Outcome of Kidney Transplant Recipients During Covid-19 Pandemic

COVID-19 and kidney transplantation

Authors

  • Md Towhid Belal Department of Urology, Dhaka Medical College, Dhaka, Bangladesh
  • Nahid Rahman Zico Department of Urology, Dhaka Medical College, Dhaka, Bangladesh
  • Tanvir Ahmed Chowdhury Department of Urology, Dhaka Medical College, Dhaka, Bangladesh
  • Md Rezwanur Rahman Department of Nephrology, Bangladesh Medical College, Dhaka, Bangladesh
  • Nazim Uddin Md Arif Uttara Adhunik Medical College, Dhaka, Bangladesh
  • Md Kamrul Islam Center for Kidney Diseases and Urology Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bmrcb.v48i1.60658

Keywords:

Kidney transplant, Kidneys transplant recipients, Impact of COVID-19, Serum creatinine

Abstract

Background: Kidney recipients constitute a vulnerable group of population and may have high risk of morbidity and mortality when infected with COVID-19.

Objective: To a assess the overall outcome as well as the incidence and impact of COVID-19 among recipients who underwent transplantation during the pandemic

Methods: A pre-designed follow up protocol was set to prospectively analyse the data obtaining from the recipients who underwent renal transplantation since 8 March 2010, the first appearance of COVID-19 in Bangladesh till 31 December, 2020. Outcome parameters were renal functional status; surgical, urological, immunological and medical complications; and incidence of COVID-19 and its outcome during the first 12 weeks post-transplant period.

Results: Out of 100 patients, 82.0% were male and 18.0% were female. Serum creatinine levels (μmol/L) at 4, 8 and 12 weeks post-transplant were 200 in 6.0%, 5.0% and 6.0% respectively. Graft nephrectomy was done in 3 cases due to vascular complications. Five (5.0%) patients presented with symptoms of COVID-19, among them, 2 cases were confirmed with RT-PCR. There were 6 death cases, and septicaemia was the most common cause of death. The overall mortality rate was 6.0% in our study population but in COVID-19 confirmed cases it was 50.0%.

Conclusion: During this pandemic, the overall outcome of renal transplantation was excellent and the incidence of symptomatic COVID-19 among transplant recipients was not higher than the incidence observed in general population of Bangladesh. But among the COVID-19 confirmed recipients, mortality rate was significantly higher.

Bangladesh Med Res Counc Bull 2022; 48(1): 33-40      

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Published

2022-09-05

How to Cite

Belal, M. T., Zico , N. R. ., Chowdhury , T. A. ., Rahman , M. R. ., Md Arif , N. U. ., & Islam , M. K. . (2022). Outcome of Kidney Transplant Recipients During Covid-19 Pandemic : COVID-19 and kidney transplantation. Bangladesh Medical Research Council Bulletin, 48(1), 33–40. https://doi.org/10.3329/bmrcb.v48i1.60658

Issue

Vol. 48 No. 1 (2022)

Section

Research Papers

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