Research Article

COVID-19 Infection Clinical Profile, Management, Outcome, and Antibody Response in Kidney Transplant Recipients: A Single Centre Experience

Table 4

Association between mortality and investigations of kidney transplant recipients with COVID-19.

ParameterMean (SD)Mean difference (95% CI)-value
Survivors (n = 49)Nonsurvivors (n = 18)

Age (years)49.18 (13.52)57.22 (9.56)8.03 (1.10–14.98)0.024
Height (meter)1.666 (0.08)1.672 (0.08)0.005 (−0.040 to 0.050)0.814
Weight (kg)69.18 (14.4)73.5 (16.5)4.32 (−3.93 to 12.56)0.3
BMI (kg/m2)20.8 (4.23)21.7 (4.17)0.94 (−1.38 to 3.26)0.42
Transplant duration (weeks)194 (117–370); n = 49340 (262–448); n = 18146 (25.0 to 227.5)0.016
Haemoglobin (gm %; Hb)11.46 (2.02)10.27 (1.97)−1.19 (−2.29 to −0.085)0.035
Total leucocyte count (cells/mm3)8820 (2717)13211 (5228)4391 (2437 to 6345)<0.001
Platelet count (x10 (9)/L)216.8 (75.18)167.0 (69.53)−49.85 (−90.44 to −9.26)0.017
Serum creatinine (mg/dL)1.84 (1.18)2.58 (1.50)0.74 (0.035 to 1.44)0.04
Blood urea (mg/dL)66.61 (32.99)106.75 (37.42)40.14 (20.79 to 59.48)<0.001
Serum albumin (gm/dL)3.71 (0.56)3.09 (0.63)−0.62 (−0.95 to −0.29)<0.001
Lymphocytes (%)14.02 (7.59)8.98 (5.40)−5.04 (−9.05 to −1.03)0.015
Presentation SpO2 (%)95.7 (2.78)86.94 (5.77)−8.77 (−10.86 to −6.68)<0.001
AST (IU/L)30.63 (11.53)29.50 (12.15)−1.13 (−7.81 to 5.56)0.737
ALT (IU/L)35.28 (19.60)29.83 (15.90)−5.55 (−16.19 to 5.09)0.301

Inflammatory markers and other important parameters − median (interquartile range) difference (95% CI)
IL-6 (pg/ml)16.40 (4.10–79.10); n = 29195.35 (64.7–891.4); n = 14178.95 (50.3 to 692.2)<0.001
Procalcitonin (ng/ml)0.14 (0.05–0.48); n = 290.27 (0.11–2.84); n = 150.13 (−0.06 to 2.31)0.101
D-dimer (ng FEU/ml)590 (300–1350); n = 331402 (712–5563); n = 16812 (27 to 4152)0.002
CRP (mg/L)34.45 (9.55–108.22); n = 28149.6 (59.6–174.3); n = 14115.11 (10.0 to153.6)0.002
Ferritin (ng/ml)522 (205–1438); n = 30856 (715–1243); n = 16333.65 (−197.0 to 745.5)0.115
LDH (IU/L)317 (257–413); n = 23417 (291–806); n = 11100 (−54.0 to 489.0)0.091
Need of dialysis, n (%)3 (6.12)10 (55.6)53.67 (10.71–269.04)<0.001$
CT score ≥15&,n (%)6 (31.6)9 (82.8)7.17 (2.04–25.22)0.008$
Remdesivir9 (18.4)14 (77.8)15.56 (4.13–58.57)<0.001$
Tocilizumab1 (2)6 (33.3)24.0 (2.63–218.67)0.005$
Convalescent plasma7 (14.3)15 (83.3)30.0 (6,86–131.19)<0.001$
Ventilator need0 (0)14 (77.8)<0.001#
Acute kidney injury (AKI), n (%)8 (17.78)16 (88.9)37.0 (7.06–194.0)<0.001$
ICU stay, n (%)4 (8.2)15 (83.3)56.3 (11.3–280.6)<0.001$

SpO2, oxygen Saturation, Hb, haemoglobin, TLC, total leucocyte count, IL-6, interleukin-6, LDH, lactate dehydrogenase, CRP, C-reactive protein. Average of all available values.&CT score was available for 30, 19 survivor and 11 nonsurvivor. $Odds ratio (95% confidence interval).