contributorHospital Geral de Fortaleza-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorFundação Oswaldo Ramos-
Autor(es): dc.contributorUniversidade Federal de São Paulo (UNIFESP)-
Autor(es): dc.contributorHospital Israelita Albert Einstein-
Autor(es): dc.contributorUniversidade Federal Fluminense (UFF)-
Autor(es): dc.creatorde Sandes-Freitas, Tainá Veras-
Autor(es): dc.creatorde Andrade, Luís Gustavo Modelli-
Autor(es): dc.creatorMoura, Lucio Roberto Requião-
Autor(es): dc.creatorCristelli, Marina Pontello-
Autor(es): dc.creatorMedina-Pestana, José Osmar-
Autor(es): dc.creatorLugon, Jocemir Ronaldo-
Autor(es): dc.creatorSesso, Ricardo-
Data de aceite: dc.date.accessioned2025-08-21T18:55:39Z-
Data de disponibilização: dc.date.available2025-08-21T18:55:39Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2021-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1007/s40620-021-01172-1-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/231539-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/231539-
Descrição: dc.descriptionBackground and objectives: Patients undergoing kidney replacement therapies (KRTs) have a poor prognosis after Covid-19 infection. Few studies have compared the outcomes of such patients in the different KRT modalities. This study aimed to analyze the 30-day Covid-19-associated case-fatality rate of dialysis and kidney transplant patients. Methods: Retrospective cohort study analyzing data from patients with confirmed Covid-19 between Mar/20 and Jan/21 included in two multicenter studies, the Brazilian Covid-19 Dialysis Study (Dialysis group, n = 703) and the Covid-19-KT Brazilian Study (Transplant group, n = 1907). To assess the risk factors for death, adjusted Cox hazards models were used. A sensitivity analysis was performed using a propensity score analysis to match the groups (n = 587 patients in each group). Results: A higher percentage of transplant patients required hospitalization (68 vs. 51%, p < 0.001), intensive care (37 vs. 30%, p = 0.023), and invasive mechanical ventilation (28 vs. 22%, p = 0.035). Multivariate analysis of the before-matching sample showed that subjects in the transplant group were at a lower death risk at baseline (HR 0.380.560.85). However, they showed higher risk over time (HR 1.031.061.09). Kaplan–Meier analysis after propensity score matching confirmed the inferior 30-day cumulative survival in the transplant recipients (83 vs. 78%, p = 0.0014). Conclusion: Both transplant and dialysis patients have high 30-day case-fatality rates after a Covid-19 diagnosis. Despite lower death risk at baseline, transplant patients have an increased death risk of 6% per day than dialysis patients. Graphical Abstract: [Figure not available: see fulltext.]-
Descrição: dc.descriptionPrograma de Pós-Graduação Em Ciências Médicas Departamento de Medicina Clínica Faculdade de Medicina Universidade Federal Do Ceará, CE-
Descrição: dc.descriptionHospital Universitário Walter Cantídio, CE-
Descrição: dc.descriptionHospital Geral de Fortaleza, CE-
Descrição: dc.descriptionDepartamento de Medicina Interna Universidade Estadual Paulista-UNESP, SP-
Descrição: dc.descriptionHospital Do Rim Fundação Oswaldo Ramos, SP-
Descrição: dc.descriptionDepartamento de Medicina Disciplina de Nefrologia Universidade Federal de São Paulo. Rua Botucatu, 740, SP-
Descrição: dc.descriptionUnidade de Transplante Renal Hospital Israelita Albert Einstein, SP-
Descrição: dc.descriptionDepartamento de Medicina Divisão de Nefrologia Universidade Federal Fluminense, RJ-
Descrição: dc.descriptionDepartamento de Medicina Interna Universidade Estadual Paulista-UNESP, SP-
Formato: dc.format131-141-
Idioma: dc.languageen-
Relação: dc.relationJournal of Nephrology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCOVID-19-
Palavras-chave: dc.subjectKidney transplantation-
Palavras-chave: dc.subjectPropensity score-
Palavras-chave: dc.subjectRenal dialysis-
Título: dc.titleComparison of 30-day case-fatality rate between dialysis and transplant Covid-19 patients: a propensity score matched cohort study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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