Evidence map›Paper›PMID 40007028›Full record

Observational studyViruses2025

The Impact and Evolution of COVID-19 on Liver Transplant Recipients Throughout the Pandemic "Waves" in a Single Center.

Clara Fernández Fernández, Blanca Otero Torrón, Mercedes Bernaldo de Quirós Fernández, Rafael San Juan Garrido, Cristina Martín-Arriscado Arroba, Iago Justo Alonso, Alberto Alejandro Marcacuzco Quinto, Óscar Caso Maestro, Félix Cambra Molero, Oana Anisa Nutu and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Clara Fernández FernándezHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.ORCID 0000-0001-9106-0110
Blanca Otero TorrónHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.
Mercedes Bernaldo de Quirós FernándezHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.
Rafael San Juan GarridoUnit of Infectious Diseases, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.
Cristina Martín-Arriscado ArrobaInstituto de Investigación, Hospital "12 de Octubre" (imas12), 28041 Madrid, Spain.ORCID 0000-0002-2147-2811
Iago Justo AlonsoHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.ORCID 0000-0002-0553-5835
Alberto Alejandro Marcacuzco QuintoHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.ORCID 0000-0001-6266-8792
Óscar Caso MaestroHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.ORCID 0000-0002-8953-269X
Félix Cambra MoleroHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.ORCID 0000-0001-5799-0170
Oana Anisa NutuHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.
Jorge Calvo PulidoHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.
Alejandro Manrique MunicioHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.
Álvaro García-Sesma Pérez-FuentesHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.
Carmelo Loinaz SegurolaHBP and Transplant Surgery Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario "12 de Octubre", 28041 Madrid, Spain.ORCID 0000-0002-1873-0568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver transplant recipients (LTRs) have been considered a population group that is vulnerable to COVID-19 as they are chronically immunosuppressed patients with frequent comorbidities. This study describes the course of the SARS-CoV-2 disease from February 2020 to December 2023 along seven pandemic "waves". We carried out an observational study on 307 COVID-19 cases in a cohort of LTRs with the aim of evaluating the changes in the disease characteristics over time and determining the risk factors for severe COVID-19. An older age and serum creatinine level ≥ 2 mg/dL were found to be risk factors for hospital admission and respiratory failure. The use of calcineurin inhibitors was a protective factor for death, hospitalization, and respiratory failure from COVID-19. One hundred percent of patients who died (N = 12) were on mycophenolate mofetil, which was a determinant for respiratory failure. Azathioprine was associated with admission to the intensive care unit (ICU) and with invasive mechanical ventilation (IMV). Vaccination was a protective factor for hospitalization, respiratory failure, and mortality. The severe COVID-19 rate was higher during the first five waves, with a peak of 57.14%, and the highest mortality rate (21.43%) occurred in the fourth wave. The IMV and ICU admission rates did not show significant differences across the periods studied.

Indexed as

COVID-19Liver TransplantationTransplant RecipientsAdultAgedFemaleHospitalizationHumansImmunocompromised HostImmunosuppressive AgentsMaleMiddle AgedPandemicsRisk FactorsSARS-CoV-2Immunosuppressive AgentsCOVID-19 diseaseCOVID-19 wavesepidemiologyimmunosuppressionliver transplantationliver transplant recipientsSARS-CoV-2vaccination

Identifiers

PMID40007028
PMCPMC11861689

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.