**5. Conclusions**

The SARS-CoV-2 pandemic has impacted health care systems tremendously worldwide, making the deferral of elective and non-urgen<sup>t</sup> surgical interventions necessary due to limited PPE and ICU capacities. To provide a valid risk assessment tool concerning the risk of ICU admission for old patients in the Eurotransplant Senior Program, we have identified a low BMI, coronary artery disease and hypertensive nephropathy as significant predictors for ICU admission. For this reason, each transplant center should always carefully discuss whether local ICU capacities allow high-risk KT or not.

**Author Contributions:** Conceptualization, P.Z., J.M., F.F.; methodology, P.Z.; software, P.Z.; validation, P.Z., J.M., F.F.; formal analysis, P.Z.; investigation, P.Z. and F.F.; data curation, P.Z., J.M., F.F.; writing—original draft preparation, P.Z.; writing—review and editing, all authors, P.Z., U.S., M.S. (Michael Stöckle), M.S. (Matthias Saar), I.Z., N.E.-B., L.L., K.B., R.Ö., P.R., T.S., J.M. and F.F.; visualization, P.Z.; supervision, F.F., All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Conflicts of Interest:** The authors declare no conflict of interest.
