Strategies to keep kidney transplant alive amid the SARS-CoV-2 pandemic

Detalhes bibliográficos
Autor(a) principal: Pestana,José Medina
Data de Publicação: 2021
Outros Autores: 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
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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spelling 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
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dc.relation.none.fl_str_mv 10.1590/1806-9282.67.suppl1.20200766
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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)
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