BACKGROUND Coronavirus disease 2019(COVID-19)infection is known to cause abnormal hepatic enzymes.The long term consequences of such elevations are uncertain.AIM To assessed the prevalence and prognostic value of init...BACKGROUND Coronavirus disease 2019(COVID-19)infection is known to cause abnormal hepatic enzymes.The long term consequences of such elevations are uncertain.AIM To assessed the prevalence and prognostic value of initial liver enzymes in a large cohort of COVID-19 patients.METHODS We reviewed electronic medical records of 10614 COVID-19 patients without known chronic liver disease who were admitted to our health system from March 1,2020,to April 30,2020.We analyzed baseline demographics and liver chemistries.The primary outcome was in-hospital mortality,and the secondary outcome was a composite of in-hospital mortality or need for mechanical ventilation.RESULTS Subjects with abnormal liver tests had increased risks of mortality and composite outcome when compared to patients with normal measurements on unadjusted analysis and after adjustment for demographic factors.CONCLUSION In our diverse patient population,liver enzyme abnormalities are associated with increased mortality and the need for mechanical ventilation in subjects without chronic liver disease.Cholestasis patients are at the greatest risk for poor outcomes.展开更多
基金by National Institute on Aging of the National Institute of Health,No.R24AG06419National Library of Medicine of the National Institutes of Health,No.R01LM012836.
文摘BACKGROUND Coronavirus disease 2019(COVID-19)infection is known to cause abnormal hepatic enzymes.The long term consequences of such elevations are uncertain.AIM To assessed the prevalence and prognostic value of initial liver enzymes in a large cohort of COVID-19 patients.METHODS We reviewed electronic medical records of 10614 COVID-19 patients without known chronic liver disease who were admitted to our health system from March 1,2020,to April 30,2020.We analyzed baseline demographics and liver chemistries.The primary outcome was in-hospital mortality,and the secondary outcome was a composite of in-hospital mortality or need for mechanical ventilation.RESULTS Subjects with abnormal liver tests had increased risks of mortality and composite outcome when compared to patients with normal measurements on unadjusted analysis and after adjustment for demographic factors.CONCLUSION In our diverse patient population,liver enzyme abnormalities are associated with increased mortality and the need for mechanical ventilation in subjects without chronic liver disease.Cholestasis patients are at the greatest risk for poor outcomes.
