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10.1111/liv.14455

http://scihub22266oqcxt.onion/10.1111/liv.14455
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32239796!ä!32239796

suck abstract from ncbi


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pmid32239796      Liver+Int 2020 ; 40 (9): 2095-2103
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  • Liver impairment in COVID-19 patients: A retrospective analysis of 115 cases from a single centre in Wuhan city, China #MMPMID32239796
  • Zhang Y; Zheng L; Liu L; Zhao M; Xiao J; Zhao Q
  • Liver Int 2020[Sep]; 40 (9): 2095-2103 PMID32239796show ga
  • BACKGROUND: The SARS-CoV-2 pandemic is an ongoing global health emergency. The aim of our study was to investigate the changes of liver function and its clinical significance in COVID-19 patients. METHOD: This retrospective, single-centre study was conducted on 115 confirmed cases of COVID-19 in Zhongnan hospital of Wuhan University from 18 January 2020 to 22 February 2020. Liver function and related indexes were analysed to evaluate its relationship with disease progression in COVID-19 patients. RESULTS: Part of the COVID-19 patients presented with varying degrees of abnormality in liver function indexes. However, the levels of ALT, AST, TBIL, GGT and LDH in COVID-19 patients were not significantly different when compared with hospitalised community-acquired pneumonia patients, and the levels of albumin is even significantly higher. The levels of ALT, AST, TBIL, LDH and INR showed statistically significant elevation in severe COVID-19 cases compared with that in mild cases. However, the clinical significance of the elevation is unremarkable. Majority of severe COVID-19 patients showed significantly decreasing in albumin level and continuously decreasing in the progress of illness. Most of the liver function indexes in COVID-19 patients were correlated with CRP and NLR, the markers of inflammation. Logistic regression analysis further identified NLR as the independent risk factor for severe COVID-19, as well as age. CONCLUSIONS: Although abnormalities of liver function indexes are common in COVID-19 patients, the impairment of liver function is not a prominent feature of COVID-19, and also may not have serious clinical consequences.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus[MESH]
  • |C-Reactive Protein/metabolism[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/blood/pathology/*physiopathology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Liver Function Tests[MESH]
  • |Liver/enzymology/pathology/*physiopathology[MESH]
  • |Logistic Models[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/blood/pathology/*physiopathology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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