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10.4103/sjg.SJG_239_20

http://scihub22266oqcxt.onion/10.4103/sjg.SJG_239_20
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32769260!7739989!32769260
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suck abstract from ncbi


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pmid32769260      Saudi+J+Gastroenterol 2020 ; 26 (5): 272-278
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  • Abnormal liver-related biomarkers in COVID-19 patients and the role of prealbumin #MMPMID32769260
  • Li T; Guo Y; Zhuang X; Huang L; Zhang X; Wei F; Yang B
  • Saudi J Gastroenterol 2020[Sep]; 26 (5): 272-278 PMID32769260show ga
  • BACKGROUND/AIMS: We aimed to evaluate the distribution of abnormal liver-related biomarkers in patients with coronavirus disease (COVID-19) and explore the prognostic value of elevated liver enzymes and abnormal liver synthetic capacity with regards to patient mortality. PATIENTS AND METHODS: This retrospective observational study included 80 laboratory-confirmed COVID-19 cases. Data were collected from the electronic medical record system by a trained team of physicians. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TB), albumin, and prealbumin levels at admission and on day 7 after admission were collected. The primary outcome of the current study was patient mortality. RESULTS: Abnormal ALT, AST, TB, albumin, and prealbumin levels were observed in 11 (13.8%), 15 (18.8%), 5 (6.3%), 22 (27.5%), and 31 (38.8%) patients, respectively. Male gender correlated with elevated ALT and AST levels (p = 0.027 and 0.036, respectively). Higher levels of AST and lower levels of albumin and prealbumin were associated with patient mortality (p = 0.009, 0.002, and 0.003, respectively). Multivariate Cox regression analysis identified patient age (p = 0.013, HR 1.108) and prealbumin levels (p = 0.015, HR 0.986) as independent predictors for patient mortality. However, changes in liver-related biomarkers were not associated with poor outcome in multivariate analysis (p > 0.05). CONCLUSIONS: Abnormalities in albumin and prealbumin levels are common among COVID-19 patients and hypoprealbuminemia independently predicts adverse outcome and should be carefully considered in clinical practice. Moreover, changes in liver-related biomarkers is not a salient feature of COVID-19.
  • |*Betacoronavirus[MESH]
  • |Aged[MESH]
  • |Alanine Transaminase/blood[MESH]
  • |Aspartate Aminotransferases/blood[MESH]
  • |Bilirubin/blood[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19[MESH]
  • |Comorbidity[MESH]
  • |Coronavirus Infections/*blood/epidemiology[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Humans[MESH]
  • |Liver Diseases/*blood/epidemiology[MESH]
  • |Liver Function Tests[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*blood/epidemiology[MESH]
  • |Prealbumin/*metabolism[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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