Evidence map›Paper›PMID 42504245›Full record

ArticleHealth science reports2026

Clinical, Laboratory, and Imaging Characteristics of Liver Involvement in Hospitalized Children With COVID-19 in Iran During 2020-2021: A Cross-Sectional Study.

Shahnaz Armin, Roxana Mansour Ghanaiee, Abdollah Karimi, Mahzad Rahmani, Ahmad Reza Shamshiri, Leila Azimi, Maryam Rajabnejad, Hannan Khodaei, Ahmadmoeen Karimi, Seyede Mahsan Hoseini-Alfatemi and 1 more

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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.

Shahnaz ArminPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.ORCID https://orcid.org/0000-0002-4993-482X
Roxana Mansour GhanaieePediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.
Abdollah KarimiPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.ORCID https://orcid.org/0000-0002-4225-0097
Mahzad RahmaniPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.
Ahmad Reza ShamshiriDental Research Center Dentistry Research Institute, Tehran University of Medical Sciences Tehran Tehran Province Iran.
Leila AzimiPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.ORCID https://orcid.org/0000-0002-7216-2530
Maryam RajabnejadPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.
Hannan KhodaeiPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.
Ahmadmoeen KarimiPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.
Seyede Mahsan Hoseini-AlfatemiPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.ORCID https://orcid.org/0000-0002-8293-934X
Yasna SoleimaniPediatric Infections Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Tehran Province Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Coronavirus disease 2019 (COVID-19) affects multiple organs, including the liver. Although pediatric patients generally experience milder disease, liver involvement has been increasingly reported, and its impact on outcomes remains unclear. This study aimed to evaluate clinical, laboratory, and imaging characteristics of liver involvement in hospitalized children with COVID-19. Methods: We retrospectively analyzed 301 pediatric patients with confirmed COVID-19 admitted to Mofid Children's Hospital, Tehran, Iran, from March 2020 to July 2021 who met the inclusion criteria. Patients were divided into two groups based on liver involvement. Liver involvement was defined as an alanine aminotransferase (ALT) level > 40 IU/L. Variables were compared between groups with and without liver involvement using both univariate and multivariable logistic regression analyses. A Results: Elevated ALT was observed in 84 patients (27.9%). Liver involvement occurred significantly more often in children aged 10 years and older. Patients with hepatic involvement had higher rates of leukopenia, thrombocytopenia, elevated blood urea nitrogen (BUN), tachycardia, hypoxia, pulmonary infiltrations, and shock. The mean hospital stay was longer (7.27 vs. 6.07 days, Conclusion: Liver involvement is common among hospitalized pediatric COVID-19 patients and is associated with worse clinical outcomes, including higher ICU admission and mortality rates. Early recognition and monitoring of hepatic dysfunction may improve management strategies in this population.

Indexed as

childrenCOVID‐19hospitalizedliverpediatrics

Identifiers

PMID42504245
PMCPMC13401695

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