{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:36:30Z","timestamp":1762868190049,"version":"3.41.2"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T00:00:00Z","timestamp":1593993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Data describing the clinical progression of coronavirus disease 2019 (COVID\u201019) in transplant recipients are limited. In New York City during the surge in COVID\u201019 cases, a systematic approach to monitoring and triaging immunocompromised transplant patients was required in the context of strained healthcare resources, limited outpatient testing, and heightened hospital exposure risks. Public health guidance at the onset of the COVID\u201019 outbreak recommended outpatient monitoring of mildly symptomatic patients without specific recommendations for special populations such as transplant recipients. We developed and implemented a systematic monitoring algorithm for kidney transplant recipients at our transplant center who reported mild symptoms suggestive of COVID\u201019. We describe the outcomes of the first 44 patients monitored through this algorithm. A total of 44 kidney transplant recipients thought to be symptomatic for COVID\u201019 disease were followed for a minimum of 14\u00a0days. The majority of mildly symptomatic patients (34\/44) had clinical progression of disease and were referred to the emergency department where they all tested PCR positive and required hospitalization. More than half of these patients presented with hypoxia requiring supplemental oxygen, 39% were intubated within 48\u00a0hours, and 53% developed acute kidney injury but did not require dialysis. There were 6 deaths. During surge outbreaks, kidney transplant patients with even mild symptoms have a high likelihood of COVID\u201019 disease and most will worsen requiring hospitalization for supportive measures. Earlier outpatient testing and hospitalization may improve COVID\u201019 outcomes among transplant recipients.<\/jats:p>","DOI":"10.1111\/tid.13383","type":"journal-article","created":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T00:24:45Z","timestamp":1592958285000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Outpatient management of kidney transplant recipients with suspected COVID\u201019\u2014Single\u2010center experience during the New York City surge"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5588-905X","authenticated-orcid":false,"given":"Sapna A.","family":"Mehta","sequence":"first","affiliation":[{"name":"New York University Grossman School of Medicine New York New York USA"},{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanette","family":"Leonard","sequence":"additional","affiliation":[{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Labella","sequence":"additional","affiliation":[{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Cartiera","sequence":"additional","affiliation":[{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irfana","family":"Soomro","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine New York New York USA"},{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry","family":"Neumann","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine New York New York USA"},{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2728-4552","authenticated-orcid":false,"given":"Robert A.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine New York New York USA"},{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole M.","family":"Ali","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine New York New York USA"},{"name":"New York University Langone Transplant Institute New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,6]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1","article-title":"Clinical characteristics and immunosuppressants management of coronavirus disease 2019 in solid organ transplant recipients","author":"Zhong Z","year":"2020","journal-title":"Am J Transplant"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30566-3"},{"key":"e_1_2_8_5_1","unstructured":"Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID\u201019) 2020.https:\/\/www.cdc.gov\/coronavirus\/2019\u2010ncov\/hcp\/clinical\u2010guidance\u2010management\u2010patients.html. Accessed April 10 2020."},{"key":"e_1_2_8_6_1","unstructured":"Update on COVID\u201019 for New York State Healthcare Providers. https:\/\/coronavirus.health.ny.gov\/system\/files\/documents\/2020\/03\/covid19_hcp_webinar_31320.pdf. Accessed April 10 2020."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.05170420"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2011117"},{"key":"e_1_2_8_9_1","first-page":"1","article-title":"COVID\u201019 in solid organ transplant recipients: Initial report from the US epicenter","author":"Pereira MR","year":"2020","journal-title":"Am J Transplant"}],"container-title":["Transplant Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Ftid.13383","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tid.13383","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/tid.13383","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tid.13383","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T18:09:49Z","timestamp":1693764589000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tid.13383"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,6]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1111\/tid.13383"],"URL":"https:\/\/doi.org\/10.1111\/tid.13383","archive":["Portico"],"relation":{},"ISSN":["1398-2273","1399-3062"],"issn-type":[{"type":"print","value":"1398-2273"},{"type":"electronic","value":"1399-3062"}],"subject":[],"published":{"date-parts":[[2020,7,6]]},"assertion":[{"value":"2020-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13383"}}