Increased Mortality in Kidney Transplant Recipients During the Delta/Omicron Era of the COVID‐19 Pandemic Despite Widespread Vaccination

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Main Authors: Byron Smith, Sumi Nair, Hani Wadei, Martin Mai, Hasan Khamash, Carrie Schinstock, Yun Liang, Ahmed Abdelrheem, Walter Park, Andrew Badley, Mark D. Stegall
Format: Artículo Open Access
Published: Wiley 2025
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author Byron Smith
Sumi Nair
Hani Wadei
Martin Mai
Hasan Khamash
Carrie Schinstock
Yun Liang
Ahmed Abdelrheem
Walter Park
Andrew Badley
Mark D. Stegall
author_facet Byron Smith
Sumi Nair
Hani Wadei
Martin Mai
Hasan Khamash
Carrie Schinstock
Yun Liang
Ahmed Abdelrheem
Walter Park
Andrew Badley
Mark D. Stegall
Byron Smith
Sumi Nair
Hani Wadei
Martin Mai
Hasan Khamash
Carrie Schinstock
Yun Liang
Ahmed Abdelrheem
Walter Park
Andrew Badley
Mark D. Stegall
collection Wiley Open Access
contents Increased Mortality in Kidney Transplant Recipients During the Delta/Omicron Era of the COVID‐19 Pandemic Despite Widespread Vaccination Byron Smith Sumi Nair Hani Wadei Martin Mai Hasan Khamash Carrie Schinstock Yun Liang Ahmed Abdelrheem Walter Park Andrew Badley Mark D. Stegall Clinical Transplantation ABSTRACTIntroductionThe incidence of mortality late in the pandemic, particularly after widespread vaccine availability, is not well understood. Herein, we elucidate the effect of this impact of the COVID pandemic as well as risk factors for mortality during it.MethodsThe primary end point was death with a functioning graft with secondary endpoints of mortality rates in subgroups and at different time intervals during the pandemic.ResultsDespite widespread vaccination, mortality rates for kidney transplant (KTx) recipients almost doubled during the COVID‐19 era (6.40 deaths per 100 person years vs. 3.54 pre‐COVID). Mortality increased in all racial/ethnic groups but increased more in Native Americans, Hispanics, and African Americans compared to non‐Hispanic Caucasians. The highest mortality rate occurred during the Delta and Omicron time frames. In contrast to the general population, mortality was more evenly spread across age groups in KTx recipients.ConclusionsMortality rates during the COVID‐19 era were extremely high, more than doubling in some racial/ethnic groups. We conclude that the KTx population was a particularly vulnerable group during the COVID‐19 era and suggests the need for further research into the management of variants in the future. 10.1111/ctr.70071 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/ctr.70071
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institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2025
publisher Wiley
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spellingShingle Increased Mortality in Kidney Transplant Recipients During the Delta/Omicron Era of the COVID‐19 Pandemic Despite Widespread Vaccination
Byron Smith
Sumi Nair
Hani Wadei
Martin Mai
Hasan Khamash
Carrie Schinstock
Yun Liang
Ahmed Abdelrheem
Walter Park
Andrew Badley
Mark D. Stegall
Clinical Transplantation
Increased Mortality in Kidney Transplant Recipients During the Delta/Omicron Era of the COVID‐19 Pandemic Despite Widespread Vaccination Byron Smith Sumi Nair Hani Wadei Martin Mai Hasan Khamash Carrie Schinstock Yun Liang Ahmed Abdelrheem Walter Park Andrew Badley Mark D. Stegall Clinical Transplantation ABSTRACTIntroductionThe incidence of mortality late in the pandemic, particularly after widespread vaccine availability, is not well understood. Herein, we elucidate the effect of this impact of the COVID pandemic as well as risk factors for mortality during it.MethodsThe primary end point was death with a functioning graft with secondary endpoints of mortality rates in subgroups and at different time intervals during the pandemic.ResultsDespite widespread vaccination, mortality rates for kidney transplant (KTx) recipients almost doubled during the COVID‐19 era (6.40 deaths per 100 person years vs. 3.54 pre‐COVID). Mortality increased in all racial/ethnic groups but increased more in Native Americans, Hispanics, and African Americans compared to non‐Hispanic Caucasians. The highest mortality rate occurred during the Delta and Omicron time frames. In contrast to the general population, mortality was more evenly spread across age groups in KTx recipients.ConclusionsMortality rates during the COVID‐19 era were extremely high, more than doubling in some racial/ethnic groups. We conclude that the KTx population was a particularly vulnerable group during the COVID‐19 era and suggests the need for further research into the management of variants in the future. 10.1111/ctr.70071 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Increased Mortality in Kidney Transplant Recipients During the Delta/Omicron Era of the COVID‐19 Pandemic Despite Widespread Vaccination
topic Clinical Transplantation
url https://onlinelibrary.wiley.com/doi/10.1111/ctr.70071