|
KMID : 0361120230370020095
|
|
Korean Journal of Transplantation
2023 Volume.37 No. 2 p.95 ~ p.102
|
|
|
Safely navigating kidney transplantation during the COVID-19 pandemic: the Singapore General Hospital’s experience
|
|
Ye Shin-Hee
Ian Tatt Liew
Quan Yao Ho
Sobhana Thangaraju
Maslinna Binte Abdul Rahman
Constance Lee
Nicole Chelsi Xin Hui Leah
Xia He
Li Ting Siew
Terence Yi Shern Kee
|
|
|
Abstract
|
|
|
Background : The coronavirus disease 2019 (COVID-19) pandemic curtailed transplant activities worldwide, driven by concerns about increased COVID-19-related mortality among kidney transplant recipients (KTRs), infections originating from donors, and decreased availability of surgical and intensive care resources as healthcare resources are reallocated for pandemic response. We examined the outcomes of KTRs at our center before and during the COVID-19 pandemic.
Methods : We conducted a retrospective single-center cohort study examining the characteristics and outcomes of patients undergoing kidney transplantation during two periods: January 1, 2017 to December 31, 2019 (pre-COVID-19 era) and January 1, 2020 to June 30, 2022 (COVID-19 era). We reviewed perioperative and COVID-19 infection-related outcomes in both groups.
Results : A total of 114 transplants were performed during the pre-COVID-19 era, while 74 transplants were conducted during the COVID-19 era. No differences in baseline demographics were observed. Additionally, there were no significant differences in perioperative outcomes, except for a longer cold ischemia time during the COVID-19 era. However, this did not result in an increased incidence of delayed graft function. Among the KTRs infected with COVID-19 during the pandemic era, no severe complications such as pneumonia, acute kidney injury, or death were reported.
Conclusions : With the global transition to an endemic phase of COVID-19, it is imperative to revitalize organ transplant activities. Effective containment workflow, good vaccination uptake, and prompt COVID-19 treatment are essential to ensure that transplants can proceed safely.
|
|
|
KEYWORD
|
|
|
COVID-19, Organ transplantation, Safety
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|