The adverse impact of Coronavirus disease 2019 (COVID-19) on kidney function has been reported since the global pandemic. The burden of COVID-19 on kidney transplant recipients, however, has not been systematically analyzed. A systematic review and meta-analysis with a random-effect model was conducted to explore the rate of mortality, intensive care unit admission, invasive mechanical ventilation, acute kidney injury, kidney replacement therapy and graft loss in the adult kidney transplant population with COVID-19. Sensitivity analysis, subgroup analysis and meta-regression were also performed. Results: we demonstrated a pooled mortality rate of 21% (95% CI: 19−23%), an intensive care unit admission rate of 26% (95% CI: 22–31%), an invasive ventilation rate among those who required intensive care unit care of 72% (95% CI: 62–81%), an acute kidney injury rate of 44% (95% CI: 39–49%), a kidney replacement therapy rate of 12% (95% CI: 9–15%), and a graft loss rate of 8% (95% CI: 5–15%) in kidney transplant recipients with COVID-19. The meta-regression indicated that advancing age is associated with higher mortality; every increase in age by 10 years was associated with an increased mortality rate of 3.7%. Regional differences in outcome were also detected. Further studies focused on treatments and risk factor identification are needed.
【저자키워드】 Coronavirus disease 2019, Mortality, Acute kidney injury, kidney replacement therapy, graft loss, 【초록키워드】 COVID-19, Treatment, Meta-analysis, therapy, intensive care, Kidney function, systematic review, outcome, risk factor, invasive ventilation, meta-regression, kidney, global pandemic, age, mortality rate, Admission, Care, kidney transplant, kidney transplant recipient, kidney transplant recipients, Invasive mechanical ventilation, Analysis, increased mortality, subgroup analysis, adverse impact, Regional, analyzed, performed, reported, indicated, required, conducted, demonstrated, increase in, with COVID-19, 【제목키워드】 review, Transplant, Graft, recipient, Loss,