Yıl: 2022 Cilt: 7 Sayı: 2 Sayfa Aralığı: 306 - 312 Metin Dili: İngilizce DOI: 10.26453/otjhs.1053963 İndeks Tarihi: 29-07-2022

Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine

Öz:
Objective: We aimed to evaluate the long-term graft functions of kidney transplant recepients (KTR) who have been cured of the COVID-19 and to investigate the role of inactivated COVID-19 vaccine in the clinical course of the disease.Materials and Methods: KTR who had COVID-19 pneumonia between March 2020 and September 2021 were included in the study.. The clinical course of the disease was evaluated in vaccinated patients and compared with those who were not vaccinated. The laboratory information of the patients at the time of admission to the hospital, 6 months and 12 months after the disease was recorded.Results: Of the 83 patients included, 67.5% were male. COVID-19 disease developed in 20 patients after vaccination. Vaccine; it decreased the development of acute kidney injury (AKI) 5.9 fold and hospitalization in the intensive care unit (ICU) 1.4 times fold (p<0.05). In the follow-up, 10 patients died at the first admission to the hospital and no late death was recorded in the first year. Dialysis treatment was started in 5 patients due to graft loss.Conclusion: In kidney transplant patients, graft dysfunction may develop after COVID-19 infection. However, the inactivated COVID-19 vaccine; it can reduce the risks of hospitalization, AKI, and ICUadmission.
Anahtar Kelime: COVİD-19

Böbrek Transplant Hastalarında COVID-19 Hastalığın Uzun Süreli Takip Sonuçları ve COVID-19 İnaktif Aşısının Etkisi Araştırılması

Öz:
Amaç: COVID-19 tedavisi gören böbrek nakli alıcılarının uzun dönem greft fonksiyonlarını değerlendirmeyi ve hastalığın klinik seyrinde inaktive aşının rolünü araştırmayı amaçladık.Materyal ve Metot: Mart 2020-Eylül 2021 tarihler arasında COVID-19 pnömonisi geçiren böbrek nakli olmuş hastalar çalışmaya dahil edildi.. Aşı olan hastalarda hastalığın klinik seyri değerlendirildi ve aşı olmayanlar ile karşılaştırıldı. Hastaların hastaneye başvuru anı, hastalığı geçirdikten 6 ay ve 12 ay sonraki laboratuvar bilgileri kaydedildi.Bulgular: Çalışmaya COVID-19 enfeksiyonu olan hastaların 56'sı (%67,5) erkek olmak üzere toplam 83 hasta katıldı. Aşıdan sonra 20 hastada COVID-19 hastalığı gelişti. Aşı; akut böbrek hasarı (ABH) gelişimini 5,9 kat ve yoğun bakıma yatışı 1,4 kat azaltmıştır (p<0.05). İzlemde 10 hasta hastaneye ilk başvuruda öldü ve ilk yıl içinde geç ölüm kaydedilmedi. 5 hastaya greft kaybı nedeniyle diyaliz tedavisi başlandı.Sonuç: Böbrek nakli hastalarında COVID-19 enfeksiyonu sonrası greft disfonksiyonu gelişebilir. Bununla birlikte, COVID-19 inaktif aşısı; hastaneye yatış, ABHve yoğun bakıma yatış risklerini azaltabilir.
Anahtar Kelime: COVID-19

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
0
0
0
  • Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-733. doi:10.1056/NEJMoa2001017
  • Alberici F, Delbarba E, Manenti C, et al. A single center observational study of the clinical characteristics and short-term outcome of 20 kidney transplant patients admitted for SARS-CoV2 pneumonia. Kidney Int. 2020;97(6):1083-1088. doi:10.1016/j.kint.2020.04.002
  • Kataria A, Yakubu I, Winstead R, Gowda M, Gupta G. COVID-19 in Kidney Transplantation: Epidemiology, Management Considerations, and the Impact on Kidney Transplant Practice. Transplant Direct. 2020;6(8):e582. doi:10.1097/TXD.0000000000001031
  • Cravedi P, Mothi SS, Azzi Y, et al. COVID‐19 and kidney transplantation: Results from the TANGO International Transplant Consortium. Am J Transplant. 2020:10.1111/ajt.16185. doi:10.1111/ajt.16185
  • Mahalingasivam V, Craik A, Tomlinson LA, et al. A Systematic Review of COVID-19 and Kidney Transplantation. Kidney Int Rep. 2020;6(1):24-45. doi:10.1016/j.ekir.2020.10.023
  • Elec AD, Oltean M, Goldis P, et al. COVID-19 after kidney transplantation: Early outcomes and renal function following antiviral treatment. Int J Infect Dis. 2021;104:426-432. doi:10.1016/j.ijid.2021.01.023
  • Rozen-Zvi B, Yahav D, Agur T, et al. Antibody response to SARS-CoV-2 mRNA vaccine among kidney transplant recipients: a prospective cohort study. Clin Microbiol Infect. 2021;27(8):1173.e1-1173.e4. doi:10.1016/j.cmi.2021.04.028
  • Bajpai D, Deb S, Bose S, et al. Recovery of kidney function after AKI because of COVID-19 in kidney transplant recipients. Transpl Int. 2021;34(6):1074-1082. doi:10.1111/tri.13886
  • Dheir H, Sipahi S, Yaylacı S, et al. Clinical course of COVID-19 disease in immunosuppressed renal transplant patients. Turk J Med Sci. 2021;51(2):428-434. doi:10.3906/sag-2007-260
  • Abu Jawdeh BG. COVID-19 in Kidney Transplantation: Outcomes, Immunosuppression Management, and Operational Challenges. Adv Chronic Kidney Dis. 2020;27(5):383-389. doi:10.1053/j.ackd.2020.07.004
  • Huang C, Huang L, Wang Y, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220-232. doi:10.1016/S0140-6736(20)32656-8
  • Perico L, Benigni A, Casiraghi F, Ng LFP, Renia L, Remuzzi G. Immunity, endothelial injury and complement-induced coagulopathy in COVID-19. Nat Rev Nephrol. 2021;17(1):46-64. doi:10.1038/s41581-020-00357-4
  • Yang Q, Yang X. Incidence and risk factors of kidney impairment on patients with COVID-19: A meta-analysis of 10180 patients. PLoS One. 2020;15(11):e0241953. doi:10.1371/journal.pone.0241953
  • Argenziano MG, Bruce SL, Slater CL, et al. Characterization and clinical course of 1000 patients with coronavirus disease 2019 in New York: retrospective case series. BMJ. 2020;369:m1996. doi:10.1136/bmj.m1996
  • Loutradis C, Pitoulias AG, Pagkopoulou E, Pitoulias GA. Cardiovascular complications after COVID-19 in chronic kidney disease, dialysis and kidney transplant patients. Int Urol Nephrol. 2021. doi:10.1007/s11255-021-03059-3
  • Henry BM, de Oliveira MHS, Benoit S, Plebani M, Lippi G. Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis. Clin Chem Lab Med. 2020;58(7):1021-1028. doi:10.1515/cclm-2020-0369
  • Ponti G, Maccaferri M, Ruini C, Tomasi A, Ozben T. Biomarkers associated with COVID-19 disease progression. Crit Rev Clin Lab Sci. 2020:1-11. doi:10.1080/10408363.2020.1770685
  • Boyarsky BJ, Werbel WA, Avery RK, et al. Antibody Response to 2-Dose SARS-CoV-2 mRNA Vaccine Series in Solid Organ Transplant Recipients. JAMA. 2021;325(21):2204-2206. doi:10.1001/jama.2021.7489
  • Hou YC, Lu KC, Kuo KL. The Efficacy of COVID-19 Vaccines in Chronic Kidney Disease and Kidney Transplantation Patients: A Narrative Review. Vaccines (Basel). 2021;9(8):885. doi:10.3390/vaccines9080885
  • Wadei HM, Gonwa TA, Leoni JC, Shah SZ, Aslam N, Speicher LL. COVID-19 infection in solid organ transplant recipients after SARS-CoV-2 vaccination. Am J Transplant. 2021. doi:10.1111/ajt.16618
  • Kamar N, Abravanel F, Marion O, Couat C, Izopet J, Del Bello A. Three Doses of an mRNA Covid-19 Vaccine in Solid-Organ Transplant Recipients. N Engl J Med.2021; 385(7):661-662. doi:10.1056/NEJMc2108861
APA Firat N, Sipahi S, Gürkan Toçoğlu A, GENC A, pınar m, Akin E, YAYLACI S, Genc A, KARABAY O, dheir h (2022). Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. , 306 - 312. 10.26453/otjhs.1053963
Chicago Firat Necattin,Sipahi Savaş,Gürkan Toçoğlu Aysel,GENC AHMED CIHAD,pınar musa,Akin Emrah,YAYLACI SELÇUK,Genc Ahmed Bilal,KARABAY OĞUZ,dheir hamad Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. (2022): 306 - 312. 10.26453/otjhs.1053963
MLA Firat Necattin,Sipahi Savaş,Gürkan Toçoğlu Aysel,GENC AHMED CIHAD,pınar musa,Akin Emrah,YAYLACI SELÇUK,Genc Ahmed Bilal,KARABAY OĞUZ,dheir hamad Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. , 2022, ss.306 - 312. 10.26453/otjhs.1053963
AMA Firat N,Sipahi S,Gürkan Toçoğlu A,GENC A,pınar m,Akin E,YAYLACI S,Genc A,KARABAY O,dheir h Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. . 2022; 306 - 312. 10.26453/otjhs.1053963
Vancouver Firat N,Sipahi S,Gürkan Toçoğlu A,GENC A,pınar m,Akin E,YAYLACI S,Genc A,KARABAY O,dheir h Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. . 2022; 306 - 312. 10.26453/otjhs.1053963
IEEE Firat N,Sipahi S,Gürkan Toçoğlu A,GENC A,pınar m,Akin E,YAYLACI S,Genc A,KARABAY O,dheir h "Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine." , ss.306 - 312, 2022. 10.26453/otjhs.1053963
ISNAD Firat, Necattin vd. "Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine". (2022), 306-312. https://doi.org/10.26453/otjhs.1053963
APA Firat N, Sipahi S, Gürkan Toçoğlu A, GENC A, pınar m, Akin E, YAYLACI S, Genc A, KARABAY O, dheir h (2022). Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. Online Türk Sağlık Bilimleri Dergisi, 7(2), 306 - 312. 10.26453/otjhs.1053963
Chicago Firat Necattin,Sipahi Savaş,Gürkan Toçoğlu Aysel,GENC AHMED CIHAD,pınar musa,Akin Emrah,YAYLACI SELÇUK,Genc Ahmed Bilal,KARABAY OĞUZ,dheir hamad Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. Online Türk Sağlık Bilimleri Dergisi 7, no.2 (2022): 306 - 312. 10.26453/otjhs.1053963
MLA Firat Necattin,Sipahi Savaş,Gürkan Toçoğlu Aysel,GENC AHMED CIHAD,pınar musa,Akin Emrah,YAYLACI SELÇUK,Genc Ahmed Bilal,KARABAY OĞUZ,dheir hamad Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. Online Türk Sağlık Bilimleri Dergisi, vol.7, no.2, 2022, ss.306 - 312. 10.26453/otjhs.1053963
AMA Firat N,Sipahi S,Gürkan Toçoğlu A,GENC A,pınar m,Akin E,YAYLACI S,Genc A,KARABAY O,dheir h Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. Online Türk Sağlık Bilimleri Dergisi. 2022; 7(2): 306 - 312. 10.26453/otjhs.1053963
Vancouver Firat N,Sipahi S,Gürkan Toçoğlu A,GENC A,pınar m,Akin E,YAYLACI S,Genc A,KARABAY O,dheir h Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine. Online Türk Sağlık Bilimleri Dergisi. 2022; 7(2): 306 - 312. 10.26453/otjhs.1053963
IEEE Firat N,Sipahi S,Gürkan Toçoğlu A,GENC A,pınar m,Akin E,YAYLACI S,Genc A,KARABAY O,dheir h "Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine." Online Türk Sağlık Bilimleri Dergisi, 7, ss.306 - 312, 2022. 10.26453/otjhs.1053963
ISNAD Firat, Necattin vd. "Investigation of Long-Term Follow-up Results of COVID-19 Disease in Kidney TransplantPatients and the Effect of Inactive COVID-19 Vaccine". Online Türk Sağlık Bilimleri Dergisi 7/2 (2022), 306-312. https://doi.org/10.26453/otjhs.1053963