Abstract: Journal Pre-proof RISK OF SEVERE COVID-19 INFECTION IN KIDNEY TRANSPLANT RECIPIENTS Pilar Galindo Sacristán , Elena Clavero Garcı́a , Elisa Berta Pereira , Almudena Pérez Marfil , Marı́a José Torres Sánchez , José Manuel Osorio Moratalla , Carmen De Gracia Guindo , Marı́a Carmen Ruiz Fuentes , Antonio Osuna Ortega PII: DOI: Reference: S0041-1345(21)00806-X https://doi.org/10.1016/j.transproceed.2021.08.060 TPS 30693 To appear in: Transplantation Proceedings Please cite this article as: Pilar Galindo Sacristán , Elena Clavero Garcı́a , Elisa Berta Pereira , Almudena Pérez Marfil , Marı́a José Torres Sánchez , José Manuel Osorio Moratalla , Carmen De Gracia Guindo , Marı́a Carmen Ruiz Fuentes , Antonio Osuna Ortega , RISK OF SEVERE COVID-19 INFECTION IN KIDNEY TRANSPLANT RECIPIENTS, Transplantation Proceedings (2021), doi: https://doi.org/10.1016/j.transproceed.2021.08.060 This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © 2021 Published by Elsevier Inc. TITLE: “RISK OF SEVERE COVID-19 INFECTION IN KIDNEY TRANSPLANT RECIPIENTS” AUTHORS: Pilar Galindo Sacristán1, Elena Clavero García1, Elisa Berta Pereira Pérez1, Almudena Pérez Marfil1, María José Torres Sánchez1, José Manuel Osorio Moratalla1, Carmen De Gracia Guindo1, María Carmen Ruiz Fuentes1, Antonio Osuna Ortega1. 1 Department of Nephrology. Virgen de las Nieves Universitary Hospital. Granada. Spain EMAIL ADDRESSES: pgalindosacristan@gmail.com (Pilar Galindo Sacristán) elena.clavero.sspa@juntadeandalucia.es (Elena Clavero García) elisapereirap@gmail.com (Elisa Berta Pereira Pérez) aperezmarfil@yahoo.es (Almudena Pérez Marfil) mjtosan@gmail.com (María José Torres Sánchez) josem.osorio.sspa@juntadeandalucia.es (José Manuel Osorio Moratalla) degraciaguindo@gmail.com (Carmen De Gracia Guindo) mcarmenrf2005@gmail.com (María Carmen Ruiz Fuentes) aosunaortega@ugr.es (Antonio Osuna Ortega) INSTITUTION ADDRESS: 2 Fuerzas Armadas AVE, Granada, 18014 INSTITUTION TELEPHONE: +34 958020000 MAIN AUTHOR: Pilar Galindo Sacristán ; pgalindosacristan@gmail.com ; +34626648738 KEY WORDS: COVID, immunosuppression, predictors GRANT SUPPORT: NO INTRODUCTION: Despite all efforts, the incidence of severe COVID infection has been high in renal transplant recipients, as in other groups (elderly, patients with comorbidities or immunosuppression). The detection of any possible predictor of gravity could improve the early approach in these patients. PATIENTS AND METHODS: We registered data from renal transplant recipients with SARS-COVID infection in our area during a year (March 2020-2021). We collected demographics, comorbidity, body mass index, lymphocyte count and vitamin D level before the diagnosis. We performed statistical analysis using SSPS.20. RESULTS: Of 63 patients, 57.1% required hospital admission and 14.3% intensive care. The incidence of acute renal failure was 28.6%. 34.9% developed hyperinflammatory syndrome. 67% had lymphopenia, which was severe in 13.1%...