Evidence map›Paper›PMID 32588791›Full record

ArticleUnited European gastroenterology journal2020

Patterns of liver injury in COVID-19 - a German case series.

Jörn M Schattenberg, Christian Labenz, Marcus-Alexander Wörns, Philipp Menge, Arndt Weinmann, Peter R Galle, Martin F Sprinzl

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Observational
  6. COVID-19-Associated Liver Injury.Hepatic medicine : evidence and research · 2023
    Review
  7. Review
  8. Liver-spleen axis dysfunction in COVID-19.World journal of gastroenterology · 2021
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Implications of SARS-CoV-2 infection for neurogastroenterology.Neurogastroenterology and motility · 2021
    Review
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jörn M SchattenbergDepartment of Medicine, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.ORCID 0000-0002-4224-4703
Christian LabenzDepartment of Medicine, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.
Marcus-Alexander WörnsDepartment of Medicine, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.
Philipp MengeDepartment of Medicine, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.
Arndt WeinmannDepartment of Medicine, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.
Peter R GalleDepartment of Medicine, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.
Martin F SprinzlDepartment of Medicine, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReports of liver injury in patients with novel coronavirus disease 2019 (COVID-19) are emerging from China and the USA. A wide variety of liver function test abnormalities and few cases of severe liver failure have been reported. No data on the hepatic phenotype from Europe are available at current.

methodsWe report a case series of 44 consecutive patients hospitalized for COVID-19 in Germany.

resultsAt the time of admission, aspartate aminotransferase greater than the upper limit of normal was present in 70%, while alanine aminotransferase was elevated in 15.8%. Markers of cholestatic liver injury were altered only in a minority of patients. During hospitalization, 31% and 22% experienced increasing aspartate aminotransferase and alanine aminotransferase, respectively, when transaminases were normal at admission. Severe liver injury defined by 3×> upper limit of normal was observed in 9.1% over a mean time of 10.5 days. Importantly, patients exhibited cytotoxicity including lactate dehydrogenase and creatinine kinase elevations, but no signs of relevant liver function impairment.

conclusionIn summary, in a case series of hospitalized patients in Germany, cytotoxicity in the absence of severe liver dysfunction at admission and only few cases suggestive of severe liver injury during hospital were observed.

Indexed as

AdultAgedAged, 80 and overAlanine TransaminaseAntiviral AgentsAspartate AminotransferasesBetacoronavirusBiomarkersChemical and Drug Induced Liver InjuryClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentCOVID-19 TestingElectronic Health RecordsFemaleAlanine TransaminaseAntiviral AgentsAspartate AminotransferasesBiomarkerscohort studyCOVID-19hepatologyinflammationLiver

Identifiers

PMID32588791
PMCPMC7435007
OpenAlexW3037795293

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.