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 3

Clinical outcome and management of KTRs with COVID-19 in both waves

ParametersNumber (n = 156)PercentageWave 1 (n = 72) n (%)Wave 2 (n = 84) n (%)p value

Treatment parameters
 Hospitalization7850.044 (61.1)34 (40.5)0.010
 Domiciliary7850.028 (38.8)50 (59.5)0.010
 Room air management8353.236 (50.0)47 (56.0)0.458
 Oxygen with mask2917.316 (18.6)13 (15.5)0.280
 Noninvasive ventilator138.36 (8.3)7 (8.3)1.00
 Ventilator2717.314 (19.4)13 (15.5)0.514
 Steroid15610072 (100)84 (100)1.00
 Azithromycin6742.930 (41.7)37 (44.0)0.765
 HCQS95.87 (9.7)2 (2.4)0.082
 Ivermectin10567.340 (55.6)65 (77.4)0.004
 Doxycycline10265.838 (53.5)64 (76.2)0.003
 Tocilizumab106.49 (12.5)1 (1.2)0.006$
 Remdesivir4538.824 (33.3)21 (25.0)0.252
 Convalescent plasma3220.522 (30.6)10 (11.9)0.004
 Favipiravir5334.0053 (63.1)<0.001$
 Fluvoxin4428.2044 (52.4)<0.001$
 Nintedanib815.31 (1.5)7 (8.4)0.070$

Thromboprophylaxis
 Antiplatelet31.92 (2.8)1 (1.2)<0.001$
 LMWH5233.331 (43)21 (25.0)
 OAC7447.420 (27.8)54 (64.4)
 Not taking2817.920 (27.8)8 (9.5)

Antinucleoside drugs
 Continued1912.112 (16.7)7 (8.3)0.062$
 Dose reduced53.24 (5.5)1 (1.2)
 Drug stopped12882.053 (73.6)75 (89.2)
 Not taking42.63 (4.2)1 (1.2)

CNI drugs (tacrolimus or cyclosporine)
 CNI continued11674.450 (69.4)66 (78.6)0.813
 CNI dose reduced21.31 (1.4)1 (1.2)
 CNI stopped3622.520 (27.8)16 (19.0)
 Not taking21.31 (1.4)1 (1.2)

AKI and need for dialysis support (CRRT/SLEDD/Intermittent hemodialysis)
 Total AKI patients6541.729 (40.3)36 (42.9)0.745
 AKI patients needing dialysis2516.013 (18.1)12 (14.3)0.522

Computerized tomographic scanning with CT score (N=67)N = 31N = 36
 CT score ≤102334.39 (29.0)14 (38.9)0.538
 CT score 11–141014.96 (19.4)4 (11.1)
 CT score ≥15)3450.716(51.6)18 (50.0)

Other outcomes
 ICU requirement4931.422 (30.6)27 (32.1)0.864
 Antibiotics used7749.442 (58.3)35 (41.7)0.038
 Antifungal used3321.218 (25.0)15 (17.9)0.276

$ Fisher’s exact test. HCQS: Hydroxychloroquine Sulfate; LMWH: low molecular weight heparin; AKI: Acute Kidney Injury; OAC: oral anticoagulants; CNI: calcineurin inhibitors; CRRT: Continuous Renal Replacement Therapy; SLEDD: Slow Low-Efficiency Daily Dialysis.