Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021000200063 |
Resumo: | SUMMARY OBJECTIVE: This study aims to describe the result of the strategies adopted to maintain the transplant program amid the COVID-19 pandemic. METHODS: Since March 2020, several measures have been adopted sequentially, including the compulsory use of personal protective equipment and the real-time polymerase chain reaction testing of collaborators, symptomatic patients, potential deceased donors, candidates for recipients, and in-hospital readmissions, regardless of symptoms. The living-donor transplantation was restricted to exceptional cases. RESULTS: Among 1013 health professionals, 201 cases of COVID-19 were confirmed between March and August 2020, with no severe cases reported. In this period, we observed a 19% institutional increase in the number of transplants from deceased donors compared with that observed in the same period in 2019. There was no donor-derived severe acute respiratory syndrome virus (SARS-CoV-2) infection. Four COVID-19-positive patients underwent transplantation; after 28 days, all were alive and with functioning allograft. Among the 11,875 already transplanted patients being followed up, there were 546 individuals with confirmed diagnosis, 372 who required hospitalization, and 167 on mechanical ventilation, resulting in a 27% mortality rate. CONCLUSIONS: These data confirm that the adoption of sequential and coordinated measures amid the pandemic was able to successfully maintain the transplant program and ensure the safety of health professionals and transplanted patients who were already in follow-up. |
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Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemicDelivery of health careChronic kidney diseaseKidney transplantationCoronavirus infectionsSUMMARY OBJECTIVE: This study aims to describe the result of the strategies adopted to maintain the transplant program amid the COVID-19 pandemic. METHODS: Since March 2020, several measures have been adopted sequentially, including the compulsory use of personal protective equipment and the real-time polymerase chain reaction testing of collaborators, symptomatic patients, potential deceased donors, candidates for recipients, and in-hospital readmissions, regardless of symptoms. The living-donor transplantation was restricted to exceptional cases. RESULTS: Among 1013 health professionals, 201 cases of COVID-19 were confirmed between March and August 2020, with no severe cases reported. In this period, we observed a 19% institutional increase in the number of transplants from deceased donors compared with that observed in the same period in 2019. There was no donor-derived severe acute respiratory syndrome virus (SARS-CoV-2) infection. Four COVID-19-positive patients underwent transplantation; after 28 days, all were alive and with functioning allograft. Among the 11,875 already transplanted patients being followed up, there were 546 individuals with confirmed diagnosis, 372 who required hospitalization, and 167 on mechanical ventilation, resulting in a 27% mortality rate. CONCLUSIONS: These data confirm that the adoption of sequential and coordinated measures amid the pandemic was able to successfully maintain the transplant program and ensure the safety of health professionals and transplanted patients who were already in follow-up.Associação Médica Brasileira2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021000200063Revista da Associação Médica Brasileira v.67 suppl.1 2021reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.67.suppl1.20200766info:eu-repo/semantics/openAccessPestana,José MedinaCristelli,Marina PontelloViana,Laila AlmeidaFernandes,Ruan de AndradeNakamura,Monica RikaForesto,Renato DemarchiMartins,Suelen Bianca StopaSantos,Daniel Wagner de Castro LimaAguiar,Wilson FerreiraVaz,Maria Lucia dos Santoseng2021-08-19T00:00:00Zoai:scielo:S0104-42302021000200063Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2021-08-19T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic |
title |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic |
spellingShingle |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic Pestana,José Medina Delivery of health care Chronic kidney disease Kidney transplantation Coronavirus infections |
title_short |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic |
title_full |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic |
title_fullStr |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic |
title_full_unstemmed |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic |
title_sort |
Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic |
author |
Pestana,José Medina |
author_facet |
Pestana,José Medina Cristelli,Marina Pontello Viana,Laila Almeida Fernandes,Ruan de Andrade Nakamura,Monica Rika Foresto,Renato Demarchi Martins,Suelen Bianca Stopa Santos,Daniel Wagner de Castro Lima Aguiar,Wilson Ferreira Vaz,Maria Lucia dos Santos |
author_role |
author |
author2 |
Cristelli,Marina Pontello Viana,Laila Almeida Fernandes,Ruan de Andrade Nakamura,Monica Rika Foresto,Renato Demarchi Martins,Suelen Bianca Stopa Santos,Daniel Wagner de Castro Lima Aguiar,Wilson Ferreira Vaz,Maria Lucia dos Santos |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Pestana,José Medina Cristelli,Marina Pontello Viana,Laila Almeida Fernandes,Ruan de Andrade Nakamura,Monica Rika Foresto,Renato Demarchi Martins,Suelen Bianca Stopa Santos,Daniel Wagner de Castro Lima Aguiar,Wilson Ferreira Vaz,Maria Lucia dos Santos |
dc.subject.por.fl_str_mv |
Delivery of health care Chronic kidney disease Kidney transplantation Coronavirus infections |
topic |
Delivery of health care Chronic kidney disease Kidney transplantation Coronavirus infections |
description |
SUMMARY OBJECTIVE: This study aims to describe the result of the strategies adopted to maintain the transplant program amid the COVID-19 pandemic. METHODS: Since March 2020, several measures have been adopted sequentially, including the compulsory use of personal protective equipment and the real-time polymerase chain reaction testing of collaborators, symptomatic patients, potential deceased donors, candidates for recipients, and in-hospital readmissions, regardless of symptoms. The living-donor transplantation was restricted to exceptional cases. RESULTS: Among 1013 health professionals, 201 cases of COVID-19 were confirmed between March and August 2020, with no severe cases reported. In this period, we observed a 19% institutional increase in the number of transplants from deceased donors compared with that observed in the same period in 2019. There was no donor-derived severe acute respiratory syndrome virus (SARS-CoV-2) infection. Four COVID-19-positive patients underwent transplantation; after 28 days, all were alive and with functioning allograft. Among the 11,875 already transplanted patients being followed up, there were 546 individuals with confirmed diagnosis, 372 who required hospitalization, and 167 on mechanical ventilation, resulting in a 27% mortality rate. CONCLUSIONS: These data confirm that the adoption of sequential and coordinated measures amid the pandemic was able to successfully maintain the transplant program and ensure the safety of health professionals and transplanted patients who were already in follow-up. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021000200063 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021000200063 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.67.suppl1.20200766 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.67 suppl.1 2021 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
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1754212835987030016 |