EPIDEMIOLOGICAL AND CLINICAL CHARACTERISTICS OF HEART TRANSPLANT RECIPIENTS DURING THE 2019 CORONAVIRUS OUTBREAK IN WUHAN, CHINA: A DESCRIPTIVE SURVEY REPORT
Identifieur interne : 000706 ( 2020/Analysis ); précédent : 000705; suivant : 000707EPIDEMIOLOGICAL AND CLINICAL CHARACTERISTICS OF HEART TRANSPLANT RECIPIENTS DURING THE 2019 CORONAVIRUS OUTBREAK IN WUHAN, CHINA: A DESCRIPTIVE SURVEY REPORT
Auteurs : Zong-Li Ren ; Rui Hu ; Zhi-Wei Wang ; Min Zhang ; Yong-Le Ruan ; Zhi-Yong Wu ; Hong-Bing Wu ; Xiao-Ping Hu ; Zhi-Peng Hu ; Wei Ren ; Luo-Cheng Li ; Fei-Feng Dai ; Huan Liu ; Xin CaiSource :
- The Journal of Heart and Lung Transplantation [ 1053-2498 ] ; 2020.
Abstract
The epidemiological and clinical characteristics of heart transplant (HTx) recipients during the SARS-CoV-2 epidemic remains unclear. We studied the characteristics of HTx recipients during Dec 20, 2019 and Feb 25, 2020 in an effort to understand their risk and outcomes.
All accessible HTx recipients were included in this single-center, retrospective study. We collected information on the recipients using a web-based questionnaire as well as the hospital database.
We followed 87 HTx recipients (72.4% were men and average age was 51 years). 79 recipients resided in Hubei, and 57 recipients had a Wuhan related history of travel or contact. The majority took precautionary measures while in contact with suspicious crowds. 96.6% of the families and communities undertook prevention and quarantine procedures. 4 upper airway infection were reported, and 3 of them tested negative for SARS-CoV-2 (the 4th recovered and was not tested). All cases were mild and successfully recovered after proper treatment. Laboratory results of 47 HTx cases within the last 2 months were extracted. 21.3% recipients had pre-existing lymphopenia and 87.2% of recipients had therapeutic tacrolimus concentration (5-12ng/ml). 5 and 6 recipients had liver and kidney insufficiency respectively.
HTx recipients that practiced appropriate prevention measures had a low rate of infection with SARS-CoV-2 and transition to COVID-19. These early data will require confirmation as the pandemic establishes around the world.
Url:
DOI: 10.1016/j.healun.2020.03.008
PubMed: 32115364
PubMed Central: 7102567
Affiliations:
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PMC:7102567Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">EPIDEMIOLOGICAL AND CLINICAL CHARACTERISTICS OF HEART TRANSPLANT RECIPIENTS DURING THE 2019 CORONAVIRUS OUTBREAK IN WUHAN, CHINA: A DESCRIPTIVE SURVEY REPORT</title>
<author><name sortKey="Ren, Zong Li" sort="Ren, Zong Li" uniqKey="Ren Z" first="Zong-Li" last="Ren">Zong-Li Ren</name>
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<author><name sortKey="Hu, Rui" sort="Hu, Rui" uniqKey="Hu R" first="Rui" last="Hu">Rui Hu</name>
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<author><name sortKey="Wang, Zhi Wei" sort="Wang, Zhi Wei" uniqKey="Wang Z" first="Zhi-Wei" last="Wang">Zhi-Wei Wang</name>
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<author><name sortKey="Zhang, Min" sort="Zhang, Min" uniqKey="Zhang M" first="Min" last="Zhang">Min Zhang</name>
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<author><name sortKey="Ruan, Yong Le" sort="Ruan, Yong Le" uniqKey="Ruan Y" first="Yong-Le" last="Ruan">Yong-Le Ruan</name>
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<author><name sortKey="Wu, Zhi Yong" sort="Wu, Zhi Yong" uniqKey="Wu Z" first="Zhi-Yong" last="Wu">Zhi-Yong Wu</name>
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<author><name sortKey="Wu, Hong Bing" sort="Wu, Hong Bing" uniqKey="Wu H" first="Hong-Bing" last="Wu">Hong-Bing Wu</name>
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<author><name sortKey="Hu, Zhi Peng" sort="Hu, Zhi Peng" uniqKey="Hu Z" first="Zhi-Peng" last="Hu">Zhi-Peng Hu</name>
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<author><name sortKey="Ren, Wei" sort="Ren, Wei" uniqKey="Ren W" first="Wei" last="Ren">Wei Ren</name>
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<author><name sortKey="Cai, Xin" sort="Cai, Xin" uniqKey="Cai X" first="Xin" last="Cai">Xin Cai</name>
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<series><title level="j">The Journal of Heart and Lung Transplantation</title>
<idno type="ISSN">1053-2498</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>BACKGROUND</title>
<p>The epidemiological and clinical characteristics of heart transplant (HTx) recipients during the SARS-CoV-2 epidemic remains unclear. We studied the characteristics of HTx recipients during Dec 20, 2019 and Feb 25, 2020 in an effort to understand their risk and outcomes.</p>
</sec>
<sec><title>METHODS</title>
<p>All accessible HTx recipients were included in this single-center, retrospective study. We collected information on the recipients using a web-based questionnaire as well as the hospital database.</p>
</sec>
<sec><title>RESULTS</title>
<p>We followed 87 HTx recipients (72.4% were men and average age was 51 years). 79 recipients resided in Hubei, and 57 recipients had a Wuhan related history of travel or contact. The majority took precautionary measures while in contact with suspicious crowds. 96.6% of the families and communities undertook prevention and quarantine procedures. 4 upper airway infection were reported, and 3 of them tested negative for SARS-CoV-2 (the 4<sup>th</sup>
recovered and was not tested). All cases were mild and successfully recovered after proper treatment. Laboratory results of 47 HTx cases within the last 2 months were extracted. 21.3% recipients had pre-existing lymphopenia and 87.2% of recipients had therapeutic tacrolimus concentration (5-12ng/ml). 5 and 6 recipients had liver and kidney insufficiency respectively.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>HTx recipients that practiced appropriate prevention measures had a low rate of infection with SARS-CoV-2 and transition to COVID-19. These early data will require confirmation as the pandemic establishes around the world.</p>
</sec>
</div>
</front>
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<tree><noCountry><name sortKey="Cai, Xin" sort="Cai, Xin" uniqKey="Cai X" first="Xin" last="Cai">Xin Cai</name>
<name sortKey="Dai, Fei Feng" sort="Dai, Fei Feng" uniqKey="Dai F" first="Fei-Feng" last="Dai">Fei-Feng Dai</name>
<name sortKey="Hu, Rui" sort="Hu, Rui" uniqKey="Hu R" first="Rui" last="Hu">Rui Hu</name>
<name sortKey="Hu, Xiao Ping" sort="Hu, Xiao Ping" uniqKey="Hu X" first="Xiao-Ping" last="Hu">Xiao-Ping Hu</name>
<name sortKey="Hu, Zhi Peng" sort="Hu, Zhi Peng" uniqKey="Hu Z" first="Zhi-Peng" last="Hu">Zhi-Peng Hu</name>
<name sortKey="Li, Luo Cheng" sort="Li, Luo Cheng" uniqKey="Li L" first="Luo-Cheng" last="Li">Luo-Cheng Li</name>
<name sortKey="Liu, Huan" sort="Liu, Huan" uniqKey="Liu H" first="Huan" last="Liu">Huan Liu</name>
<name sortKey="Ren, Wei" sort="Ren, Wei" uniqKey="Ren W" first="Wei" last="Ren">Wei Ren</name>
<name sortKey="Ren, Zong Li" sort="Ren, Zong Li" uniqKey="Ren Z" first="Zong-Li" last="Ren">Zong-Li Ren</name>
<name sortKey="Ruan, Yong Le" sort="Ruan, Yong Le" uniqKey="Ruan Y" first="Yong-Le" last="Ruan">Yong-Le Ruan</name>
<name sortKey="Wang, Zhi Wei" sort="Wang, Zhi Wei" uniqKey="Wang Z" first="Zhi-Wei" last="Wang">Zhi-Wei Wang</name>
<name sortKey="Wu, Hong Bing" sort="Wu, Hong Bing" uniqKey="Wu H" first="Hong-Bing" last="Wu">Hong-Bing Wu</name>
<name sortKey="Wu, Zhi Yong" sort="Wu, Zhi Yong" uniqKey="Wu Z" first="Zhi-Yong" last="Wu">Zhi-Yong Wu</name>
<name sortKey="Zhang, Min" sort="Zhang, Min" uniqKey="Zhang M" first="Min" last="Zhang">Min Zhang</name>
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