COVID-19 in pediatric kidney transplantation: The Improving Renal Outcomes Collaborative.
Identifieur interne : 000093 ( Main/Exploration ); précédent : 000092; suivant : 000094COVID-19 in pediatric kidney transplantation: The Improving Renal Outcomes Collaborative.
Auteurs : Charles Varnell ; Lyndsay A. Harshman ; Laurie Smith ; Chunyan Liu ; Shiran Chen ; Samhar Al-Akash ; Gina-Marie Barletta ; Craig Belsha ; Paul Brakeman [États-Unis] ; Abanti Chaudhuri [États-Unis] ; Paul Fadakar ; Rouba Garro ; Caroline Gluck ; Jens Goebel ; David Kershaw ; Debora Matossian ; Corina Nailescu ; Hiren P. Patel ; Cozumel Pruette ; Saritha Ranabothu ; Nancy Rodig ; Jodi Smith ; Judith Sebestyen Vansickle ; Patricia Weng ; Lara Danziger-Isakov ; David K. Hooper ; Michael SeifertSource :
- American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons [ 1600-6143 ] ; 2021.
Abstract
There are limited data on the impact of COVID-19 in children with a kidney transplant. We conducted a prospective cohort study through the Improving Renal Outcomes Collaborative (IROC) to collect clinical outcomes data about COVID-19 in pediatric kidney transplant patients. Twenty-two IROC centers that care for 2732 patients submitted testing and outcomes data for 281 patients tested for SARS-CoV-2 by PCR. Testing indications included symptoms and/or potential exposures to COVID-19 (N=134, 47.7%) and/or testing per hospital policy (N=154, 54.8%). Overall, 24 (8.5%) patients tested positive, of which 15 (63%) were symptomatic. Of the COVID-19 positive patients, 16 were managed as outpatients, 6 received non-ICU inpatient care and 2 were admitted to the ICU. There were no episodes of respiratory failure, allograft loss, or death associated with COVID-19. To estimate incidence, sub-analysis was performed for thirteen centers that care for 1686 patients that submitted all negative and positive COVID-19 results. Of the 229 tested patients at these 13 centers, 10 (5 asymptomatic) patients tested positive, yielding an overall incidence of 0.6% and an incidence among tested patients of 4.4%. Pediatric kidney transplant patients in the U.S. had a low estimated incidence of COVID-19 disease and excellent short-term outcomes.
DOI: 10.1111/ajt.16501
PubMed: 33452854
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">COVID-19 in pediatric kidney transplantation: The Improving Renal Outcomes Collaborative.</title><author><name sortKey="Varnell, Charles" sort="Varnell, Charles" uniqKey="Varnell C" first="Charles" last="Varnell">Charles Varnell</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of Cincinnati College of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Harshman, Lyndsay A" sort="Harshman, Lyndsay A" uniqKey="Harshman L" first="Lyndsay A" last="Harshman">Lyndsay A. Harshman</name><affiliation><nlm:affiliation>University of Iowa Stead Family Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">University of Iowa Stead Family Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">University of Iowa Stead Family Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Smith, Laurie" sort="Smith, Laurie" uniqKey="Smith L" first="Laurie" last="Smith">Laurie Smith</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation></author><author><name sortKey="Liu, Chunyan" sort="Liu, Chunyan" uniqKey="Liu C" first="Chunyan" last="Liu">Chunyan Liu</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation></author><author><name sortKey="Chen, Shiran" sort="Chen, Shiran" uniqKey="Chen S" first="Shiran" last="Chen">Shiran Chen</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation></author><author><name sortKey="Al Akash, Samhar" sort="Al Akash, Samhar" uniqKey="Al Akash S" first="Samhar" last="Al-Akash">Samhar Al-Akash</name><affiliation><nlm:affiliation>Driscoll Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Driscoll Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Driscoll Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Barletta, Gina Marie" sort="Barletta, Gina Marie" uniqKey="Barletta G" first="Gina-Marie" last="Barletta">Gina-Marie Barletta</name><affiliation><nlm:affiliation>Phoenix Children's Hospital, University of Arizona.</nlm:affiliation><wicri:noCountry code="subField">University of Arizona</wicri:noCountry></affiliation></author><author><name sortKey="Belsha, Craig" sort="Belsha, Craig" uniqKey="Belsha C" first="Craig" last="Belsha">Craig Belsha</name><affiliation><nlm:affiliation>SSM Health Cardinal Glennon Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">SSM Health Cardinal Glennon Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">SSM Health Cardinal Glennon Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Brakeman, Paul" sort="Brakeman, Paul" uniqKey="Brakeman P" first="Paul" last="Brakeman">Paul Brakeman</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatrics, University of California, San Francisco.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Department of Pediatrics, University of California</wicri:orgArea></affiliation></author><author><name sortKey="Chaudhuri, Abanti" sort="Chaudhuri, Abanti" uniqKey="Chaudhuri A" first="Abanti" last="Chaudhuri">Abanti Chaudhuri</name><affiliation wicri:level="4"><nlm:affiliation>Lucile Packard Children's Hospital, Stanford University.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">Stanford (Californie)</settlement><region type="state">Californie</region></placeName><orgName type="university">Université Stanford</orgName></affiliation></author><author><name sortKey="Fadakar, Paul" sort="Fadakar, Paul" uniqKey="Fadakar P" first="Paul" last="Fadakar">Paul Fadakar</name><affiliation><nlm:affiliation>UPMC Children's Hospital of Pittsburgh.</nlm:affiliation><wicri:noCountry code="no comma">UPMC Children's Hospital of Pittsburgh.</wicri:noCountry><wicri:noCountry code="no comma">UPMC Children's Hospital of Pittsburgh.</wicri:noCountry></affiliation></author><author><name sortKey="Garro, Rouba" sort="Garro, Rouba" uniqKey="Garro R" first="Rouba" last="Garro">Rouba Garro</name><affiliation><nlm:affiliation>Children's Healthcare of Atlanta, Emory School of Medicine.</nlm:affiliation><wicri:noCountry code="subField">Emory School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Gluck, Caroline" sort="Gluck, Caroline" uniqKey="Gluck C" first="Caroline" last="Gluck">Caroline Gluck</name><affiliation><nlm:affiliation>Nemours/Alfred I. duPont Hospital for Children.</nlm:affiliation><wicri:noCountry code="no comma">Nemours/Alfred I. duPont Hospital for Children.</wicri:noCountry><wicri:noCountry code="no comma">Nemours/Alfred I. duPont Hospital for Children.</wicri:noCountry></affiliation></author><author><name sortKey="Goebel, Jens" sort="Goebel, Jens" uniqKey="Goebel J" first="Jens" last="Goebel">Jens Goebel</name><affiliation><nlm:affiliation>Children's Hospital Colorado at the time of this study, currently Helen DeVos Children's Hospital.</nlm:affiliation><wicri:noCountry code="subField">currently Helen DeVos Children's Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Kershaw, David" sort="Kershaw, David" uniqKey="Kershaw D" first="David" last="Kershaw">David Kershaw</name><affiliation><nlm:affiliation>C.S. Mott Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">C.S. Mott Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">C.S. Mott Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Matossian, Debora" sort="Matossian, Debora" uniqKey="Matossian D" first="Debora" last="Matossian">Debora Matossian</name><affiliation><nlm:affiliation>Ann & Robert H. Lurie Children's Hospital of Chicago.</nlm:affiliation><wicri:noCountry code="no comma">Ann & Robert H. Lurie Children's Hospital of Chicago.</wicri:noCountry><wicri:noCountry code="no comma">Ann & Robert H. Lurie Children's Hospital of Chicago.</wicri:noCountry></affiliation></author><author><name sortKey="Nailescu, Corina" sort="Nailescu, Corina" uniqKey="Nailescu C" first="Corina" last="Nailescu">Corina Nailescu</name><affiliation><nlm:affiliation>Riley Hospital for Children at Indiana University Health.</nlm:affiliation><wicri:noCountry code="no comma">Riley Hospital for Children at Indiana University Health.</wicri:noCountry><wicri:noCountry code="no comma">Riley Hospital for Children at Indiana University Health.</wicri:noCountry></affiliation></author><author><name sortKey="Patel, Hiren P" sort="Patel, Hiren P" uniqKey="Patel H" first="Hiren P" last="Patel">Hiren P. Patel</name><affiliation><nlm:affiliation>Nationwide Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Nationwide Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Nationwide Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Pruette, Cozumel" sort="Pruette, Cozumel" uniqKey="Pruette C" first="Cozumel" last="Pruette">Cozumel Pruette</name><affiliation><nlm:affiliation>Johns Hopkins University School of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">Johns Hopkins University School of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">Johns Hopkins University School of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Ranabothu, Saritha" sort="Ranabothu, Saritha" uniqKey="Ranabothu S" first="Saritha" last="Ranabothu">Saritha Ranabothu</name><affiliation><nlm:affiliation>Arkansas Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Arkansas Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Arkansas Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Rodig, Nancy" sort="Rodig, Nancy" uniqKey="Rodig N" first="Nancy" last="Rodig">Nancy Rodig</name><affiliation><nlm:affiliation>Boston Children's Hospital, Harvard Medical School.</nlm:affiliation><wicri:noCountry code="subField">Harvard Medical School</wicri:noCountry></affiliation></author><author><name sortKey="Smith, Jodi" sort="Smith, Jodi" uniqKey="Smith J" first="Jodi" last="Smith">Jodi Smith</name><affiliation><nlm:affiliation>Seattle Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Seattle Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Seattle Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Vansickle, Judith Sebestyen" sort="Vansickle, Judith Sebestyen" uniqKey="Vansickle J" first="Judith Sebestyen" last="Vansickle">Judith Sebestyen Vansickle</name><affiliation><nlm:affiliation>Children's Mercy Kansas City.</nlm:affiliation><wicri:noCountry code="no comma">Children's Mercy Kansas City.</wicri:noCountry><wicri:noCountry code="no comma">Children's Mercy Kansas City.</wicri:noCountry></affiliation></author><author><name sortKey="Weng, Patricia" sort="Weng, Patricia" uniqKey="Weng P" first="Patricia" last="Weng">Patricia Weng</name><affiliation><nlm:affiliation>UCLA Mattel Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">UCLA Mattel Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">UCLA Mattel Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Danziger Isakov, Lara" sort="Danziger Isakov, Lara" uniqKey="Danziger Isakov L" first="Lara" last="Danziger-Isakov">Lara Danziger-Isakov</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of Cincinnati College of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Hooper, David K" sort="Hooper, David K" uniqKey="Hooper D" first="David K" last="Hooper">David K. Hooper</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of Cincinnati College of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Seifert, Michael" sort="Seifert, Michael" uniqKey="Seifert M" first="Michael" last="Seifert">Michael Seifert</name><affiliation><nlm:affiliation>University of Alabama at Birmingham, Children's of Alabama.</nlm:affiliation><wicri:noCountry code="subField">Children's of Alabama</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2021">2021</date><idno type="RBID">pubmed:33452854</idno><idno type="pmid">33452854</idno><idno type="doi">10.1111/ajt.16501</idno><idno type="wicri:Area/Main/Corpus">000034</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000034</idno><idno type="wicri:Area/Main/Curation">000034</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000034</idno><idno type="wicri:Area/Main/Exploration">000034</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">COVID-19 in pediatric kidney transplantation: The Improving Renal Outcomes Collaborative.</title><author><name sortKey="Varnell, Charles" sort="Varnell, Charles" uniqKey="Varnell C" first="Charles" last="Varnell">Charles Varnell</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of Cincinnati College of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Harshman, Lyndsay A" sort="Harshman, Lyndsay A" uniqKey="Harshman L" first="Lyndsay A" last="Harshman">Lyndsay A. Harshman</name><affiliation><nlm:affiliation>University of Iowa Stead Family Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">University of Iowa Stead Family Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">University of Iowa Stead Family Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Smith, Laurie" sort="Smith, Laurie" uniqKey="Smith L" first="Laurie" last="Smith">Laurie Smith</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation></author><author><name sortKey="Liu, Chunyan" sort="Liu, Chunyan" uniqKey="Liu C" first="Chunyan" last="Liu">Chunyan Liu</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation></author><author><name sortKey="Chen, Shiran" sort="Chen, Shiran" uniqKey="Chen S" first="Shiran" last="Chen">Shiran Chen</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation></author><author><name sortKey="Al Akash, Samhar" sort="Al Akash, Samhar" uniqKey="Al Akash S" first="Samhar" last="Al-Akash">Samhar Al-Akash</name><affiliation><nlm:affiliation>Driscoll Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Driscoll Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Driscoll Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Barletta, Gina Marie" sort="Barletta, Gina Marie" uniqKey="Barletta G" first="Gina-Marie" last="Barletta">Gina-Marie Barletta</name><affiliation><nlm:affiliation>Phoenix Children's Hospital, University of Arizona.</nlm:affiliation><wicri:noCountry code="subField">University of Arizona</wicri:noCountry></affiliation></author><author><name sortKey="Belsha, Craig" sort="Belsha, Craig" uniqKey="Belsha C" first="Craig" last="Belsha">Craig Belsha</name><affiliation><nlm:affiliation>SSM Health Cardinal Glennon Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">SSM Health Cardinal Glennon Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">SSM Health Cardinal Glennon Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Brakeman, Paul" sort="Brakeman, Paul" uniqKey="Brakeman P" first="Paul" last="Brakeman">Paul Brakeman</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatrics, University of California, San Francisco.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Department of Pediatrics, University of California</wicri:orgArea></affiliation></author><author><name sortKey="Chaudhuri, Abanti" sort="Chaudhuri, Abanti" uniqKey="Chaudhuri A" first="Abanti" last="Chaudhuri">Abanti Chaudhuri</name><affiliation wicri:level="4"><nlm:affiliation>Lucile Packard Children's Hospital, Stanford University.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">Stanford (Californie)</settlement><region type="state">Californie</region></placeName><orgName type="university">Université Stanford</orgName></affiliation></author><author><name sortKey="Fadakar, Paul" sort="Fadakar, Paul" uniqKey="Fadakar P" first="Paul" last="Fadakar">Paul Fadakar</name><affiliation><nlm:affiliation>UPMC Children's Hospital of Pittsburgh.</nlm:affiliation><wicri:noCountry code="no comma">UPMC Children's Hospital of Pittsburgh.</wicri:noCountry><wicri:noCountry code="no comma">UPMC Children's Hospital of Pittsburgh.</wicri:noCountry></affiliation></author><author><name sortKey="Garro, Rouba" sort="Garro, Rouba" uniqKey="Garro R" first="Rouba" last="Garro">Rouba Garro</name><affiliation><nlm:affiliation>Children's Healthcare of Atlanta, Emory School of Medicine.</nlm:affiliation><wicri:noCountry code="subField">Emory School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Gluck, Caroline" sort="Gluck, Caroline" uniqKey="Gluck C" first="Caroline" last="Gluck">Caroline Gluck</name><affiliation><nlm:affiliation>Nemours/Alfred I. duPont Hospital for Children.</nlm:affiliation><wicri:noCountry code="no comma">Nemours/Alfred I. duPont Hospital for Children.</wicri:noCountry><wicri:noCountry code="no comma">Nemours/Alfred I. duPont Hospital for Children.</wicri:noCountry></affiliation></author><author><name sortKey="Goebel, Jens" sort="Goebel, Jens" uniqKey="Goebel J" first="Jens" last="Goebel">Jens Goebel</name><affiliation><nlm:affiliation>Children's Hospital Colorado at the time of this study, currently Helen DeVos Children's Hospital.</nlm:affiliation><wicri:noCountry code="subField">currently Helen DeVos Children's Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Kershaw, David" sort="Kershaw, David" uniqKey="Kershaw D" first="David" last="Kershaw">David Kershaw</name><affiliation><nlm:affiliation>C.S. Mott Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">C.S. Mott Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">C.S. Mott Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Matossian, Debora" sort="Matossian, Debora" uniqKey="Matossian D" first="Debora" last="Matossian">Debora Matossian</name><affiliation><nlm:affiliation>Ann & Robert H. Lurie Children's Hospital of Chicago.</nlm:affiliation><wicri:noCountry code="no comma">Ann & Robert H. Lurie Children's Hospital of Chicago.</wicri:noCountry><wicri:noCountry code="no comma">Ann & Robert H. Lurie Children's Hospital of Chicago.</wicri:noCountry></affiliation></author><author><name sortKey="Nailescu, Corina" sort="Nailescu, Corina" uniqKey="Nailescu C" first="Corina" last="Nailescu">Corina Nailescu</name><affiliation><nlm:affiliation>Riley Hospital for Children at Indiana University Health.</nlm:affiliation><wicri:noCountry code="no comma">Riley Hospital for Children at Indiana University Health.</wicri:noCountry><wicri:noCountry code="no comma">Riley Hospital for Children at Indiana University Health.</wicri:noCountry></affiliation></author><author><name sortKey="Patel, Hiren P" sort="Patel, Hiren P" uniqKey="Patel H" first="Hiren P" last="Patel">Hiren P. Patel</name><affiliation><nlm:affiliation>Nationwide Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Nationwide Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Nationwide Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Pruette, Cozumel" sort="Pruette, Cozumel" uniqKey="Pruette C" first="Cozumel" last="Pruette">Cozumel Pruette</name><affiliation><nlm:affiliation>Johns Hopkins University School of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">Johns Hopkins University School of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">Johns Hopkins University School of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Ranabothu, Saritha" sort="Ranabothu, Saritha" uniqKey="Ranabothu S" first="Saritha" last="Ranabothu">Saritha Ranabothu</name><affiliation><nlm:affiliation>Arkansas Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Arkansas Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Arkansas Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Rodig, Nancy" sort="Rodig, Nancy" uniqKey="Rodig N" first="Nancy" last="Rodig">Nancy Rodig</name><affiliation><nlm:affiliation>Boston Children's Hospital, Harvard Medical School.</nlm:affiliation><wicri:noCountry code="subField">Harvard Medical School</wicri:noCountry></affiliation></author><author><name sortKey="Smith, Jodi" sort="Smith, Jodi" uniqKey="Smith J" first="Jodi" last="Smith">Jodi Smith</name><affiliation><nlm:affiliation>Seattle Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Seattle Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Seattle Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Vansickle, Judith Sebestyen" sort="Vansickle, Judith Sebestyen" uniqKey="Vansickle J" first="Judith Sebestyen" last="Vansickle">Judith Sebestyen Vansickle</name><affiliation><nlm:affiliation>Children's Mercy Kansas City.</nlm:affiliation><wicri:noCountry code="no comma">Children's Mercy Kansas City.</wicri:noCountry><wicri:noCountry code="no comma">Children's Mercy Kansas City.</wicri:noCountry></affiliation></author><author><name sortKey="Weng, Patricia" sort="Weng, Patricia" uniqKey="Weng P" first="Patricia" last="Weng">Patricia Weng</name><affiliation><nlm:affiliation>UCLA Mattel Children's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">UCLA Mattel Children's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">UCLA Mattel Children's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Danziger Isakov, Lara" sort="Danziger Isakov, Lara" uniqKey="Danziger Isakov L" first="Lara" last="Danziger-Isakov">Lara Danziger-Isakov</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of Cincinnati College of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Hooper, David K" sort="Hooper, David K" uniqKey="Hooper D" first="David K" last="Hooper">David K. Hooper</name><affiliation><nlm:affiliation>Cincinnati Children's Hospital Medical Center.</nlm:affiliation><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry><wicri:noCountry code="no comma">Cincinnati Children's Hospital Medical Center.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of Cincinnati College of Medicine.</nlm:affiliation><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry><wicri:noCountry code="no comma">University of Cincinnati College of Medicine.</wicri:noCountry></affiliation></author><author><name sortKey="Seifert, Michael" sort="Seifert, Michael" uniqKey="Seifert M" first="Michael" last="Seifert">Michael Seifert</name><affiliation><nlm:affiliation>University of Alabama at Birmingham, Children's of Alabama.</nlm:affiliation><wicri:noCountry code="subField">Children's of Alabama</wicri:noCountry></affiliation></author></analytic><series><title level="j">American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</title><idno type="eISSN">1600-6143</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There are limited data on the impact of COVID-19 in children with a kidney transplant. We conducted a prospective cohort study through the Improving Renal Outcomes Collaborative (IROC) to collect clinical outcomes data about COVID-19 in pediatric kidney transplant patients. Twenty-two IROC centers that care for 2732 patients submitted testing and outcomes data for 281 patients tested for SARS-CoV-2 by PCR. Testing indications included symptoms and/or potential exposures to COVID-19 (N=134, 47.7%) and/or testing per hospital policy (N=154, 54.8%). Overall, 24 (8.5%) patients tested positive, of which 15 (63%) were symptomatic. Of the COVID-19 positive patients, 16 were managed as outpatients, 6 received non-ICU inpatient care and 2 were admitted to the ICU. There were no episodes of respiratory failure, allograft loss, or death associated with COVID-19. To estimate incidence, sub-analysis was performed for thirteen centers that care for 1686 patients that submitted all negative and positive COVID-19 results. Of the 229 tested patients at these 13 centers, 10 (5 asymptomatic) patients tested positive, yielding an overall incidence of 0.6% and an incidence among tested patients of 4.4%. Pediatric kidney transplant patients in the U.S. had a low estimated incidence of COVID-19 disease and excellent short-term outcomes.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33452854</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-6143</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>16</Day></PubDate></JournalIssue><Title>American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</Title><ISOAbbreviation>Am J Transplant</ISOAbbreviation></Journal><ArticleTitle>COVID-19 in pediatric kidney transplantation: The Improving Renal Outcomes Collaborative.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1111/ajt.16501</ELocationID><Abstract><AbstractText>There are limited data on the impact of COVID-19 in children with a kidney transplant. We conducted a prospective cohort study through the Improving Renal Outcomes Collaborative (IROC) to collect clinical outcomes data about COVID-19 in pediatric kidney transplant patients. Twenty-two IROC centers that care for 2732 patients submitted testing and outcomes data for 281 patients tested for SARS-CoV-2 by PCR. Testing indications included symptoms and/or potential exposures to COVID-19 (N=134, 47.7%) and/or testing per hospital policy (N=154, 54.8%). Overall, 24 (8.5%) patients tested positive, of which 15 (63%) were symptomatic. Of the COVID-19 positive patients, 16 were managed as outpatients, 6 received non-ICU inpatient care and 2 were admitted to the ICU. There were no episodes of respiratory failure, allograft loss, or death associated with COVID-19. To estimate incidence, sub-analysis was performed for thirteen centers that care for 1686 patients that submitted all negative and positive COVID-19 results. Of the 229 tested patients at these 13 centers, 10 (5 asymptomatic) patients tested positive, yielding an overall incidence of 0.6% and an incidence among tested patients of 4.4%. Pediatric kidney transplant patients in the U.S. had a low estimated incidence of COVID-19 disease and excellent short-term outcomes.</AbstractText><CopyrightInformation>This article is protected by copyright. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Varnell</LastName><ForeName>Charles</ForeName><Initials>C</Initials><Suffix>Jr</Suffix><Identifier Source="ORCID">https://orcid.org/0000-0002-0409-3799</Identifier><AffiliationInfo><Affiliation>Cincinnati Children's Hospital Medical Center.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Cincinnati College of Medicine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Harshman</LastName><ForeName>Lyndsay A</ForeName><Initials>LA</Initials><AffiliationInfo><Affiliation>University of Iowa Stead Family Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Laurie</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Cincinnati Children's Hospital Medical Center.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Chunyan</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Cincinnati Children's Hospital Medical Center.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Shiran</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cincinnati Children's Hospital Medical Center.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Akash</LastName><ForeName>Samhar</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Driscoll Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barletta</LastName><ForeName>Gina-Marie</ForeName><Initials>GM</Initials><AffiliationInfo><Affiliation>Phoenix Children's Hospital, University of Arizona.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Belsha</LastName><ForeName>Craig</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>SSM Health Cardinal Glennon Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brakeman</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, University of California, San Francisco.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaudhuri</LastName><ForeName>Abanti</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Lucile Packard Children's Hospital, Stanford University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fadakar</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>UPMC Children's Hospital of Pittsburgh.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garro</LastName><ForeName>Rouba</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Children's Healthcare of Atlanta, Emory School of Medicine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gluck</LastName><ForeName>Caroline</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Nemours/Alfred I. duPont Hospital for Children.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goebel</LastName><ForeName>Jens</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Children's Hospital Colorado at the time of this study, currently Helen DeVos Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kershaw</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>C.S. Mott Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matossian</LastName><ForeName>Debora</ForeName><Initials>D</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-4463-9493</Identifier><AffiliationInfo><Affiliation>Ann & Robert H. Lurie Children's Hospital of Chicago.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nailescu</LastName><ForeName>Corina</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Riley Hospital for Children at Indiana University Health.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Hiren P</ForeName><Initials>HP</Initials><AffiliationInfo><Affiliation>Nationwide Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pruette</LastName><ForeName>Cozumel</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Johns Hopkins University School of Medicine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ranabothu</LastName><ForeName>Saritha</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Arkansas Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodig</LastName><ForeName>Nancy</ForeName><Initials>N</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1471-7710</Identifier><AffiliationInfo><Affiliation>Boston Children's Hospital, Harvard Medical School.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Jodi</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Seattle Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>VanSickle</LastName><ForeName>Judith Sebestyen</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Children's Mercy Kansas City.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weng</LastName><ForeName>Patricia</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>UCLA Mattel Children's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Danziger-Isakov</LastName><ForeName>Lara</ForeName><Initials>L</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-5691-5221</Identifier><AffiliationInfo><Affiliation>Cincinnati Children's Hospital Medical Center.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Cincinnati College of Medicine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hooper</LastName><ForeName>David K</ForeName><Initials>DK</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-8732-4291</Identifier><AffiliationInfo><Affiliation>Cincinnati Children's Hospital Medical Center.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Cincinnati College of Medicine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seifert</LastName><ForeName>Michael</ForeName><Initials>M</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-0557-6178</Identifier><AffiliationInfo><Affiliation>University of Alabama at Birmingham, Children's of Alabama.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>01</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Transplant</MedlineTA><NlmUniqueID>100968638</NlmUniqueID><ISSNLinking>1600-6135</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>16</Day><Hour>8</Hour><Minute>33</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33452854</ArticleId><ArticleId IdType="doi">10.1111/ajt.16501</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region><settlement><li>San Francisco</li><li>Stanford (Californie)</li></settlement><orgName><li>Université Stanford</li></orgName></list><tree><noCountry><name sortKey="Al Akash, Samhar" sort="Al Akash, Samhar" uniqKey="Al Akash S" first="Samhar" last="Al-Akash">Samhar Al-Akash</name><name sortKey="Barletta, Gina Marie" sort="Barletta, Gina Marie" uniqKey="Barletta G" first="Gina-Marie" last="Barletta">Gina-Marie Barletta</name><name sortKey="Belsha, Craig" sort="Belsha, Craig" uniqKey="Belsha C" first="Craig" last="Belsha">Craig Belsha</name><name sortKey="Chen, Shiran" sort="Chen, Shiran" uniqKey="Chen S" first="Shiran" last="Chen">Shiran Chen</name><name sortKey="Danziger Isakov, Lara" sort="Danziger Isakov, Lara" uniqKey="Danziger Isakov L" first="Lara" last="Danziger-Isakov">Lara Danziger-Isakov</name><name sortKey="Fadakar, Paul" sort="Fadakar, Paul" uniqKey="Fadakar P" first="Paul" last="Fadakar">Paul Fadakar</name><name sortKey="Garro, Rouba" sort="Garro, Rouba" uniqKey="Garro R" first="Rouba" last="Garro">Rouba Garro</name><name sortKey="Gluck, Caroline" sort="Gluck, Caroline" uniqKey="Gluck C" first="Caroline" last="Gluck">Caroline Gluck</name><name sortKey="Goebel, Jens" sort="Goebel, Jens" uniqKey="Goebel J" first="Jens" last="Goebel">Jens Goebel</name><name sortKey="Harshman, Lyndsay A" sort="Harshman, Lyndsay A" uniqKey="Harshman L" first="Lyndsay A" last="Harshman">Lyndsay A. Harshman</name><name sortKey="Hooper, David K" sort="Hooper, David K" uniqKey="Hooper D" first="David K" last="Hooper">David K. Hooper</name><name sortKey="Kershaw, David" sort="Kershaw, David" uniqKey="Kershaw D" first="David" last="Kershaw">David Kershaw</name><name sortKey="Liu, Chunyan" sort="Liu, Chunyan" uniqKey="Liu C" first="Chunyan" last="Liu">Chunyan Liu</name><name sortKey="Matossian, Debora" sort="Matossian, Debora" uniqKey="Matossian D" first="Debora" last="Matossian">Debora Matossian</name><name sortKey="Nailescu, Corina" sort="Nailescu, Corina" uniqKey="Nailescu C" first="Corina" last="Nailescu">Corina Nailescu</name><name sortKey="Patel, Hiren P" sort="Patel, Hiren P" uniqKey="Patel H" first="Hiren P" last="Patel">Hiren P. Patel</name><name sortKey="Pruette, Cozumel" sort="Pruette, Cozumel" uniqKey="Pruette C" first="Cozumel" last="Pruette">Cozumel Pruette</name><name sortKey="Ranabothu, Saritha" sort="Ranabothu, Saritha" uniqKey="Ranabothu S" first="Saritha" last="Ranabothu">Saritha Ranabothu</name><name sortKey="Rodig, Nancy" sort="Rodig, Nancy" uniqKey="Rodig N" first="Nancy" last="Rodig">Nancy Rodig</name><name sortKey="Seifert, Michael" sort="Seifert, Michael" uniqKey="Seifert M" first="Michael" last="Seifert">Michael Seifert</name><name sortKey="Smith, Jodi" sort="Smith, Jodi" uniqKey="Smith J" first="Jodi" last="Smith">Jodi Smith</name><name sortKey="Smith, Laurie" sort="Smith, Laurie" uniqKey="Smith L" first="Laurie" last="Smith">Laurie Smith</name><name sortKey="Vansickle, Judith Sebestyen" sort="Vansickle, Judith Sebestyen" uniqKey="Vansickle J" first="Judith Sebestyen" last="Vansickle">Judith Sebestyen Vansickle</name><name sortKey="Varnell, Charles" sort="Varnell, Charles" uniqKey="Varnell C" first="Charles" last="Varnell">Charles Varnell</name><name sortKey="Weng, Patricia" sort="Weng, Patricia" uniqKey="Weng P" first="Patricia" last="Weng">Patricia Weng</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Brakeman, Paul" sort="Brakeman, Paul" uniqKey="Brakeman P" first="Paul" last="Brakeman">Paul Brakeman</name></region><name sortKey="Chaudhuri, Abanti" sort="Chaudhuri, Abanti" uniqKey="Chaudhuri A" first="Abanti" last="Chaudhuri">Abanti Chaudhuri</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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