Managing liver transplantation during the COVID-19 pandemic: A survey among transplant centers in the Southeast United States.
Managing liver transplantation during the COVID-19 pandemic: A survey among transplant centers in the Southeast United States.
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DOI：
10.4254/wjh.v13.i12.2161
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发表时间：
2021-12-27
影响因子：
2.4
通讯作者：
Zervos XB
中科院分区：
文献类型：
--
作者：
Gonzalez AJ;Kapila N;Thomas E;Pinna A;Tzakis A;Zervos XB
2019冠状病毒病（COVID-19）大流行对全球产生深远影响。事实上，它已经导致器官移植，包括肝移植（LT）的大幅减少。有关LT中心为应对COVID-19疫情而作出的调整的数据很少。 评估大流行期间美国LT中心的经验。 我们于2020年5月11日至2020年6月5日进行了观察性调查研究。我们向美国东南部的15个LT中心发出了一份13个问题的调查。 11个LT中心对调查作出了回应。我们发现（11/11）100%的移植中心因为COVID-19大流行而做出调整。至少50%的移植中心至少有一名移植受者感染了COVID-19。为了进行调整，超过50%的中心减少了LT，100%的患者接受了COVID-19检测，大多数中心实施了虚拟平台。 2019冠状病毒病大流行极大地影响了美国东南部的肝移植。很明显，LT中心做出了协调一致的努力，以保护其患者和员工免受COVID-19的影响，但也继续在这一患病患者群体中进行LT的救生程序。需要进一步的研究来评估世界各地的LT中心如何管理大流行，以便学习在这一患者人群中继续挽救生命的策略。
The coronavirus disease-2019 (COVID-19) pandemic has had a profound worldwide impact. Indeed, it has led to a vast decrease in organ transplantation, including liver transplants (LT). There is little data regarding adjustments made by LT centers as a response to the COVID-19 pandemic. To assess the experience of LT centers in the United States during the pandemic. We performed an observational survey study from May 11, 2020 to June 5, 2020. We sent out a 13 question survey to 15 LT centers across the southeastern United States. Eleven LT centers responded to the survey. We found that (11/11) 100% of transplant centers made adjustments because of the COVID-19 pandemic. At least 50% of transplant centers had at least one transplant recipient infected with COVID-19. To adjust, greater than 50% of centers performed fewer LT, 100% of patients were tested for COVID-19, and most centers implemented a virtual platform. The COVID-19 pandemic greatly affected liver transplantation in the southeastern United States. It was evident that a concerted effort was made by LT centers to protect their patients and employees from COVID-19 but also to continue the life-saving procedure of LT in this sick patient population. Further studies are needed to assess how LT centers around the world managed the pandemic in order to learn strategies to continue life-saving procedures in this patient population.