COVID-19 infection in patients with history of pediatric heart transplant in Germany, Austria, and Switzerland.
Details
Download: 38445550.pdf (306.69 [Ko])
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_BD1E0A5AFDE2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
COVID-19 infection in patients with history of pediatric heart transplant in Germany, Austria, and Switzerland.
Journal
Clinical transplantation
Working group(s)
Working group thoracic organ transplantation DGPK
ISSN
1399-0012 (Electronic)
ISSN-L
0902-0063
Publication state
Published
Issued date
03/2024
Peer-reviewed
Oui
Volume
38
Number
3
Pages
e15272
Language
english
Notes
Publication types: Multicenter Study ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
COVID-19 is a heterogenous infection-asymptomatic to fatal. While the course of pediatric COVID-19 infections is usually mild or even asymptomatic, individuals after adult heart transplantation are at high risk of a severe infection. We conducted a retrospective, multicenter survey of 16 pediatric heart transplant centers in Germany, Austria and Switzerland to evaluate the risk of a severe COVID-19 infection after pediatric heart transplantation between 02/2020 and 06/2021. Twenty-six subjects (11 male) with a median age of 9.77 years at time of transplantation and a median of 4.65 years after transplantation suffered from COVID-19 infection. The median age at time of COVID-10 infection was 17.20 years. Fourteen subjects had an asymptomatic COVID-19 infection. The most frequent symptoms were myalgia/fatigue (n = 6), cough (n = 5), rhinitis (n = 5), and loss of taste (n = 5). Only one subject showed dyspnea. Eleven individuals needed therapy in an outpatient setting, four subjects were hospitalized. One person needed oxygen supply, none of the subjects needed non-invasive or invasive mechanical ventilation. No specific signs for graft dysfunction were found by non-invasive testing. In pediatric heart transplant subjects, COVID-19 infection was mostly asymptomatic or mild. There were no SARS-CoV-2 associated myocardial dysfunction in heart transplant individuals.
Keywords
Adult, Humans, Male, Child, Adolescent, COVID-19/epidemiology, Austria/epidemiology, Switzerland/epidemiology, Retrospective Studies, Heart Transplantation/adverse effects, Germany/epidemiology, COVID-19 infection, SARS-CoV-2 associated myocardial dysfunction, asymptomatic course, pediatric heart transplantation
Pubmed
Web of science
Open Access
Yes
Create date
11/03/2024 11:05
Last modification date
26/03/2024 7:10