{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:01:09Z","timestamp":1782475269598,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"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":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Significant uncertainties remain regarding the utilization of organs for solid organ transplantation (SOT) from donors with coronavirus disease 2019 (COVID\u201019). The aim of this study was to assess the trends in utilization of organs from donors with COVID\u201019 and their short\u2010term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Deceased donors between March 2020 and December 2021 with a positive COVID nucleic acid test from respiratory tract within 14 days of transplantation were analyzed using the de\u2010identified United Network for Organ Sharing (UNOS) database. Donor and recipient characteristics of COVID\u201019 positive (COVID+) organs were compared to COVID\u201019 negative (COVID\u2212) organs during this period. We analyzed the trends in the utilization of SOT from COVID+ donors across the United States, donor characteristics, and the quality of donor organ and recipient outcomes (length of hospitalization, rates of organ rejection, delayed graft function, 30\u2010day graft\/patient survival).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 193 COVID+ donors led to the transplantation of 281\u2010kidneys, 106\u2010livers, and 36\u2010hearts in 414 adult recipients. COVID+ patients donated a median of two organs. These donors were younger and had a lower median Kidney Donor Profile Index (0.37 vs. 0.50, <jats:italic>p<\/jats:italic> &lt; .001), lower median serum creatinine (0.8 vs. 1.0\u00a0mg\/dl, <jats:italic>p<\/jats:italic> = .003), similar median serum total bilirubin (0.6\u00a0mg\/dl, <jats:italic>p<\/jats:italic> = .46), and similar left ventricular ejection fraction (60%, <jats:italic>p<\/jats:italic> = .84) when compared to COVID\u2212 donors. Short\u2010term outcomes, including 30\u2010day graft\/patient survival, were similar in both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Analysis of short\u2010term outcomes from the UNOS database indicates that a positive COVID test in an otherwise medically suitable donor should not preclude consideration of non\u2010lung solid organ transplantation.\n<jats:boxed-text content-type=\"graphic\" position=\"anchor\"><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/tid13925-gra-0001-m.png\"><jats:alt-text>image<\/jats:alt-text><\/jats:graphic><\/jats:boxed-text><\/jats:p><\/jats:sec>","DOI":"10.1111\/tid.13925","type":"journal-article","created":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T09:23:58Z","timestamp":1660037038000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Solid organ transplantation from COVID positive donors in the United States: Analysis of United Network for Organ Sharing database"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3527-1938","authenticated-orcid":false,"given":"Abhay","family":"Dhand","sequence":"first","affiliation":[{"name":"Department of Medicine Westchester Medical Center\/New York Medical College  Valhalla New York USA"},{"name":"Department of Surgery Westchester Medical Center\/New York Medical College  Valhalla New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7751-2624","authenticated-orcid":false,"given":"Kenji","family":"Okumura","sequence":"additional","affiliation":[{"name":"Department of Surgery Westchester Medical Center\/New York Medical College  Valhalla New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0140-8510","authenticated-orcid":false,"given":"Christopher","family":"Nabors","sequence":"additional","affiliation":[{"name":"Department of Medicine Westchester Medical Center\/New York Medical College  Valhalla New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1504-3551","authenticated-orcid":false,"given":"Seigo","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Surgery Westchester Medical Center\/New York Medical College  Valhalla New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003670"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14492"},{"key":"e_1_2_11_4_1","unstructured":"National Institutes of Health.Coronavirus Disease 2019 (COVID\u201019) Treatment Guidelines. 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