Abnormal liver tests in patients hospitalized with Coronavirus disease 2019: Should we worry?


Journal

Liver international : official journal of the International Association for the Study of the Liver
ISSN: 1478-3231
Titre abrégé: Liver Int
Pays: United States
ID NLM: 101160857

Informations de publication

Date de publication:
08 2020
Historique:
received: 06 05 2020
revised: 23 05 2020
accepted: 30 05 2020
pubmed: 5 6 2020
medline: 18 11 2020
entrez: 5 6 2020
Statut: ppublish

Résumé

While several studies from China have reported COVID-19-related liver injury, there are currently no data on liver dysfunction in hospitalized COVID-19 patients in Europe. The aim of this study was to describe the prevalence and predictive value of abnormal liver function in patients hospitalized with COVID-19. This was a retrospective cohort study of confirmed COVID-19 patients hospitalized in two referral hospitals in France. Clinical, biological and radiological data were collected and analysed. In all, 234 patients confirmed to have COVID-19 by RT-PCR were included. Liver function was abnormal in 66.6% of patients on admission. In multivariate logistic regression, abnormal liver test on admission were associated with in-hospital aggravation (OR = 4.1, 95% CI 1.5-10.8; P = .004) and mortality (OR 3.3; 95% CI = 1.04-10.5; P = .04). This study of liver tests in a European COVID-19 population confirms a high prevalence of abnormal liver tests on admission that are predictive of severe disease course and higher in-hospital mortality.

Identifiants

pubmed: 32495496
doi: 10.1111/liv.14557
pmc: PMC7300742
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1860-1864

Informations de copyright

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

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Auteurs

Magdalena Meszaros (M)

Department of Hepatology, Gastroenterology and Liver Transplantation, Montpellier University Hospital, University of Montpellier, Montpellier, France.
Department of Gastroenterology and Hepatology, Narbonne Hospital, Narbonne, France.

Lucy Meunier (L)

Department of Hepatology, Gastroenterology and Liver Transplantation, Montpellier University Hospital, University of Montpellier, Montpellier, France.

David Morquin (D)

Department of Infectious Diseases, Montpellier University Hospital, University of Montpellier, Montpellier, France.

Kada Klouche (K)

Department of Intensive Care Lapeyronie, Montpellier University Hospital, University of Montpellier, Montpellier, France.

Pierre Fesler (P)

Department of Internal Medicine Lapeyronie, Montpellier University Hospital, University of Montpellier, Montpellier, France.

Emilie Malezieux (E)

Department of Hepatology, Gastroenterology and Liver Transplantation, Montpellier University Hospital, University of Montpellier, Montpellier, France.

Alain Makinson (A)

Department of Infectious Diseases, Montpellier University Hospital, University of Montpellier, Montpellier, France.

Vincent Le Moing (V)

Department of Infectious Diseases, Montpellier University Hospital, University of Montpellier, Montpellier, France.

Jacques Reynes (J)

Department of Infectious Diseases, Montpellier University Hospital, University of Montpellier, Montpellier, France.

Georges-Philippe Pageaux (GP)

Department of Hepatology, Gastroenterology and Liver Transplantation, Montpellier University Hospital, University of Montpellier, Montpellier, France.

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