COVID-19 in pediatric patients undergoing chronic dialysis and kidney transplantation

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dc.authorid0000-0002-3582-5075
dc.contributor.authorCanpolat, Nur
dc.contributor.authorYürük Yıldırım, Zeynep
dc.contributor.authorYıldız, Nurdan
dc.contributor.authorTaşdemir, Mehmet
dc.contributor.authorGöknar, Nilüfer
dc.contributor.authorEvrengül, Havva
dc.contributor.authorGülmez, Rüveyda
dc.contributor.authorAksu, Bağdagül
dc.contributor.authorDursun, Hasan
dc.contributor.authorÖzçelik, Gül
dc.contributor.authorYavaşcan, Önder
dc.contributor.authorÇiçek, Rümeysa Yasemin
dc.date.accessioned2022-12-27T06:37:12Z
dc.date.available2022-12-27T06:37:12Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractThe study aims to present the incidence of COVID-19 in pediatric patients undergoing renal replacement therapy (RRT) and to compare the severity and outcomes of the disease between the dialysis and kidney transplant (KTx) groups. This multicenter observational study was conducted between 1 April and 31 December 2020 in Istanbul. Members of the Istanbul branch of the Turkish Pediatric Nephrology Association were asked to report all confirmed cases of COVID-19 who were on RRT, as well as the number of prevalent RRT patients under the age of 20. A total of 46 confirmed cases of COVID-19 were reported from 12 centers, of which 17 were dialysis patients, and 29 were KTx recipients. Thus, the incidence rate of COVID-19 was 9.3% among dialysis patients and 9.2% among KTx recipients over a 9-month period in Istanbul. Twelve KTx recipients and three dialysis patients were asymptomatic (p = 0.12). Most of the symptomatic patients in both the dialysis and KTx groups had a mild respiratory illness. Only two patients, one in each group, experienced a severe disease course, and only one hemodialysis patient had a critical illness that required mechanical ventilation. In the entire cohort, one hemodialysis patient with multiple comorbidities died. Conclusion: While most cases are asymptomatic or have a mild disease course, pediatric patients undergoing dialysis and a kidney transplant are at increased risk for COVID-19. What is Known: In adult population, both dialysis patients and kidney transplant recipients are at increased risk for severe illness of COVID-19 and have higher mortality rate. Children with kidney transplantation are not at increased risk for COVID-19 and most have mild disease course. Data on children on dialysis are scarce. What is New: Pediatric patients undergoing dialysis and kidney transplantation have an increased risk for COVID-19. Most patients undergoing renal replacement therapy either on dialysis or transplanted develop asymptomatic or mild COVID-19 disease with a favorable outcome.
dc.identifier.citationCanpolat, N., Yürük Yıldırım, Z., Yıldız, N., Taşdemir, M., Göknar, N., Evrengül, H. ... Çiçek, R. Y. (2022). COVID-19 in pediatric patients undergoing chronic dialysis and kidney transplantation. European Journal of Pediatrics, 181(1), 117-123. https://doi.org/10.1007/s00431-021-04191-z
dc.identifier.doi10.1007/s00431-021-04191-z
dc.identifier.endpage123
dc.identifier.issn0340-6199
dc.identifier.issn1432-1076
dc.identifier.issue1
dc.identifier.pmid34218318
dc.identifier.scopus2-s2.0-85109288442
dc.identifier.scopusqualityQ1
dc.identifier.startpage117
dc.identifier.urihttps://doi.org/10.1007/s00431-021-04191-z
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10187
dc.identifier.volume181
dc.identifier.wos000669303500003en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYavaşcan, Önder
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Journal of Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectChildren
dc.subjectCOVID-19
dc.subjectDialysis
dc.subjectKidney Transplantation
dc.subjectPediatric
dc.subjectRenal Replacement Therapy
dc.subjectRRT
dc.titleCOVID-19 in pediatric patients undergoing chronic dialysis and kidney transplantation
dc.typeArticle

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