tetano
Editor, Senior Moderator
PLoS One
. 2023 Jul 14;18(7):e0288350.
doi: 10.1371/journal.pone.0288350. eCollection 2023. Influence of chronic liver diseases on the course and outcome of COVID-19
Nikola Mitrovic[SUP] 1 2 [/SUP], Milos Sabanovic[SUP] 2 [/SUP], Ankica Vujovic[SUP] 1 2 [/SUP], Jaroslava Jovanovic[SUP] 2 [/SUP], Natasa Nikolic[SUP] 1 2 [/SUP], Martina Jug[SUP] 2 [/SUP], Nevena Todorovic[SUP] 2 [/SUP], Ana Filipovic[SUP] 2 [/SUP], Ivana Milosevic[SUP] 1 2 [/SUP]
Affiliations
Introduction: Coronavirus disease of 2019 (COVID-19) is a global health problem. The impact of chronic liver diseases on the course and outcome of COVID-19 is still the subject of research. The aim of this study was to show the characteristics of COVID-19 patients with chronic liver diseases, and to establish the risk factors for unfavourable outcome.
Methods: A retrospective observational study was conducted at the Infectious Disease Clinic in Belgrade, Serbia, and included 80 patients with chronic liver diseases and COVID-19 within a time frame of two years (between 15 March 2020 and 15 March 2022). Characteristics of the affected persons, as well as the risk factors for a fatal outcome, were analyzed.
Results: Of the 80 subjects in the study, 23.8% had chronic viral hepatitis, 12.5% autoimmune liver diseases and alcoholic liver disease respectively, 30% had non-alcoholic fatty liver disease, while 11.2% had chronic liver diseases of unknown aetiology. A total of 33.7% had cirrhosis, 6.3% hepatocellular carcinoma and 5% had liver transplants. A total of 92.5% of respondents had pneumonia (21.2% were critically ill). A deterioration of chronic liver disease was registered among 33.7% of patients, and decompensation in 3.8%; 76.3% patients recovered, while 23.7% had a lethal outcome. Risk factors for lethal outcome by univariate analysis were: alcoholic liver disease, cirrhosis, increased transaminases values prior to COVID-19, malignancy, severe pneumonia and dyspnea. In a multivariate analysis, the presence of liver cirrhosis (OR = 69.1, p = 0.001) and severe pneumonia (OR = 22.3, p = 0.006) remained independently predictive for lethal outcome.
Conclusion: These findings will help with the evaluation of COVID-19 patients who have chronic liver diseases and will improve their risk stratification.
. 2023 Jul 14;18(7):e0288350.
doi: 10.1371/journal.pone.0288350. eCollection 2023. Influence of chronic liver diseases on the course and outcome of COVID-19
Nikola Mitrovic[SUP] 1 2 [/SUP], Milos Sabanovic[SUP] 2 [/SUP], Ankica Vujovic[SUP] 1 2 [/SUP], Jaroslava Jovanovic[SUP] 2 [/SUP], Natasa Nikolic[SUP] 1 2 [/SUP], Martina Jug[SUP] 2 [/SUP], Nevena Todorovic[SUP] 2 [/SUP], Ana Filipovic[SUP] 2 [/SUP], Ivana Milosevic[SUP] 1 2 [/SUP]
Affiliations
- PMID: 37450541
- DOI: 10.1371/journal.pone.0288350
Introduction: Coronavirus disease of 2019 (COVID-19) is a global health problem. The impact of chronic liver diseases on the course and outcome of COVID-19 is still the subject of research. The aim of this study was to show the characteristics of COVID-19 patients with chronic liver diseases, and to establish the risk factors for unfavourable outcome.
Methods: A retrospective observational study was conducted at the Infectious Disease Clinic in Belgrade, Serbia, and included 80 patients with chronic liver diseases and COVID-19 within a time frame of two years (between 15 March 2020 and 15 March 2022). Characteristics of the affected persons, as well as the risk factors for a fatal outcome, were analyzed.
Results: Of the 80 subjects in the study, 23.8% had chronic viral hepatitis, 12.5% autoimmune liver diseases and alcoholic liver disease respectively, 30% had non-alcoholic fatty liver disease, while 11.2% had chronic liver diseases of unknown aetiology. A total of 33.7% had cirrhosis, 6.3% hepatocellular carcinoma and 5% had liver transplants. A total of 92.5% of respondents had pneumonia (21.2% were critically ill). A deterioration of chronic liver disease was registered among 33.7% of patients, and decompensation in 3.8%; 76.3% patients recovered, while 23.7% had a lethal outcome. Risk factors for lethal outcome by univariate analysis were: alcoholic liver disease, cirrhosis, increased transaminases values prior to COVID-19, malignancy, severe pneumonia and dyspnea. In a multivariate analysis, the presence of liver cirrhosis (OR = 69.1, p = 0.001) and severe pneumonia (OR = 22.3, p = 0.006) remained independently predictive for lethal outcome.
Conclusion: These findings will help with the evaluation of COVID-19 patients who have chronic liver diseases and will improve their risk stratification.