Clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan.
Identifieur interne : 000349 ( Main/Curation ); précédent : 000348; suivant : 000350Clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan.
Auteurs : Hu Zhang [République populaire de Chine] ; Yu-Sheng Liao [République populaire de Chine] ; Jing Gong [République populaire de Chine] ; Jing Liu [République populaire de Chine] ; Heng Zhang [République populaire de Chine]Source :
- World journal of gastroenterology [ 2219-2840 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse multifactorielle (MeSH), Betacoronavirus (MeSH), Chine (épidémiologie), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (diagnostic), Infections à coronavirus (physiopathologie), Infections à coronavirus (épidémiologie), Maladies du foie (diagnostic), Maladies du foie (virologie), Maladies du foie (épidémiologie), Modèles logistiques (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (diagnostic), Pneumopathie virale (physiopathologie), Pneumopathie virale (épidémiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Infections à coronavirus, Maladies du foie, Pneumopathie virale.
- physiopathologie : Infections à coronavirus, Pneumopathie virale.
- virologie : Maladies du foie.
- épidémiologie : Chine, Infections à coronavirus, Maladies du foie, Pneumopathie virale.
- Adulte, Adulte d'âge moyen, Analyse multifactorielle, Betacoronavirus, Facteurs de risque, Femelle, Humains, Modèles logistiques, Mâle, Pandémies, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
- Wicri :
- geographic : République populaire de Chine.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), China (epidemiology), Coronavirus Infections (complications), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (physiopathology), Female (MeSH), Humans (MeSH), Liver Diseases (diagnosis), Liver Diseases (epidemiology), Liver Diseases (virology), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Multivariate Analysis (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (physiopathology), Retrospective Studies (MeSH), Risk Factors (MeSH).
- MESH :
- geographic , epidemiology : China.
- complications : Coronavirus Infections, Pneumonia, Viral.
- diagnosis : Coronavirus Infections, Liver Diseases, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Liver Diseases, Pneumonia, Viral.
- physiopathology : Coronavirus Infections, Pneumonia, Viral.
- virology : Liver Diseases.
- Adult, Aged, Aged, 80 and over, Betacoronavirus, Female, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Pandemics, Retrospective Studies, Risk Factors.
Abstract
BACKGROUND
Coronavirus disease 2019 (COVID-19) has become a worldwide pandemic. We investigated the clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan by retrospectively analyzing the epidemiological, clinical, and laboratory data for 218 COVID-19 patients and identifying the risk factors for liver injury by multivariate analysis.
AIM
To investigate the clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan.
METHODS
The 218 patients included 94 males (43.1%), aged 22 to 94 (50.1 ± 18.4) years. Elevated aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were present in 42 (53.2%) and 36 (45.6%) cases, respectively, and 79 (36.2%) patients had abnormally elevated transaminase levels at admission. Patients with liver injury were older than those with normal liver function by a median of 12 years, with a significantly higher frequency of males (68.4%
RESULTS
Multivariate analysis revealed that male sex, high D-dimer level, and high neutrophil percentage were linked to a higher risk of liver injury. The early stage of COVID-19 may be associated with mildly elevated aminotransferase levels in patients in Wuhan. Male sex and high D-dimer level and neutrophil percentage may be important predictors of liver injury in patients with COVID-19.
CONCLUSION
Male sex and high D-dimer level and neutrophil percentage may be important predictors of liver injury in patients with COVID-19.
DOI: 10.3748/wjg.v26.i31.4694
PubMed: 32884226
PubMed Central: PMC7445866
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<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>China (epidemiology)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (physiopathology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Liver Diseases (diagnosis)</term>
<term>Liver Diseases (epidemiology)</term>
<term>Liver Diseases (virology)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
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<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (physiopathology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Risk Factors (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse multifactorielle (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Chine (épidémiologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
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<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (physiopathologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Maladies du foie (diagnostic)</term>
<term>Maladies du foie (virologie)</term>
<term>Maladies du foie (épidémiologie)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (physiopathologie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>China</term>
</keywords>
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<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term>
<term>Liver Diseases</term>
<term>Pneumonia, Viral</term>
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<term>Maladies du foie</term>
<term>Pneumopathie virale</term>
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<term>Pneumonia, Viral</term>
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<term>Pneumopathie virale</term>
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<term>Pneumonia, Viral</term>
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<term>Infections à coronavirus</term>
<term>Maladies du foie</term>
<term>Pneumopathie virale</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Betacoronavirus</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Pandemics</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse multifactorielle</term>
<term>Betacoronavirus</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Pandémies</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Coronavirus disease 2019 (COVID-19) has become a worldwide pandemic. We investigated the clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan by retrospectively analyzing the epidemiological, clinical, and laboratory data for 218 COVID-19 patients and identifying the risk factors for liver injury by multivariate analysis.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>AIM</b>
</p>
<p>To investigate the clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The 218 patients included 94 males (43.1%), aged 22 to 94 (50.1 ± 18.4) years. Elevated aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were present in 42 (53.2%) and 36 (45.6%) cases, respectively, and 79 (36.2%) patients had abnormally elevated transaminase levels at admission. Patients with liver injury were older than those with normal liver function by a median of 12 years, with a significantly higher frequency of males (68.4% </p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Multivariate analysis revealed that male sex, high D-dimer level, and high neutrophil percentage were linked to a higher risk of liver injury. The early stage of COVID-19 may be associated with mildly elevated aminotransferase levels in patients in Wuhan. Male sex and high D-dimer level and neutrophil percentage may be important predictors of liver injury in patients with COVID-19.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Male sex and high D-dimer level and neutrophil percentage may be important predictors of liver injury in patients with COVID-19.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32884226</PMID>
<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2219-2840</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>26</Volume>
<Issue>31</Issue>
<PubDate><Year>2020</Year>
<Month>Aug</Month>
<Day>21</Day>
</PubDate>
</JournalIssue>
<Title>World journal of gastroenterology</Title>
<ISOAbbreviation>World J Gastroenterol</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan.</ArticleTitle>
<Pagination><MedlinePgn>4694-4702</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3748/wjg.v26.i31.4694</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Coronavirus disease 2019 (COVID-19) has become a worldwide pandemic. We investigated the clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan by retrospectively analyzing the epidemiological, clinical, and laboratory data for 218 COVID-19 patients and identifying the risk factors for liver injury by multivariate analysis.</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To investigate the clinical characteristics and risk factors for liver injury in COVID-19 patients in Wuhan.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The 218 patients included 94 males (43.1%), aged 22 to 94 (50.1 ± 18.4) years. Elevated aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were present in 42 (53.2%) and 36 (45.6%) cases, respectively, and 79 (36.2%) patients had abnormally elevated transaminase levels at admission. Patients with liver injury were older than those with normal liver function by a median of 12 years, with a significantly higher frequency of males (68.4% <i>vs</i>
28.8%, <i>P</i>
< 0.001) and more coexisting illnesses (48.1% <i>vs</i>
27.3%, <i>P</i>
= 0.002). Significantly more patients had fever and shortness of breath (87.3% <i>vs</i>
69.8% and 29.1% <i>vs</i>
14.4%, respectively) in the liver injury group. Only 12 (15.2%) patients had elevated total bilirubin. ALT and AST levels were mildly elevated [1-3 × upper limit of normal (ULN)] in 86.1% and 92.9% of cases, respectively. Only two (2.5%) patients had an ALT or AST level > 5 × ULN. Elevated γ-glutamyl transpeptidase was present in 45 (57.0%) patients, and 86.7% of these had a γ-glutamyl-transpeptidase level < 135 U/L (3 × ULN). Serum alkaline phosphatase levels were almost normal in all patients. Patients with severe liver injury had a significantly higher frequency of abnormal transaminases than non-severe patients, but only one case had very high levels of aminotransferases.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Multivariate analysis revealed that male sex, high D-dimer level, and high neutrophil percentage were linked to a higher risk of liver injury. The early stage of COVID-19 may be associated with mildly elevated aminotransferase levels in patients in Wuhan. Male sex and high D-dimer level and neutrophil percentage may be important predictors of liver injury in patients with COVID-19.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Male sex and high D-dimer level and neutrophil percentage may be important predictors of liver injury in patients with COVID-19.</AbstractText>
<CopyrightInformation>©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Hu</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Gastroenterology, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei Province, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liao</LastName>
<ForeName>Yu-Sheng</ForeName>
<Initials>YS</Initials>
<AffiliationInfo><Affiliation>Department of Gastroenterology, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei Province, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gong</LastName>
<ForeName>Jing</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Gastroenterology, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei Province, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>Jing</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Gastroenterology, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei Province, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zhang</LastName>
<ForeName>Heng</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Gastroenterology, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei Province, China. 497697662@qq.com.</Affiliation>
</AffiliationInfo>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008107" MajorTopicYN="N">Liver Diseases</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
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<MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName>
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<MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName>
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<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
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<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<Keyword MajorTopicYN="N">Clinical characteristics</Keyword>
<Keyword MajorTopicYN="N">Liver injury</Keyword>
<Keyword MajorTopicYN="N">Risk factors</Keyword>
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<CoiStatement>Conflict-of-interest statement: We have no financial relationships to disclose.</CoiStatement>
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<Day>09</Day>
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<Month>06</Month>
<Day>20</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>07</Month>
<Day>30</Day>
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