Evidence map›Paper›PMID 32976196›Full record

ReviewJournal of clinical gastroenterology

Hepatic Injury in Patients With COVID-19.

Ravina Kullar, Ankur P Patel, Sammy Saab

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of clinical gastroenterology. 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
0.6field-weighted citation impact, top 18% 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, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. COVID-19 and the liver: A brief and core review.World journal of hepatology · 2021
    Review
  9. Article
  10. Impact of COVID-19 on liver.World journal of clinical cases · 2021
    Review
  11. Review
  12. Liver injury in the era of COVID-19.World journal of gastroenterology · 2021
    Review
  13. Article
  14. Article
  15. Post-COVID-19 Cholangiopathy: A Systematic Review.Journal of clinical and experimental hepatology
    Review
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Ravina KullarExpert Stewardship Inc., Newport Beach.
Ankur P PatelDavid Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA.
Sammy SaabExpert Stewardship Inc., Newport Beach.
University of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) has infected over 2 million people worldwide over the course of just several months. Various studies have highlighted that patients infected with COVID-19 may develop various degrees of liver injury. Here, we discuss the impact of underlying liver disease and manifestations of hepatic injury with COVID-19. We also review mechanisms of hepatic injury.

methodsWe searched the database PubMed for all studies focused on hepatic injury in COVID-19.

resultsWe identified 13 studies that assessed the impact of underlying liver disease in patients infected with COVID-19 (N=3046). Underlying liver disease was one of the most common known comorbid categories in patients infected with COVID-19. Overall, 25% of the patients identified from the 13 studies had hepatic injury. Twenty-one percent and 24% had elevated alanine transaminase and aspartate transaminase values, respectively. Nine percent of the patients had elevated total bilirubin values. Ten of the 13 studies assessed COVID-19 acuity with severity of hepatic injury. In 9 of the 10 studies, clinical outcomes were worse with hepatic injury.

conclusionsLiver injury is highly prevalent in patients that present with COVID-19. Since the liver is one of the most affected organs outside of the respiratory system in COVID-19, more intensive surveillance is warranted for severe cases, particularly among those with pre-existing advanced liver disease.

Indexed as

AdultAgedAge DistributionAlanine TransaminaseAspartate AminotransferasesComorbidityCoronavirus InfectionsCOVID-19FemaleHepatic InsufficiencyHumansLiverLiver Function TestsMaleMiddle AgedPandemicsAlanine TransaminaseAspartate Aminotransferases

Identifiers

PMID32976196
OpenAlexW3087824219

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.