Id |
Subject |
Object |
Predicate |
Lexical cue |
T395 |
0-187 |
Sentence |
denotes |
However, kidney-transplant recipients appear to be at particularly high risk for critical COVID-19 illness because of both their chronic immunosuppression and coexisting conditions [130]. |
T396 |
188-495 |
Sentence |
denotes |
Recently, at Montefiore Medical Center, NY, 36 consecutive adult kidney-transplant recipients who were positive for COVID-19 were identified [131], and Columbia University Kidney transplant program enrolled 15 kidney transplant recipients who required hospitalization for confirmed COVID-19 infection [132]. |
T397 |
496-631 |
Sentence |
denotes |
Both reports described management, clinical course and outcomes of those patients living with a kidney transplant affected by COVID-19. |
T398 |
632-697 |
Sentence |
denotes |
Patients were predominantly men, and the median age was 55 years. |
T399 |
698-818 |
Sentence |
denotes |
The most common comorbidities were the following: hypertension, diabetes mellitus, history of smoking and heart disease. |
T400 |
819-924 |
Sentence |
denotes |
Almost all patients were receiving tacrolimus, prednisone and mycophenolate mofetil or mycophenolic acid. |
T401 |
925-1015 |
Sentence |
denotes |
The patients reported symptom onset ranging from 1 day to nearly 3 weeks before admission. |
T402 |
1016-1115 |
Sentence |
denotes |
The most common initial symptom was fever, but also cough, dyspnea, malaise, diarrhea and myalgias. |
T403 |
1116-1218 |
Sentence |
denotes |
Over 50% of the patients had bilateral/multifocal opacities noted on initial chest x-ray radiographic. |
T404 |
1219-1308 |
Sentence |
denotes |
Laboratory findings were lymphopenia, thrombocytopenia, low CD3, CD4 and CD8 cell counts. |
T405 |
1309-1408 |
Sentence |
denotes |
As inflammatory markers, ferritin levels, C- reactive protein, procalcitonin and D-dimer were high. |
T406 |
1409-1507 |
Sentence |
denotes |
Patients who were in a stable condition without major respiratory symptoms were monitored at home. |
T407 |
1508-1819 |
Sentence |
denotes |
In another report, among 41 outpatient kidney transplant recipients with suspected or known COVID-19 infection, about one third required hospitalization by the end of their follow-up; there were no differences in demographics or medical comorbidities between those who were or were not admitted to the hospital. |
T408 |
1820-1950 |
Sentence |
denotes |
These patients therefore required close clinical monitoring to prevent their organ deterioration until symptoms’ resolution [133]. |
T409 |
1951-2210 |
Sentence |
denotes |
As reported by Montefiore Medical Center and Columbia University, almost half of the patients had AKI, although none had a kidney biopsy performed to determine the cause, and required intubation and mechanical ventilation between 0 and 9 days after admission. |
T410 |
2211-2379 |
Sentence |
denotes |
In particular, Columbia University’s report observed that 27% of their cases required intubation, a proportion that is similar for cases in New York City overall [132]. |
T411 |
2380-2452 |
Sentence |
denotes |
Among the patients who developed AKI, only 20% of patients required RRT. |
T412 |
2453-2566 |
Sentence |
denotes |
At a median follow-up of 21 days, the mortality rate was about 28% of the kidney-transplant recipients [131,132]. |
T413 |
2567-2678 |
Sentence |
denotes |
Patients were managed with immunosuppression reduction and the addition of hydroxychloroquine and azithromycin. |