Liver Function Tests of COVID-19 Patients‎

Liver Function Tests of COVID-19 Patients‎

Authors

  • Ayoub Tavakolian Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, ‎Iran.‎
  • Mona Gerayli ‎1‎ Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Keywords:

Coronavirus, COVID-19‎, Length of hospitalization‎

Abstract

Objectives: This study aimed to evaluate liver injuries in hospitalized COVID-19 patients.

Methods: This was a prospective study. Patients who were admitted to Vasi Hospital of Sabzevar University of Medical Sciences between April 2019 and September 2019 had a definite laboratory diagnosis of COVID-19. Enzymes and parameters of ALT, AST, ALP, total and direct bilirubin, and recovery status. The respiratory rate at admission was considered an outcome of COVID-19 severity.

Results: Total number of 100 patients (50 male/50 female), with a mean age of 54±18.01 years (ranging from 18 to 86 units/liter) were evaluated. Respiratory rate was significantly associated with direct bilirubin (r=0.433; P<0.001), with a positive correlation. Other findings were non-significant (P>0.05). Thirty-two patients had a partial recovery, 49 had a complete recovery and eighteen percent died. There was no statistically significant relationship between the condition of the COVID-19 patients and the levels of total bilirubin, direct bilirubin, Alkaline Phosphatase (ALP), serum glutamic-oxaloacetic transaminase (SGOT), Serum Glutamic Pyruvic Transaminase (SGPT) (P>0.05). The results of the independent t-test showed that in patients whose respiratory rate was less than 20 or higher than 20, male or female patients, and less than 5 or more than 5 days hospitalization, there were no statistically significant differences in the amount of bilirubin, direct bilirubin, ALP, SGOT, SGPT (P>0.05).

Conclusion: Only direct bilirubin was positively correlated with respiratory rates and no other comparisons were significant.  Patients with true dyspnea should be assessed more closely.

Declarations: 

Funding:

Sabzevar University of Medical Sciences

Conflicts of interest:

None

Authors' contributions: 

AT and MG wrote the study protocol, collected datasets, performed statistical analyses, and wrote the manuscript.

Acknowledgments ‎

None.

Ethical considerations

The study was approved by the Institutional Review   Board of   Sabzevar University of   Medical Sciences with the code IR.MEDSAB.REC.1399.118

References

‎1.‎ Krammer F. SARS-CoV-2 vaccines in ‎development. Nature. 2020 Oct ‎‎22;586(7830):516-27.‎

‎2.‎ Lamers MM, Haagmans BL. SARS-CoV-2 ‎pathogenesis. Nature reviews microbiology. ‎‎2022 ‎May;20(5):270-84.‎

‎3.‎ Shi Y, Wang G, Cai XP, Deng JW, Zheng L, Zhu ‎HH, Zheng M, Yang B, Chen Z. An overview ‎of ‎COVID-19. Journal of Zhejiang University. ‎Science. B. 2020 May;21(5):343.‎

‎4.‎ Greer N, Bart B, Billington CJ, Diem SJ, Ensrud ‎KE, Kaka A, Klein M, Melzer AC, Reule S, ‎Shaukat ‎A, Sheets K. COVID-19 postacute care ‎major organ damage: a systematic review. ‎BMJ open. ‎‎2022 Aug 1;12(8):e061245.‎

‎5.‎ Skok K, Stelzl E, Trauner M, Kessler HH, Lax ‎SF. Post-mortem viral dynamics and tropism ‎in ‎COVID-19 patients in correlation with ‎organ damage. Virchows Archiv. 2021 ‎Feb;478:343-53.‎

‎6.‎ Zaim S, Chong JH, Sankaranarayanan V, ‎Harky A. COVID-19 and multiorgan response. ‎Current ‎problems in cardiology. 2020 Aug ‎‎1;45(8):100618.‎

‎7.‎ Idalsoaga F, Ayares G, Arab JP, Díaz LA. ‎COVID-19 and indirect liver injury: a ‎narrative synthesis ‎of the evidence. Journal of ‎Clinical and Translational Hepatology. 2021 ‎Oct 10;9(5):760.‎

‎8.‎ Mokhtari T, Hassani F, Ghaffari N, Ebrahimi ‎B, Yarahmadi A, Hassanzadeh G. COVID-19 ‎and ‎multiorgan failure: A narrative review on ‎potential mechanisms. Journal of molecular ‎histology. ‎‎2020 Dec;51:613-28.‎

‎9.‎ Lizardo-Thiebaud MJ, Cervantes-Alvarez E, ‎Limon-De La Rosa N, Tejeda-Dominguez F, ‎Palacios-‎Jimenez M, Mendez-Guerrero O, ‎Delaye-Martinez M, Rodriguez-Alvarez F, ‎Romero-Morales B, ‎Liu WH, Huang CA. Direct ‎or collateral liver damage in SARS-CoV-2–‎infected patients. ‎InSeminars in Liver Disease ‎‎2020 Aug (Vol. 40, No. 03, pp. 321-330). ‎Thieme Medical ‎Publishers.‎

‎10.‎ La Hoz RM, Mufti AR, Vagefi PA. Short‐term ‎liver transplant outcomes from SARS‐CoV‐2 ‎lower ‎respiratory tract NAT positive donors. ‎Transplant Infectious Disease. 2022 ‎Feb;24(1):e13757.‎

‎11.‎ Wanner N, Andrieux G, Badia-i-Mompel P, ‎Edler C, Pfefferle S, Lindenmeyer MT, ‎Schmidt-Lauber ‎C, Czogalla J, Wong MN, ‎Okabayashi Y, Braun F. Molecular ‎consequences of SARS-CoV-2 ‎liver tropism. ‎Nature Metabolism. 2022 Mar;4(3):310-9.‎

‎12.‎ Bugra A, Das T, Arslan MN, Ziyade N, Buyuk ‎Y. Postmortem pathological changes in ‎‎extrapulmonary organs in SARS-CoV-2 rt-‎PCR–positive cases: a single-center experience. ‎Irish ‎Journal of Medical Science (1971-). 2022 ‎Feb;191(1):81-91.‎

‎13.‎ Reddy KR. SARS‐CoV‐2 and the liver: ‎considerations in hepatitis B and hepatitis C ‎infections. ‎Clinical Liver Disease. 2020 May ‎‎21;15(5):191-4.‎

‎14.‎ Yu R, Tan S, Dan Y, Lu Y, Zhang J, Tan Z, He X, ‎Xiang X, Zhou Y, Guo Y, Deng G. Effect of ‎SARS-‎CoV-2 coinfection was not apparent on ‎the dynamics of chronic hepatitis B infection. ‎Virology. ‎‎2021 Jan 15;553:131-4.‎

‎15.‎ Bramante CT, Tignanelli CJ, Dutta N, Jones E, ‎Tamaritz L, Clark J, Melton-Meaux G, Usher ‎M, ‎Ikramuddin S. Non-alcoholic fatty liver ‎disease (NAFLD) and risk of hospitalization ‎for Covid-19. ‎MedRxiv. 2020 Sep 2.‎

‎16.‎ Singh S, Khan A. Clinical characteristics and ‎outcomes of COVID-19 among patients with ‎pre-‎‎existing liver disease in United States: A ‎multi-center research network study. ‎‎‎Gastroenterology. 2020 May 3‎

‎17.‎ Fan Z, Chen L, Li J, Cheng X, Yang J, Tian C, ‎Zhang Y, Huang S, Liu Z, Cheng J. Clinical ‎‎‎features of COVID-19-related liver damage. ‎Clinical Gastroenterology and Hepatology. ‎‎2020 ‎‎Apr 10‎

‎18.‎ Cai Q, Huang D, Yu H, Zhu Z, Xia Z, Su Y, Li ‎Z, Zhou G, Gou J, Qu J, Sun Y. COVID-19: ‎‎‎Abnormal liver function tests. Journal of ‎Hepatology. 2020 Apr 13.‎

‎19.‎ Respiratory rate was significantly associated ‎with direct bilirubin (r=0.433; P<0.001), with ‎a ‎positive correlation.‎

‎20.‎ Altaf A, Abbas Z, Mandviwalla HA, Qadeer ‎MA, Siyal M, Tariq M, Ghafoor A, Karamat M, ‎Shahid B, ‎Ali M. Severe COVID-19 associated ‎with liver injury in patients without ‎preexisting liver disease. ‎Cureus. 2021 Apr ‎‎26;13(4).‎

Downloads

Published

2023-03-01

How to Cite

Tavakolian, A., & Gerayli, M. (2023). Liver Function Tests of COVID-19 Patients‎. Updates in Emergency Medicine, 3(1). Retrieved from http://uiemjournal.com/index.php/main/article/view/29

Issue

Section

Research Study
Loading...