The prevalence of postacute sequelae of coronavirus disease 2019 in solid organ transplant recipients: Evaluation of risk in the National COVID Cohort Collaborative
Postacute sequelae after the coronavirus disease (COVID) of 2019 (PASC) is increasingly recognized, although data on solid organ transplant (SOT) recipients (SOTRs) are limited. Using the National COVID Cohort Collaborative, we performed 1:1 propensity score matching (PSM) of all adult SOTR and noni...
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| Veröffentlicht in: | American journal of transplantation 2024-09, Vol.24 (9), p.1675-1689 |
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| creator | Vinson, Amanda J. Dai, Ran French, Evan T. Lee, Stephen B. Ison, Michael Mannon, Roslyn B. Wilcox, Adam B. Lee, Adam M. Manna, Amin Saha, Amit Olex, Amy Zhou, Andrea Williams, Andrew E. Southerland, Andrew Girvin, Andrew T. Walden, Anita Sharathkumar, Anjali A. Amor, Benjamin Bates, Benjamin Patel, Brijesh Alexander, Caleb Bramante, Carolyn Ward-Caviness, Cavin Madlock-Brown, Charisse Suver, Christine Chute, Christopher Gabriel, Davera Eichmann, David A. Mazzotti, Diego Brown, Don Boudreau, Eilis Hill, Elaine Marti, Emily Carlson Pfaff, Emily R. Mariona, Federico Prior, Fred Sokos, George Mehta, Hemalkumar Liu, Hongfang Sidky, Hythem Pincavitch, Jami Harper, Jeremy Richard Ge, Jin Gagnier, Joel Saltz, Joel Buse, John Mathew, Jomol Rutter, Joni L. McMurry, Julie A. Starren, Justin Crowley, Karen Bradwell, Katie Rebecca Walters, Kellie M. Wilkins, Ken Cato, Kenrick Dwain Murray, Kimberly Kostka, Kristin Northington, Lavance Misquitta, Leonie Cottrell, Lesley Portilla, Lili Deacy, Mariam Bissell, Mark M. Clark, Marshall Emmett, Mary Saltz, Mary Morrison Palchuk, Matvey B. Adams, Meredith Temple-O'Connor, Meredith Kurilla, Michael G. Morris, Michele Qureshi, Nabeel Safdar, Nasia Sharafeldin, Noha Sadan, Ofer Francis, Patricia A. Burgoon, Penny Wung Robinson, Peter Payne, Philip R.O. Fuentes, Rafael Patel, Rena Moffitt, Richard A. Zhu, Richard L. Kamaleswaran, Rishi Hurley, Robert Bozzette, Samuel Mallipattu, Sandeep Vedula, Satyanarayana O'Neil, Shawn T. Setoguchi, Soko Hong, Stephanie S. Johnson, Steve Bennett, Tellen D. Topaloglu, Umit Sheikh, Usman Gordon, Valery Subbian, Vignesh Hernandez, Wenndy Cooper, Will Hillegass, William |
| description | Postacute sequelae after the coronavirus disease (COVID) of 2019 (PASC) is increasingly recognized, although data on solid organ transplant (SOT) recipients (SOTRs) are limited. Using the National COVID Cohort Collaborative, we performed 1:1 propensity score matching (PSM) of all adult SOTR and nonimmunosuppressed/immunocompromised (ISC) patients with acute COVID infection (August 1, 2021 to January 13, 2023) for a subsequent PASC diagnosis using International Classification of Diseases, 10th Revision, Clinical Modification codes. Multivariable logistic regression was used to examine not only the association of SOT status with PASC, but also other patient factors after stratifying by SOT status. Prior to PSM, there were 8769 SOT and 1 576 769 non-ISC patients with acute COVID infection. After PSM, 8756 SOTR and 8756 non-ISC patients were included; 2.2% of SOTR (n = 192) and 1.4% (n = 122) of non-ISC patients developed PASC (P value < .001). In the overall matched cohort, SOT was independently associated with PASC (adjusted odds ratio [aOR], 1.48; 95% confidence interval [CI], 1.09-2.01). Among SOTR, COVID infection severity (aOR, 11.6; 95% CI, 3.93-30.0 for severe vs mild disease), older age (aOR, 1.02; 95% CI, 1.01-1.03 per year), and mycophenolate mofetil use (aOR, 2.04; 95% CI, 1.38-3.05) were each independently associated with PASC. In non-ISC patients, only depression (aOR, 1.96; 95% CI, 1.24-3.07) and COVID infection severity were. In conclusion, PASC occurs more commonly in SOTR than in non-ISC patients, with differences in risk profiles based on SOT status. |
| doi_str_mv | 10.1016/j.ajt.2024.06.001 |
| format | Article |
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Dai, Ran ; French, Evan T. ; Lee, Stephen B. ; Ison, Michael ; Mannon, Roslyn B. ; Wilcox, Adam B. ; Lee, Adam M. ; Manna, Amin ; Saha, Amit ; Olex, Amy ; Zhou, Andrea ; Williams, Andrew E. ; Southerland, Andrew ; Girvin, Andrew T. ; Walden, Anita ; Sharathkumar, Anjali A. ; Amor, Benjamin ; Bates, Benjamin ; Patel, Brijesh ; Alexander, Caleb ; Bramante, Carolyn ; Ward-Caviness, Cavin ; Madlock-Brown, Charisse ; Suver, Christine ; Chute, Christopher ; Gabriel, Davera ; Eichmann, David A. ; Mazzotti, Diego ; Brown, Don ; Boudreau, Eilis ; Hill, Elaine ; Marti, Emily Carlson ; Pfaff, Emily R. ; Mariona, Federico ; Prior, Fred ; Sokos, George ; Mehta, Hemalkumar ; Liu, Hongfang ; Sidky, Hythem ; Pincavitch, Jami ; Harper, Jeremy Richard ; Ge, Jin ; Gagnier, Joel ; Saltz, Joel ; Buse, John ; Mathew, Jomol ; Rutter, Joni L. ; McMurry, Julie A. ; Starren, Justin ; Crowley, Karen ; Bradwell, Katie Rebecca ; Walters, Kellie M. ; Wilkins, Ken ; Cato, Kenrick Dwain ; Murray, Kimberly ; Kostka, Kristin ; Northington, Lavance ; Misquitta, Leonie ; Cottrell, Lesley ; Portilla, Lili ; Deacy, Mariam ; Bissell, Mark M. ; Clark, Marshall ; Emmett, Mary ; Saltz, Mary Morrison ; Palchuk, Matvey B. ; Adams, Meredith ; Temple-O'Connor, Meredith ; Kurilla, Michael G. ; Morris, Michele ; Qureshi, Nabeel ; Safdar, Nasia ; Sharafeldin, Noha ; Sadan, Ofer ; Francis, Patricia A. ; Burgoon, Penny Wung ; Robinson, Peter ; Payne, Philip R.O. ; Fuentes, Rafael ; Patel, Rena ; Moffitt, Richard A. ; Zhu, Richard L. ; Kamaleswaran, Rishi ; Hurley, Robert ; Bozzette, Samuel ; Mallipattu, Sandeep ; Vedula, Satyanarayana ; O'Neil, Shawn T. ; Setoguchi, Soko ; Hong, Stephanie S. ; Johnson, Steve ; Bennett, Tellen D. ; Topaloglu, Umit ; Sheikh, Usman ; Gordon, Valery ; Subbian, Vignesh ; Hernandez, Wenndy ; Cooper, Will ; Hillegass, William</creator><creatorcontrib>Vinson, Amanda J. ; Dai, Ran ; French, Evan T. ; Lee, Stephen B. ; Ison, Michael ; Mannon, Roslyn B. ; Wilcox, Adam B. ; Lee, Adam M. ; Manna, Amin ; Saha, Amit ; Olex, Amy ; Zhou, Andrea ; Williams, Andrew E. ; Southerland, Andrew ; Girvin, Andrew T. ; Walden, Anita ; Sharathkumar, Anjali A. ; Amor, Benjamin ; Bates, Benjamin ; Patel, Brijesh ; Alexander, Caleb ; Bramante, Carolyn ; Ward-Caviness, Cavin ; Madlock-Brown, Charisse ; Suver, Christine ; Chute, Christopher ; Gabriel, Davera ; Eichmann, David A. ; Mazzotti, Diego ; Brown, Don ; Boudreau, Eilis ; Hill, Elaine ; Marti, Emily Carlson ; Pfaff, Emily R. ; Mariona, Federico ; Prior, Fred ; Sokos, George ; Mehta, Hemalkumar ; Liu, Hongfang ; Sidky, Hythem ; Pincavitch, Jami ; Harper, Jeremy Richard ; Ge, Jin ; Gagnier, Joel ; Saltz, Joel ; Buse, John ; Mathew, Jomol ; Rutter, Joni L. ; McMurry, Julie A. ; Starren, Justin ; Crowley, Karen ; Bradwell, Katie Rebecca ; Walters, Kellie M. ; Wilkins, Ken ; Cato, Kenrick Dwain ; Murray, Kimberly ; Kostka, Kristin ; Northington, Lavance ; Misquitta, Leonie ; Cottrell, Lesley ; Portilla, Lili ; Deacy, Mariam ; Bissell, Mark M. ; Clark, Marshall ; Emmett, Mary ; Saltz, Mary Morrison ; Palchuk, Matvey B. ; Adams, Meredith ; Temple-O'Connor, Meredith ; Kurilla, Michael G. ; Morris, Michele ; Qureshi, Nabeel ; Safdar, Nasia ; Sharafeldin, Noha ; Sadan, Ofer ; Francis, Patricia A. ; Burgoon, Penny Wung ; Robinson, Peter ; Payne, Philip R.O. ; Fuentes, Rafael ; Patel, Rena ; Moffitt, Richard A. ; Zhu, Richard L. ; Kamaleswaran, Rishi ; Hurley, Robert ; Bozzette, Samuel ; Mallipattu, Sandeep ; Vedula, Satyanarayana ; O'Neil, Shawn T. ; Setoguchi, Soko ; Hong, Stephanie S. ; Johnson, Steve ; Bennett, Tellen D. ; Topaloglu, Umit ; Sheikh, Usman ; Gordon, Valery ; Subbian, Vignesh ; Hernandez, Wenndy ; Cooper, Will ; Hillegass, William ; National COVID Cohort Collaborative</creatorcontrib><description>Postacute sequelae after the coronavirus disease (COVID) of 2019 (PASC) is increasingly recognized, although data on solid organ transplant (SOT) recipients (SOTRs) are limited. Using the National COVID Cohort Collaborative, we performed 1:1 propensity score matching (PSM) of all adult SOTR and nonimmunosuppressed/immunocompromised (ISC) patients with acute COVID infection (August 1, 2021 to January 13, 2023) for a subsequent PASC diagnosis using International Classification of Diseases, 10th Revision, Clinical Modification codes. Multivariable logistic regression was used to examine not only the association of SOT status with PASC, but also other patient factors after stratifying by SOT status. Prior to PSM, there were 8769 SOT and 1 576 769 non-ISC patients with acute COVID infection. After PSM, 8756 SOTR and 8756 non-ISC patients were included; 2.2% of SOTR (n = 192) and 1.4% (n = 122) of non-ISC patients developed PASC (P value < .001). In the overall matched cohort, SOT was independently associated with PASC (adjusted odds ratio [aOR], 1.48; 95% confidence interval [CI], 1.09-2.01). Among SOTR, COVID infection severity (aOR, 11.6; 95% CI, 3.93-30.0 for severe vs mild disease), older age (aOR, 1.02; 95% CI, 1.01-1.03 per year), and mycophenolate mofetil use (aOR, 2.04; 95% CI, 1.38-3.05) were each independently associated with PASC. In non-ISC patients, only depression (aOR, 1.96; 95% CI, 1.24-3.07) and COVID infection severity were. In conclusion, PASC occurs more commonly in SOTR than in non-ISC patients, with differences in risk profiles based on SOT status.</description><identifier>ISSN: 1600-6135</identifier><identifier>ISSN: 1600-6143</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1016/j.ajt.2024.06.001</identifier><identifier>PMID: 38857785</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Cohort Studies ; COVID-19 ; COVID-19 - epidemiology ; Female ; Humans ; Immunocompromised Host ; infection ; long COVID ; Male ; Middle Aged ; Organ Transplantation - adverse effects ; Post-Acute COVID-19 Syndrome ; postacute sequelae ; Prevalence ; Propensity Score ; Retrospective Studies ; Risk Factors ; SARS-CoV-2 ; Transplant Recipients - statistics & numerical data ; transplantation ; United States - epidemiology</subject><ispartof>American journal of transplantation, 2024-09, Vol.24 (9), p.1675-1689</ispartof><rights>2024 American Society of Transplantation & American Society of Transplant Surgeons</rights><rights>Copyright © 2024 American Society of Transplantation & American Society of Transplant Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c361t-d5d07e5cff86dc3fc39a6d44fb305fae005955ef23f424e80836dcb996273a8d3</cites><orcidid>0000-0002-9345-5252 ; 0000-0002-6253-293X ; 0000-0002-3732-2789 ; 0000-0003-1776-3680 ; 0000-0003-3347-9671 ; 0000-0002-5809-5810 ; 0000-0001-8064-521X ; 0000-0001-5535-2773 ; 0000-0002-3212-7845</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38857785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vinson, Amanda J.</creatorcontrib><creatorcontrib>Dai, Ran</creatorcontrib><creatorcontrib>French, Evan T.</creatorcontrib><creatorcontrib>Lee, Stephen 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Charisse</creatorcontrib><creatorcontrib>Suver, Christine</creatorcontrib><creatorcontrib>Chute, Christopher</creatorcontrib><creatorcontrib>Gabriel, Davera</creatorcontrib><creatorcontrib>Eichmann, David A.</creatorcontrib><creatorcontrib>Mazzotti, Diego</creatorcontrib><creatorcontrib>Brown, Don</creatorcontrib><creatorcontrib>Boudreau, Eilis</creatorcontrib><creatorcontrib>Hill, Elaine</creatorcontrib><creatorcontrib>Marti, Emily Carlson</creatorcontrib><creatorcontrib>Pfaff, Emily R.</creatorcontrib><creatorcontrib>Mariona, Federico</creatorcontrib><creatorcontrib>Prior, Fred</creatorcontrib><creatorcontrib>Sokos, George</creatorcontrib><creatorcontrib>Mehta, Hemalkumar</creatorcontrib><creatorcontrib>Liu, Hongfang</creatorcontrib><creatorcontrib>Sidky, Hythem</creatorcontrib><creatorcontrib>Pincavitch, Jami</creatorcontrib><creatorcontrib>Harper, Jeremy Richard</creatorcontrib><creatorcontrib>Ge, Jin</creatorcontrib><creatorcontrib>Gagnier, Joel</creatorcontrib><creatorcontrib>Saltz, Joel</creatorcontrib><creatorcontrib>Buse, John</creatorcontrib><creatorcontrib>Mathew, Jomol</creatorcontrib><creatorcontrib>Rutter, Joni L.</creatorcontrib><creatorcontrib>McMurry, Julie A.</creatorcontrib><creatorcontrib>Starren, Justin</creatorcontrib><creatorcontrib>Crowley, Karen</creatorcontrib><creatorcontrib>Bradwell, Katie Rebecca</creatorcontrib><creatorcontrib>Walters, Kellie M.</creatorcontrib><creatorcontrib>Wilkins, Ken</creatorcontrib><creatorcontrib>Cato, Kenrick Dwain</creatorcontrib><creatorcontrib>Murray, Kimberly</creatorcontrib><creatorcontrib>Kostka, Kristin</creatorcontrib><creatorcontrib>Northington, Lavance</creatorcontrib><creatorcontrib>Misquitta, Leonie</creatorcontrib><creatorcontrib>Cottrell, Lesley</creatorcontrib><creatorcontrib>Portilla, Lili</creatorcontrib><creatorcontrib>Deacy, Mariam</creatorcontrib><creatorcontrib>Bissell, Mark M.</creatorcontrib><creatorcontrib>Clark, Marshall</creatorcontrib><creatorcontrib>Emmett, Mary</creatorcontrib><creatorcontrib>Saltz, Mary Morrison</creatorcontrib><creatorcontrib>Palchuk, Matvey B.</creatorcontrib><creatorcontrib>Adams, Meredith</creatorcontrib><creatorcontrib>Temple-O'Connor, Meredith</creatorcontrib><creatorcontrib>Kurilla, Michael G.</creatorcontrib><creatorcontrib>Morris, Michele</creatorcontrib><creatorcontrib>Qureshi, Nabeel</creatorcontrib><creatorcontrib>Safdar, Nasia</creatorcontrib><creatorcontrib>Sharafeldin, Noha</creatorcontrib><creatorcontrib>Sadan, Ofer</creatorcontrib><creatorcontrib>Francis, Patricia A.</creatorcontrib><creatorcontrib>Burgoon, Penny Wung</creatorcontrib><creatorcontrib>Robinson, Peter</creatorcontrib><creatorcontrib>Payne, Philip R.O.</creatorcontrib><creatorcontrib>Fuentes, Rafael</creatorcontrib><creatorcontrib>Patel, Rena</creatorcontrib><creatorcontrib>Moffitt, Richard A.</creatorcontrib><creatorcontrib>Zhu, Richard L.</creatorcontrib><creatorcontrib>Kamaleswaran, Rishi</creatorcontrib><creatorcontrib>Hurley, Robert</creatorcontrib><creatorcontrib>Bozzette, Samuel</creatorcontrib><creatorcontrib>Mallipattu, Sandeep</creatorcontrib><creatorcontrib>Vedula, Satyanarayana</creatorcontrib><creatorcontrib>O'Neil, Shawn T.</creatorcontrib><creatorcontrib>Setoguchi, Soko</creatorcontrib><creatorcontrib>Hong, Stephanie S.</creatorcontrib><creatorcontrib>Johnson, Steve</creatorcontrib><creatorcontrib>Bennett, Tellen D.</creatorcontrib><creatorcontrib>Topaloglu, Umit</creatorcontrib><creatorcontrib>Sheikh, Usman</creatorcontrib><creatorcontrib>Gordon, Valery</creatorcontrib><creatorcontrib>Subbian, Vignesh</creatorcontrib><creatorcontrib>Hernandez, Wenndy</creatorcontrib><creatorcontrib>Cooper, Will</creatorcontrib><creatorcontrib>Hillegass, William</creatorcontrib><creatorcontrib>National COVID Cohort Collaborative</creatorcontrib><title>The prevalence of postacute sequelae of coronavirus disease 2019 in solid organ transplant recipients: Evaluation of risk in the National COVID Cohort Collaborative</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Postacute sequelae after the coronavirus disease (COVID) of 2019 (PASC) is increasingly recognized, although data on solid organ transplant (SOT) recipients (SOTRs) are limited. Using the National COVID Cohort Collaborative, we performed 1:1 propensity score matching (PSM) of all adult SOTR and nonimmunosuppressed/immunocompromised (ISC) patients with acute COVID infection (August 1, 2021 to January 13, 2023) for a subsequent PASC diagnosis using International Classification of Diseases, 10th Revision, Clinical Modification codes. Multivariable logistic regression was used to examine not only the association of SOT status with PASC, but also other patient factors after stratifying by SOT status. Prior to PSM, there were 8769 SOT and 1 576 769 non-ISC patients with acute COVID infection. After PSM, 8756 SOTR and 8756 non-ISC patients were included; 2.2% of SOTR (n = 192) and 1.4% (n = 122) of non-ISC patients developed PASC (P value < .001). In the overall matched cohort, SOT was independently associated with PASC (adjusted odds ratio [aOR], 1.48; 95% confidence interval [CI], 1.09-2.01). Among SOTR, COVID infection severity (aOR, 11.6; 95% CI, 3.93-30.0 for severe vs mild disease), older age (aOR, 1.02; 95% CI, 1.01-1.03 per year), and mycophenolate mofetil use (aOR, 2.04; 95% CI, 1.38-3.05) were each independently associated with PASC. In non-ISC patients, only depression (aOR, 1.96; 95% CI, 1.24-3.07) and COVID infection severity were. In conclusion, PASC occurs more commonly in SOTR than in non-ISC patients, with differences in risk profiles based on SOT status.</description><subject>Adult</subject><subject>Aged</subject><subject>Cohort Studies</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Immunocompromised Host</subject><subject>infection</subject><subject>long COVID</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Organ Transplantation - adverse effects</subject><subject>Post-Acute COVID-19 Syndrome</subject><subject>postacute sequelae</subject><subject>Prevalence</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>SARS-CoV-2</subject><subject>Transplant Recipients - statistics & numerical data</subject><subject>transplantation</subject><subject>United States - 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Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9345-5252</orcidid><orcidid>https://orcid.org/0000-0002-6253-293X</orcidid><orcidid>https://orcid.org/0000-0002-3732-2789</orcidid><orcidid>https://orcid.org/0000-0003-1776-3680</orcidid><orcidid>https://orcid.org/0000-0003-3347-9671</orcidid><orcidid>https://orcid.org/0000-0002-5809-5810</orcidid><orcidid>https://orcid.org/0000-0001-8064-521X</orcidid><orcidid>https://orcid.org/0000-0001-5535-2773</orcidid><orcidid>https://orcid.org/0000-0002-3212-7845</orcidid></search><sort><creationdate>20240901</creationdate><title>The prevalence of postacute sequelae of coronavirus disease 2019 in solid organ transplant recipients: Evaluation of risk in the National COVID Cohort Collaborative</title><author>Vinson, Amanda J. ; Dai, Ran ; French, Evan T. ; Lee, Stephen B. ; Ison, Michael ; Mannon, Roslyn B. ; Wilcox, Adam B. ; Lee, Adam M. ; Manna, Amin ; Saha, Amit ; Olex, Amy ; Zhou, Andrea ; Williams, Andrew E. ; Southerland, Andrew ; Girvin, Andrew T. ; Walden, Anita ; Sharathkumar, Anjali A. ; Amor, Benjamin ; Bates, Benjamin ; Patel, Brijesh ; Alexander, Caleb ; Bramante, Carolyn ; Ward-Caviness, Cavin ; Madlock-Brown, Charisse ; Suver, Christine ; Chute, Christopher ; Gabriel, Davera ; Eichmann, David A. ; Mazzotti, Diego ; Brown, Don ; Boudreau, Eilis ; Hill, Elaine ; Marti, Emily Carlson ; Pfaff, Emily R. ; Mariona, Federico ; Prior, Fred ; Sokos, George ; Mehta, Hemalkumar ; Liu, Hongfang ; Sidky, Hythem ; Pincavitch, Jami ; Harper, Jeremy Richard ; Ge, Jin ; Gagnier, Joel ; Saltz, Joel ; Buse, John ; Mathew, Jomol ; Rutter, Joni L. ; McMurry, Julie A. ; Starren, Justin ; Crowley, Karen ; Bradwell, Katie Rebecca ; Walters, Kellie M. ; Wilkins, Ken ; Cato, Kenrick Dwain ; Murray, Kimberly ; Kostka, Kristin ; Northington, Lavance ; Misquitta, Leonie ; Cottrell, Lesley ; Portilla, Lili ; Deacy, Mariam ; Bissell, Mark M. ; Clark, Marshall ; Emmett, Mary ; Saltz, Mary Morrison ; Palchuk, Matvey B. ; Adams, Meredith ; Temple-O'Connor, Meredith ; Kurilla, Michael G. ; Morris, Michele ; Qureshi, Nabeel ; Safdar, Nasia ; Sharafeldin, Noha ; Sadan, Ofer ; Francis, Patricia A. ; Burgoon, Penny Wung ; Robinson, Peter ; Payne, Philip R.O. ; Fuentes, Rafael ; Patel, Rena ; Moffitt, Richard A. ; Zhu, Richard L. ; Kamaleswaran, Rishi ; Hurley, Robert ; Bozzette, Samuel ; Mallipattu, Sandeep ; Vedula, Satyanarayana ; O'Neil, Shawn T. ; Setoguchi, Soko ; Hong, Stephanie S. ; Johnson, Steve ; Bennett, Tellen D. ; Topaloglu, Umit ; Sheikh, Usman ; Gordon, Valery ; Subbian, Vignesh ; Hernandez, Wenndy ; Cooper, Will ; Hillegass, William</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-d5d07e5cff86dc3fc39a6d44fb305fae005955ef23f424e80836dcb996273a8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cohort Studies</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>infection</topic><topic>long COVID</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Organ Transplantation - adverse effects</topic><topic>Post-Acute COVID-19 Syndrome</topic><topic>postacute sequelae</topic><topic>Prevalence</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>SARS-CoV-2</topic><topic>Transplant Recipients - statistics & numerical data</topic><topic>transplantation</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vinson, Amanda J.</creatorcontrib><creatorcontrib>Dai, Ran</creatorcontrib><creatorcontrib>French, Evan T.</creatorcontrib><creatorcontrib>Lee, Stephen B.</creatorcontrib><creatorcontrib>Ison, Michael</creatorcontrib><creatorcontrib>Mannon, Roslyn B.</creatorcontrib><creatorcontrib>Wilcox, Adam B.</creatorcontrib><creatorcontrib>Lee, Adam M.</creatorcontrib><creatorcontrib>Manna, Amin</creatorcontrib><creatorcontrib>Saha, Amit</creatorcontrib><creatorcontrib>Olex, Amy</creatorcontrib><creatorcontrib>Zhou, Andrea</creatorcontrib><creatorcontrib>Williams, Andrew E.</creatorcontrib><creatorcontrib>Southerland, Andrew</creatorcontrib><creatorcontrib>Girvin, Andrew T.</creatorcontrib><creatorcontrib>Walden, Anita</creatorcontrib><creatorcontrib>Sharathkumar, Anjali A.</creatorcontrib><creatorcontrib>Amor, Benjamin</creatorcontrib><creatorcontrib>Bates, 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Will</creatorcontrib><creatorcontrib>Hillegass, William</creatorcontrib><creatorcontrib>National COVID Cohort Collaborative</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vinson, Amanda J.</au><au>Dai, Ran</au><au>French, Evan T.</au><au>Lee, Stephen B.</au><au>Ison, Michael</au><au>Mannon, Roslyn B.</au><au>Wilcox, Adam B.</au><au>Lee, Adam M.</au><au>Manna, Amin</au><au>Saha, Amit</au><au>Olex, Amy</au><au>Zhou, Andrea</au><au>Williams, Andrew E.</au><au>Southerland, Andrew</au><au>Girvin, Andrew T.</au><au>Walden, Anita</au><au>Sharathkumar, Anjali A.</au><au>Amor, Benjamin</au><au>Bates, Benjamin</au><au>Patel, Brijesh</au><au>Alexander, Caleb</au><au>Bramante, Carolyn</au><au>Ward-Caviness, Cavin</au><au>Madlock-Brown, Charisse</au><au>Suver, Christine</au><au>Chute, Christopher</au><au>Gabriel, Davera</au><au>Eichmann, David A.</au><au>Mazzotti, Diego</au><au>Brown, Don</au><au>Boudreau, Eilis</au><au>Hill, Elaine</au><au>Marti, Emily Carlson</au><au>Pfaff, Emily R.</au><au>Mariona, Federico</au><au>Prior, Fred</au><au>Sokos, George</au><au>Mehta, Hemalkumar</au><au>Liu, Hongfang</au><au>Sidky, Hythem</au><au>Pincavitch, Jami</au><au>Harper, Jeremy Richard</au><au>Ge, Jin</au><au>Gagnier, Joel</au><au>Saltz, Joel</au><au>Buse, John</au><au>Mathew, Jomol</au><au>Rutter, Joni L.</au><au>McMurry, Julie A.</au><au>Starren, Justin</au><au>Crowley, Karen</au><au>Bradwell, Katie Rebecca</au><au>Walters, Kellie M.</au><au>Wilkins, Ken</au><au>Cato, Kenrick Dwain</au><au>Murray, Kimberly</au><au>Kostka, Kristin</au><au>Northington, Lavance</au><au>Misquitta, Leonie</au><au>Cottrell, Lesley</au><au>Portilla, Lili</au><au>Deacy, Mariam</au><au>Bissell, Mark M.</au><au>Clark, Marshall</au><au>Emmett, Mary</au><au>Saltz, Mary Morrison</au><au>Palchuk, Matvey B.</au><au>Adams, Meredith</au><au>Temple-O'Connor, Meredith</au><au>Kurilla, Michael G.</au><au>Morris, Michele</au><au>Qureshi, Nabeel</au><au>Safdar, Nasia</au><au>Sharafeldin, Noha</au><au>Sadan, Ofer</au><au>Francis, Patricia A.</au><au>Burgoon, Penny Wung</au><au>Robinson, Peter</au><au>Payne, Philip R.O.</au><au>Fuentes, Rafael</au><au>Patel, Rena</au><au>Moffitt, Richard A.</au><au>Zhu, Richard L.</au><au>Kamaleswaran, Rishi</au><au>Hurley, Robert</au><au>Bozzette, Samuel</au><au>Mallipattu, Sandeep</au><au>Vedula, Satyanarayana</au><au>O'Neil, Shawn T.</au><au>Setoguchi, Soko</au><au>Hong, Stephanie S.</au><au>Johnson, Steve</au><au>Bennett, Tellen D.</au><au>Topaloglu, Umit</au><au>Sheikh, Usman</au><au>Gordon, Valery</au><au>Subbian, Vignesh</au><au>Hernandez, Wenndy</au><au>Cooper, Will</au><au>Hillegass, William</au><aucorp>National COVID Cohort Collaborative</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The prevalence of postacute sequelae of coronavirus disease 2019 in solid organ transplant recipients: Evaluation of risk in the National COVID Cohort Collaborative</atitle><jtitle>American journal of transplantation</jtitle><addtitle>Am J Transplant</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>24</volume><issue>9</issue><spage>1675</spage><epage>1689</epage><pages>1675-1689</pages><issn>1600-6135</issn><issn>1600-6143</issn><eissn>1600-6143</eissn><abstract>Postacute sequelae after the coronavirus disease (COVID) of 2019 (PASC) is increasingly recognized, although data on solid organ transplant (SOT) recipients (SOTRs) are limited. Using the National COVID Cohort Collaborative, we performed 1:1 propensity score matching (PSM) of all adult SOTR and nonimmunosuppressed/immunocompromised (ISC) patients with acute COVID infection (August 1, 2021 to January 13, 2023) for a subsequent PASC diagnosis using International Classification of Diseases, 10th Revision, Clinical Modification codes. Multivariable logistic regression was used to examine not only the association of SOT status with PASC, but also other patient factors after stratifying by SOT status. Prior to PSM, there were 8769 SOT and 1 576 769 non-ISC patients with acute COVID infection. After PSM, 8756 SOTR and 8756 non-ISC patients were included; 2.2% of SOTR (n = 192) and 1.4% (n = 122) of non-ISC patients developed PASC (P value < .001). In the overall matched cohort, SOT was independently associated with PASC (adjusted odds ratio [aOR], 1.48; 95% confidence interval [CI], 1.09-2.01). Among SOTR, COVID infection severity (aOR, 11.6; 95% CI, 3.93-30.0 for severe vs mild disease), older age (aOR, 1.02; 95% CI, 1.01-1.03 per year), and mycophenolate mofetil use (aOR, 2.04; 95% CI, 1.38-3.05) were each independently associated with PASC. In non-ISC patients, only depression (aOR, 1.96; 95% CI, 1.24-3.07) and COVID infection severity were. In conclusion, PASC occurs more commonly in SOTR than in non-ISC patients, with differences in risk profiles based on SOT status.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38857785</pmid><doi>10.1016/j.ajt.2024.06.001</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-9345-5252</orcidid><orcidid>https://orcid.org/0000-0002-6253-293X</orcidid><orcidid>https://orcid.org/0000-0002-3732-2789</orcidid><orcidid>https://orcid.org/0000-0003-1776-3680</orcidid><orcidid>https://orcid.org/0000-0003-3347-9671</orcidid><orcidid>https://orcid.org/0000-0002-5809-5810</orcidid><orcidid>https://orcid.org/0000-0001-8064-521X</orcidid><orcidid>https://orcid.org/0000-0001-5535-2773</orcidid><orcidid>https://orcid.org/0000-0002-3212-7845</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1600-6135 |
| ispartof | American journal of transplantation, 2024-09, Vol.24 (9), p.1675-1689 |
| issn | 1600-6135 1600-6143 1600-6143 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11390303 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Cohort Studies COVID-19 COVID-19 - epidemiology Female Humans Immunocompromised Host infection long COVID Male Middle Aged Organ Transplantation - adverse effects Post-Acute COVID-19 Syndrome postacute sequelae Prevalence Propensity Score Retrospective Studies Risk Factors SARS-CoV-2 Transplant Recipients - statistics & numerical data transplantation United States - epidemiology |
| title | The prevalence of postacute sequelae of coronavirus disease 2019 in solid organ transplant recipients: Evaluation of risk in the National COVID Cohort Collaborative |
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