Evidence map›Paper›PMID 32734407›Full record

ArticleHepatology international2020

Effect of COVID-19 on patients with compensated chronic liver diseases.

Dong Ji, Dawei Zhang, Tieniu Yang, Jinsong Mu, Peng Zhao, Jing Xu, Chen Li, Gregory Cheng, Yudong Wang, Zhu Chen and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Hepatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
8.7field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 5 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Article
  7. Observational
  8. Article
  9. Comorbidities of COVID-19 Patients.Medicina (Kaunas, Lithuania) · 2023
    Review
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  16. Article
  17. Review
  18. COVID-19 and liver diseases.Egyptian liver journal · 2022
    Review
  19. Review
  20. Coronavirus disease 2019 gastrointestinal and liver manifestations in adults: A review.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Review
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

12 authors at 4 institutions in 1 country.

Dong JiThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China.
Dawei ZhangThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China.
Tieniu YangFuyang Hospital of Anhui Medical University, Anhui, 236000, China.
Jinsong MuThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China.
Peng ZhaoThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China.
Jing XuFuyang Second People's Hospital, Anhui, 236000, China.
Chen LiThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China.
Gregory ChengHumanity and Health Clinical Trial Center, Humanity and Health Medical Group, Hong Kong SAR, China.
Yudong WangHumanity and Health Clinical Trial Center, Humanity and Health Medical Group, Hong Kong SAR, China.
Zhu ChenThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China. chenzhuren264@126.com.
Enqiang QinThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China. qeq2004@sina.com.
George LauThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China. gkklau@hnhmgl.com.
Chinese PLA General Hospital · CNHumanity & Health · CNAnhui Medical University · CNFuyang Second People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimCytokine storm has been reported in patients with coronavirus disease 2019 (COVID-19) due to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. We examine the incidence of acute on chronic liver failure (ACLF) in COVID-19 patients with pre-existing compensated chronic liver disease (CLD).

methodsFrom 20 Jan 2020 to 7 Feb 2020, we studied 140 consecutive COVID-19 patients admitted to either Fuyang Second People's Hospital (FYSPH), Anhui or the Fifth Medical Center of Chinese PLA General Hospital (PLAGH) in Beijing, China. Pre-existing CLD includes those with liver cirrhosis assessed by APRI/FIB-4 score and /or ultrasound; NAFLD as identified by either ultrasound or hepatic steatosis index with significant liver fibrosis and chronic hepatitis B (CHB) or hepatitis C (CHC) infection. The diagnosis, grading of severity and clinical management of COVID-19 patients complied to the guideline and clinical protocol issued by the China National Health Commission. All patients had liver function test at least twice weekly till discharge with full recovery or death.

resultsIn total, 3 had liver cirrhosis, 6 patients had CHB, 13 had NAFLD with significant liver fibrosis (one also had CHB). On admission, none had liver decompensation. COVID-19 disease progression was significantly less frequent in non-CLD patients (10/118 8.5%) than CLD patients (13/22 59.1%, p < 0.001). One patient with CLD had acute-on-chronic liver failure (ACLF).

conclusionDisease progression is significantly higher in those COVID-19 patients with CLD as compared to those with no CLD. ACLF can also occur in patient with pre-existing compensated CLD who had severe COVID-19.

Indexed as

Acute-On-Chronic Liver FailureCoronavirus InfectionsHepatitis B, ChronicLiver CirrhosisNon-alcoholic Fatty Liver DiseasePandemicsPneumonia, ViralBetacoronavirusChinaCOVID-19Disease ProgressionFemaleHumansIncidenceLiverLiver Function TestsAcute-on-chronic liver failureChronic liver diseasesCOVID-19

Identifiers

PMID32734407
PMCPMC7391917
OpenAlexW3045812134

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.