Evidence map›Paper›PMID 37123202›Full record

ArticleExperimental and therapeutic medicine2023

Lactate dehydrogenase and aspartate aminotransferase levels associated with the severity of COVID‑19: A systematic review and meta‑analysis.

Ziyun He, Rengqin Yan, Jinsong Liu, Haibing Dai, Yonglin Zhu, Feng Zhang, Lin Zhang, Shengkai Yan

Open access · diamondAbstract read
In one paragraph

Article in Experimental and therapeutic medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Ziyun HeDepartment of Laboratory Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563009, P.R. China.
Rengqin YanDepartment of Laboratory Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563009, P.R. China.
Jinsong LiuDepartment of Laboratory Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563009, P.R. China.
Haibing DaiDepartment of Laboratory Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563009, P.R. China.
Yonglin ZhuDepartment of Laboratory Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563009, P.R. China.
Feng ZhangDepartment of Laboratory Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563009, P.R. China.
Lin ZhangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100005, P.R. China.
Shengkai YanDepartment of Laboratory Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563009, P.R. China.
Zunyi Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) are important indicators of cardiovascular, muscle and liver lesions, and can be used as prognostic indicators for infectious diseases, such as coronavirus disease 2019 (COVID-19). The present systematic review and meta-analysis assessed the prognostic value of LDH and AST levels for COVID-19 severity. Ovid-Medline, PubMed, Embase and The Cochrane Library were used to search for articles, according to the inclusion and exclusion criteria, until July 2022. The meta-analysis was performed using Revman5.3 and Stata15.1. Standardized mean difference (SMD) and 95% confidence intervals (CIs) of LDH and AST concentrations were analyzed using a random-effects model. Heterogeneity was investigated using meta-regression and subgroup methods. A total of 4,342 patients with COVID-19 in 23 articles were included in the present study. LDH (SMD=1.21; 95% CI: 0.98, 1.44) and AST (SMD=0.68; 95% CI: 0.54, 0.81) were significantly higher in patients with severe COVID-19 compared with in those with non-severe COVID-19. Serum LDH and AST levels in critically ill patients with COVID-19 were increased, suggesting a correlation between the levels of LDH and AST and the severity of COVID-19. These findings may help to develop a risk-stratified approach to the care of patients with this disease.

Indexed as

aspartate aminotransferaseCOVID-19lactate dehydrogenaseplasma biomarkersSARS-CoV infection

Identifiers

PMID37123202
PMCPMC10133797
OpenAlexW4361288804

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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.