Evidence map›Paper›PMID 37450541›Full record

Observational studyPloS one2023

Influence of chronic liver diseases on the course and outcome of COVID-19.

Nikola Mitrovic, Milos Sabanovic, Ankica Vujovic, Jaroslava Jovanovic, Natasa Nikolic, Martina Jug, Nevena Todorovic, Ana Filipovic, Ivana Milosevic

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
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

9 authors at 2 institutions in 1 country.

Nikola MitrovicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Milos SabanovicDepartment of Hepatology, Clinic for Infectious and Tropical Disease, University Clinical Centre of Serbia, Belgrade, Serbia.
Ankica VujovicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Jaroslava JovanovicDepartment of Hepatology, Clinic for Infectious and Tropical Disease, University Clinical Centre of Serbia, Belgrade, Serbia.
Natasa NikolicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Martina JugDepartment of Hepatology, Clinic for Infectious and Tropical Disease, University Clinical Centre of Serbia, Belgrade, Serbia.
Nevena TodorovicDepartment of Hepatology, Clinic for Infectious and Tropical Disease, University Clinical Centre of Serbia, Belgrade, Serbia.
Ana FilipovicDepartment of Hepatology, Clinic for Infectious and Tropical Disease, University Clinical Centre of Serbia, Belgrade, Serbia.
Ivana MilosevicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0000-0002-4331-3328
Univerzitetski Klinički Centar Srbije · RSUniversity of Belgrade · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoronavirus disease of 2019 (COVID-19) is a global health problem. The impact of chronic liver diseases on the course and outcome of COVID-19 is still the subject of research. The aim of this study was to show the characteristics of COVID-19 patients with chronic liver diseases, and to establish the risk factors for unfavourable outcome.

methodsA retrospective observational study was conducted at the Infectious Disease Clinic in Belgrade, Serbia, and included 80 patients with chronic liver diseases and COVID-19 within a time frame of two years (between 15 March 2020 and 15 March 2022). Characteristics of the affected persons, as well as the risk factors for a fatal outcome, were analyzed.

resultsOf the 80 subjects in the study, 23.8% had chronic viral hepatitis, 12.5% autoimmune liver diseases and alcoholic liver disease respectively, 30% had non-alcoholic fatty liver disease, while 11.2% had chronic liver diseases of unknown aetiology. A total of 33.7% had cirrhosis, 6.3% hepatocellular carcinoma and 5% had liver transplants. A total of 92.5% of respondents had pneumonia (21.2% were critically ill). A deterioration of chronic liver disease was registered among 33.7% of patients, and decompensation in 3.8%; 76.3% patients recovered, while 23.7% had a lethal outcome. Risk factors for lethal outcome by univariate analysis were: alcoholic liver disease, cirrhosis, increased transaminases values prior to COVID-19, malignancy, severe pneumonia and dyspnea. In a multivariate analysis, the presence of liver cirrhosis (OR = 69.1, p = 0.001) and severe pneumonia (OR = 22.3, p = 0.006) remained independently predictive for lethal outcome.

conclusionThese findings will help with the evaluation of COVID-19 patients who have chronic liver diseases and will improve their risk stratification.

Indexed as

COVID-19Liver DiseasesLiver Diseases, AlcoholicLiver NeoplasmsNon-alcoholic Fatty Liver DiseaseHumansLiver Cirrhosis

Identifiers

PMID37450541
PMCPMC10348559
OpenAlexW4384297210

What OpenQuestion holds

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LicenceCC BY
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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.