Evidence map›Paper›PMID 35463006›Full record

ArticleFrontiers in medicine2022

Liver Fibrosis Scores and Clinical Outcomes in Patients With COVID-19.

Jing Zhang, Fuwei Liu, Tiangang Song, Zhangwang Li, Panpan Xia, Xiaoyi Tang, Minxuan Xu, Yunfeng Shen, Jianyong Ma, Xiao Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Jing ZhangDepartment of Anesthesiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Fuwei LiuDepartment of Cardiology, The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou, China.
Tiangang SongThe Second Clinical Medical College of Nanchang University, Nanchang, China.
Zhangwang LiThe Second Clinical Medical College of Nanchang University, Nanchang, China.
Panpan XiaDepartment of Metabolism and Endocrinology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Xiaoyi TangDepartment of Anesthesiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Minxuan XuDepartment of Metabolism and Endocrinology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Yunfeng ShenDepartment of Metabolism and Endocrinology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Jianyong MaDepartment of Pharmacology and Systems Physiology, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Xiao LiuInstitute for the Study of Endocrinology and Metabolism in Jiangxi Province, Nanchang, China.
Peng YuDepartment of Metabolism and Endocrinology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Nanchang University · CNSecond Affiliated Hospital of Nanchang University · CNUniversity of Cincinnati Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: We investigated the association between liver fibrosis scores and clinical outcomes in patients with COVID-19. Methods: We performed a Results: During the 28 days after randomization, 237 (80.6%) patients were discharged while 31 (10.5%) died among the 294 patients with COVID-19. The prevalence for advanced fibrosis was estimated to be 34, 21.8, and 37.8% for FIB-4 (>2.67), APRI (>1), and NFS (>0.676), respectively. In multivariate analysis, FIB-4 >2.67 [28-days discharge: hazard ratio (HR): 0.62; 95% CI: 0.46-0.84; 28-days mortality: HR: 5.13; 95% CI: 2.18-12.07], APRI >1 (28-days discharge: HR: 0.62; 95% CI: 0.44-0.87; 28-days mortality: HR: 2.85, 95% CI: 1.35-6.03), and NFS >0.676 (28-days discharge: HR: 0.5; 95% CI: 0.35-0.69; 28-days mortality: HR: 4.17; 95% CI: 1.62-10.72) was found to significantly reduce the discharge rate and increase the risk of death. Additionally, FIB-4, APRI, and NFS were found to have good predictive ability and calibration performance for 28-day death (C-index: 0.74 for FIB-4, 0.657 for APRI, and 0.745 for NFS) and discharge (C-index: 0.649 for FIB-4, 0.605 for APRI, and 0.685 for NFS). Conclusion: In hospitalized patients with COVID-19, FIB-4, APRI, and NFS may be good predictors for death and discharge within 28 days. The link between liver fibrosis and the natural history of COVID-19 should be further investigated.

Indexed as

COVID-19dischargeliver fibrosis scoresmortalityprognosis

Identifiers

PMID35463006
PMCPMC9024307
OpenAlexW4226212302

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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.