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 4

Comparison between survivors and nonsurvivors.

VariableTotal (n = 156) n (%)Survivor (n = 113) n (%)Nonsurvivors (n = 43) n (%)Odds ratio (95% CI)p value

Gender
 Male120 (76.9)86 (76.1)34 (79.1)1.19 [0.50 to 2.79]0.695
 Female36 (23.1)27 (23.9)13 (30.2)1.0

Blood group
 O36 (23.1)27 (23.9)9 (20.9)1.0
 A36 (23.1)22 (19.5)14 (32.6)1.91 [0.70–5.24]0.209
 B66 (42.3)48 (42.5)18 (41.9)0.38 [0.07–1.96]0.245
 AB18 (11.5)16 (14.2)2 (4.7)1.13 [0.44–2.85]0.804

Preexisting comorbidities
 Diabetes mellitus (DM)86 (55.1)58 (51.3)28 (65.1)1.77 [0.86–3.66]0.124
 Hypertension (HTN)140 (89.7)98 (86.7)42 (97.7)6.43 [0.82–50.25]0.076
 Chronic liver disease (CLD)10 (6.4)7 (6.2)3 (7.0)1.14 [0.28–4.61]1.00
 Chronic obstructive airways disease (COAD)13 (8.3)9 (8.0)4 (9.3)1.18 [0.35–4.07]0.754
 Vascular disease (CAD/PVD@)37 (23.7)20 (17.7)17 (39.5)3.04 [1.40–6.63]0.004
 Chronic allograft dysfunction41 (26.3)25 (22.1)16 (37.2)2.09 [0.97–4.47]0.056
 Obstructive sleep apnoea (OSA)7 (4.5)5 (4.4)2 (4.8)1.08 [0.20–5.79]1.00

Acquired comorbidities
 Cytomegalovirus (CMV) Activation4 (2.6)0 (0.0)4 (9.3)0.005$
 Fungal Culture Positivity #9 (5.8)3 (2.7)6 (14.0)5.95 [1.42–24.97]0.015
 Bacterial Blood Culture Positivity10 (6.4)1 (0.9)9 (20.9)29.65 [3.63–242.42]<0.001
 Bacterial Urine Culture Positivity5 (3.2)1 (0.9)4 (9.3)11.49 [1.25–105.9]0.021

Baseline immunosuppression
 CNI (Tac/CyA)@154 (98.7)111 (98.2)43 (100.0)1.000$
 MMF/MPA@153 (98.0)110 (99.7)43 (100.0)0.562$
 Steroids156 (100)96 (85.0)43 (100)0.007$

Symptoms
 Fever140 (89.7)99 (87.9)41 (95.3)2.90 [0.63–3.3]0.172
 Cough117 (75.0)87 (77.0)30 (69.8)0.69 [0.32–1.51]0.358
 Sore Throat53 (34.0)35 (31.0)18 (41.9)1.61 [0.78–3.31]0.204
 Body Aches77 (49.4)59 (52.2)18 (41.9)0.66 [0.32–1.32]0.247
 Breathing Difficulty48 (30.8)24 (21.2)24 (55.8)4.68 [2.21–9.94]0.001
 Loss of Smell22 (14.1)21 (18.6)1 (2.3)0.10 [0.0014–0.80]0.030
 Distaste36 (23.1)33 (29.2)3 (7.0)0.18 [0.05–0.63]0.003
 Loose Motions32 (20.5)22 (19.5)10 (23.3)1.25 [0.54–2.92]0.601
 Extremes Weakness9 (5.8)6 (5.3)3 (7.0)1.34 [0.32–5.66]0.691
 Altered Sensorium13 (8.3)0 (0.0)13 (30.2)<0.001$

The odds ratio could not be computed due to zero count; $Fisher’s exact test. @CAD/PVD, Coronary Artery Disease/Peripheral Vascular Disease; CNI, calcineurin inhibitors; Tac, Tacrolimus; CyA, CyclosporineA; MMF, Mycophenolate Mofetil; MPA, Mycophenolic Acid, #Fungal Culture Positivity when fungal infection was documented by positive urine or blood culture or Body Fluid Culture.