Liver Involvement during SARS-CoV-2 Infection Is Associated with a Worse Respiratory Outcome in COVID-19 Patients Article Swipe
Ciro Romano
,
Domenico Cozzolino
,
Riccardo Nevola
,
Marianna Abitabile
,
Caterina Carusone
,
Francesca Cinone
,
Giovanna Cuomo
,
Francesco Nappo
,
Ausilia Sellitto
,
Giuseppina Rosaria Umano
,
Luigi Elio Adinolfi
,
Aldo Marrone
,
Luca Rinaldi
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/v15091904
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/v15091904
Coronavirus disease of 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), may be complicated by life-threatening interstitial pneumonia. SARS-CoV-2 infection may also damage several tissues and/or organs beyond the lungs, including the liver. However, controversy still exists as to whether SARS-CoV-2-induced liver alterations can have an impact on the outcome of COVID-19. The aim of this study was therefore to assess whether SARS-CoV-2-infected patients with liver abnormalities at the time of hospital referral had a worse outcome with respect to patients with no liver biochemistry alterations. To this end, the medical records of 123 patients admitted to our COVID center between the end of 2020 and spring 2021 were retrospectively reviewed. Patients were divided into two groups: those with normal liver biochemistries (group 1, 77 patients) and those with altered liver function tests (group 2, 46 patients). Serum levels of aminotransferases (AST and ALT) and bile duct cell injury markers (γ-GT and ALP) were used to dichotomize patients. A higher percentage of patients with liver enzyme alterations were found to develop COVID-19 pneumonia with respect to group 1 patients (74% vs. 65%); moreover, they needed more days of respiratory support and, more importantly, more intensive administration of supplemental oxygen. A statistically significant correlation was also found between aminotransferase levels and duration of respiratory support. The mortality rate was not superior in group 2 vs. group 1 patients. In conclusion, liver abnormalities on admission predisposed COVID-19 patients to development of more severe interstitial pneumonia, because of a longer requirement for supplemental oxygen and a more intensive respiratory support, indicative of a worse disease evolution in these patients.
Related Topics
Concepts
Medicine
Gastroenterology
Internal medicine
Respiratory system
Pneumonia
Coronavirus
Liver function tests
Coronavirus disease 2019 (COVID-19)
Liver injury
Liver function
Liver disease
Disease
Infectious disease (medical specialty)
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/v15091904
- https://www.mdpi.com/1999-4915/15/9/1904/pdf?version=1694328955
- OA Status
- gold
- Cited By
- 6
- References
- 48
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386602839
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386602839Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/v15091904Digital Object Identifier
- Title
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Liver Involvement during SARS-CoV-2 Infection Is Associated with a Worse Respiratory Outcome in COVID-19 PatientsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-09-10Full publication date if available
- Authors
-
Ciro Romano, Domenico Cozzolino, Riccardo Nevola, Marianna Abitabile, Caterina Carusone, Francesca Cinone, Giovanna Cuomo, Francesco Nappo, Ausilia Sellitto, Giuseppina Rosaria Umano, Luigi Elio Adinolfi, Aldo Marrone, Luca RinaldiList of authors in order
- Landing page
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https://doi.org/10.3390/v15091904Publisher landing page
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https://www.mdpi.com/1999-4915/15/9/1904/pdf?version=1694328955Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/1999-4915/15/9/1904/pdf?version=1694328955Direct OA link when available
- Concepts
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Medicine, Gastroenterology, Internal medicine, Respiratory system, Pneumonia, Coronavirus, Liver function tests, Coronavirus disease 2019 (COVID-19), Liver injury, Liver function, Liver disease, Disease, Infectious disease (medical specialty)Top concepts (fields/topics) attached by OpenAlex
- Cited by
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6Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 4, 2023: 1Per-year citation counts (last 5 years)
- References (count)
-
48Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| corresponding_author_ids | https://openalex.org/A5017497008 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 13 |
| corresponding_institution_ids | https://openalex.org/I197809005 |
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| citation_normalized_percentile.is_in_top_10_percent | False |