Evidence map›Paper›PMID 34876795›Full record

ArticleWorld journal of gastroenterology2021

Survival and outcomes for co-infection of chronic hepatitis C with and without cirrhosis and COVID-19: A multicenter retrospective study.

Shimaa Afify, Basem Eysa, Fatma Abdel Hamid, Omnia M Abo-Elazm, Mohamed A Edris, Rabab Maher, Ahmed Abdelhalim, Muhammad Mostafa Abdel Ghaffar, Dalia A Omran, Hend Ibrahim Shousha

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in World journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  10. COVID-19 and the Liver: A Complex and Evolving Picture.Hepatic medicine : evidence and research · 2023
    Article
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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

10 authors at 1 institution in 1 country.

Shimaa AfifyDepartment of Gastroenterology, National Hepatology and Tropical Medicine Research Institute, Cairo 20222, Egypt. drshima202@yahoo.com.
Basem EysaDepartment of Gastroenterology, National Hepatology and Tropical Medicine Research Institute, Cairo 20222, Egypt.
Fatma Abdel HamidDepartment of Endemic Medicine, Faculty of Medicine, Fayoum University, El-Fayoum 13524, Egypt.
Omnia M Abo-ElazmDepartment of Biostatistics and Cancer Epidemiology, National Cancer Institute, Cairo 20222, Egypt.
Mohamed A EdrisDepartment of Gastroenterology, National Hepatology and Tropical Medicine Research Institute, Cairo 20222, Egypt.
Rabab MaherDepartment of Gastroenterology, Students Hospital, Cairo University, Giza 12111, Egypt.
Ahmed AbdelhalimDepartment of Gastroenterology, National Hepatology and Tropical Medicine Research Institute, Cairo 20222, Egypt.
Muhammad Mostafa Abdel GhaffarThe General Organization for Teaching Hospitals and Institutes, Cairo 11562, Egypt.
Dalia A OmranDepartment of Endemic Medicine, Faculty of Medicine, Cairo University, Cairo 11562, Egypt.
Hend Ibrahim ShoushaDepartment of Endemic Medicine, Faculty of Medicine, Cairo University, Cairo 11562, Egypt.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic liver disease, particularly cirrhosis, is associated with worse outcomes in patients infected with coronavirus disease 2019 (COVID-19).

aimTo assess outcomes of COVID-19 infection among patients with pre-existing hepatitis C with or without liver cirrhosis.

methodsThis multicenter, retrospective cohort study included all cases of confirmed co-infection of severe acute respiratory syndrome coronavirus 2 and chronic hepatitis C with or without liver cirrhosis who were admitted to six hospitals (Al-Sahel Hospital, Al-Matareya Hospital, Al-Ahrar Hospital, Ahmed Maher Teaching Hospital, Al-Gomhoreya Hospital, and the National Hepatology and Tropical Medicine Research Institute) affiliated with the General Organization for Teaching Hospitals and Institutes in Egypt. Patients were recruited from May 1, 2020, to July 31, 2020. Demographic, laboratory, imaging features, and outcomes were collected. Multivariate regression analysis was performed to detect factors affecting mortality.

resultsThis retrospective cohort study included 125 patients with chronic hepatitis C and COVID-19 co-infection, of which 64 (51.20%) had liver cirrhosis and 40 (32.00%) died. Fever, cough, dyspnea, and fatigue were the most frequent symptoms in patients with liver cirrhosis. Cough, sore throat, fatigue, myalgia, and diarrhea were significantly more common in patients with liver cirrhosis than in non-cirrhotic patients. There was no difference between patients with and without cirrhosis regarding comorbidities. Fifteen patients (23.40%) with liver cirrhosis presented with hepatic encephalopathy. Patients with liver cirrhosis were more likely than non-cirrhotic patients to have combined ground-glass opacities and consolidations in CT chest scans: 28 (43.75%)

conclusionPatients with liver cirrhosis are susceptible to higher severity and mortality if infected with COVID-19. Male gender, diabetes mellitus, and liver cirrhosis are independent factors associated with increased mortality risk.

Indexed as

CoinfectionCOVID-19Hepatitis C, ChronicAntiviral AgentsHumansLiver CirrhosisMaleRetrospective StudiesSARS-CoV-2Antiviral AgentsChronic hepatitis CCOVID-19EgyptLiver cirrhosisOutcome

Identifiers

PMID34876795
PMCPMC8611210
OpenAlexW3212553051

What OpenQuestion holds

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LicenceCC BY-NC
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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.