Evidence map›Paper›PMID 33530232›Full record

SynthesisMedicine2021

The impact of coronavirus disease 2019 (COVID-19) on liver injury in China: A systematic review and meta-analysis.

Xin Zhao, Zehua Lei, Fengwei Gao, Qingyun Xie, Kangyi Jang, Jie Gong

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2021. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. [Analysis of differences and influencing factors of liver injury associated with different strains of 2019-nCoV infection].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Article
  10. Article
  11. Article
  12. Pregnancy and COVID-19 - liver damage.Medicine and pharmacy reports · 2021
    Article
  13. Article
  14. Evaluation of liver function in symptomatic COVID-19 patients.Journal of family medicine and primary care · 2021
    Article
  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

6 authors.

Xin ZhaoDepartment of Hepatobiliary Surgery, People s Hospital of Leshan.ORCID 0000-0002-3935-5998
Zehua LeiDepartment of Hepatobiliary Surgery, People s Hospital of Leshan.
Fengwei GaoDepartment of Hepatobiliary Surgery, People s Hospital of Leshan.
Qingyun XieDepartment of Hepatobiliary Surgery, People s Hospital of Leshan.
Kangyi JangDepartment of Hepatobiliary Surgery, People s Hospital of Leshan.
Jie GongDepartment of Hepatobiliary Surgery, People s Hospital of Leshan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe evidence for the incidence and severity of liver injury in Chinese patients with coronavirus disease 2019 (COVID-19) is still controversial. The purpose of this study was to summarize the incidence of liver injury and the differences between liver injury markers among different patients with COVID-19 in China.

methodsComputer searches of PubMed, Embase, China National Knowledge Infrastructure (CNKI) and medRxiv were used to obtain reports on the incidence and markers of liver injury in Chinese patients with COVID-19, from January 1, 2020 to April 10, 2020. (No. CRD42020181350).

resultsA total of 57 reports from China were included, including 9889 confirmed cases of COVID-19 infection. The results of the meta-analysis showed that among the patients with early COVID-19 infection in China, the incidence of liver injury events was 24.7% (95% CI, 23.4%-26.4%). Liver injury in severe patients was more common than that in non-severe patients, with a risk ratio of 2.07 (95% CI, 1.77-2.43). Quantitative analysis showed that the severe the coronavirus infection, the higher the level of alanine aminotransferase (ALT), aspertate aminotransferase (AST), total bilirubin (TB), alkaline phosphatase (ALP), γ-glutamyl transpeptidase (GGT), and the lower the level of albumin (ALB).

conclusionThere is a certain risk of liver injury in Chinese patients with COVID-19, and the risk and degree of liver injury are related to the severity of COVID-19.

Indexed as

ChinaCOVID-19HumansIncidenceLiver DiseasesPandemicsSARS-CoV-2Severity of Illness Index

Identifiers

PMID33530232
PMCPMC7850764

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Registered trials

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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.