Research Article

A Comprehensive Comparison of Clinical Presentation and Outcomes of Kidney Transplant Recipients with COVID-19 during Wave 1 versus Wave 2 at a Tertiary Care Center, India

Table 1

Demographics, comorbidities, and baseline kidney transplant recipients (KTRs) characteristics at the time of diagnosis of COVID-19 in two waves of disease.

CharacteristicClassificationTotal (n = 156)Wave 1 (n = 72)Wave 2 (n = 84)p value

Demographics
 Age (years) (Mean ± SD)49.47 ± 13.0651.15 ± 13.048.04 ± 13.010.138
 Height (meter) (Mean ± SD)1.67 ± 0.091.67 ± 0.081.67 ± 0.090.661
 Weight (kg) (Mean ± SD)68.9 ± 14.9970.66 ± 15.0867.37 ± 14.830.127
 Body Mass Index (kg/m2) (Mean ± SD)24.67 ± 5.0025.34 ± 5.2724.09 ± 4.700.121
 Gender, n (%)Male120 (76.9)55 (76.4)65 (77.4)0.883
Female36 (23.1)17 (23.6)19 (22.6)
 Blood group, n (%)O36 (23.1)22 (30.1)14 (16.7)0.032
A36 (23.1)20 (27.4)16 (19.0)
B66 (42.3)25 (34.7)41 (48.8)
AB18 (11.5)5 (6.8)13 (15.7)

Comorbidities, n (%)
 Preexisting comorbiditiesDiabetes Mellitus (DM)86 (55.1)37 (51.4)49 (58.3)0.385
Hypertension (HTN)140 (89.7)65 (90.3)75 (89.3)0.839
Chronic liver disease (CLD)10 (6.4)4 (5.6)6 (7.1)0.687
Chronic obstructive airways disease (COAD)13 (8.3)8 (11.1)5 (6.0)0.245
Vascular disease (CAD/PVD)37 (23.7)19 (26.4)18 (21.4)0.468
Chronic allograft dysfunction41 (26.3)21 (29.2)20 (23.8)0.449
Obstructive sleep apnoea (OSA)7 (4.5)4 (5.6)3 (3.6)0.703$
 Acquired comorbiditiesCytomegalovirus (CMV) Activation5 (3.2)3 (4.2)2 (2.4)0.663$
Mucormycosis4 (2.6)1 (1.4)3 (3.6)0.625$
Fungal Culture Positivity#9 (5.8)1 (1.4)8 (9.5)0.039$
Bacterial Blood Culture Positive10 (6.4)5 (6.9)5 (6.0)1.00$
Bacterial Urine Culture Positive5 (3.2)4 (5.6)1 (1.2)0.182$

KTRs baseline clinical characteristics
 Transplant duration (weeks) median [25th-75th percentile]282 [123.6–425.9]275.3 [131.8–406.4]297 [116.7–462.4]0.710
 Baseline immunosuppression n (%)CNI (Tac/CyA)154 (98.7)71 (98.6)83 (98.9)1.000$
MMF/MPA153 (98.1)70 (97.2)83 (98.9)1.000$
Steroids156 (100)72 (100)84 (100)1.000$

$: Fisher’s exact test. CAD/PVD: Coronary Artery Disease/Peripheral Vascular Disease; CNI: calcineurin inhibitors; MMF: Mycophenolate Mofetil; Tac: Tacrolimus; CyA: cyclosporine A. #Fungal Culture Positivity-when fungal infection was documented by positive urine or blood or body fluid culture.