Outcomes of COVID-19 in Patients with Cirrhosis or Liver Transplantation

Autor: Narendra S. Choudhary, Neeraj Saraf, Swapnil Dhampalwar, Arvinder S. Soin
Rok vydání: 2021
Předmět:
NAFLD
non-alcoholic fatty liver disease

medicine.medical_specialty
ACLF
acute-on chronic liver failure

Cirrhosis
Coronavirus disease 2019 (COVID-19)
liver diseases
ALT
alanine transaminase

NASH
non-alcoholic steatohepatitis

medicine.medical_treatment
LFT
liver function tests

Review Article
AST
aspartate aminotransferase

Liver transplantation
LT
liver transplantation

Chronic liver disease
SARS-CoV-2
severe acute respiratory syndrome coronavirus 2

Gastroenterology
MELD
model for end-stage liver disease

03 medical and health sciences
0302 clinical medicine
HCWs
health care workers

Internal medicine
medicine
Risk of mortality
ALI
acute liver injury

In patient
COVID-19
Coronavirus disease 2019

immunosuppression
Hepatology
SARS-CoV-2
business.industry
NASH
ACE
angiotensin converting enzyme related carboxypeptidase receptors

Immunosuppression
medicine.disease
Decompensated cirrhosis
mortality
HR
hazard ratio

030220 oncology & carcinogenesis
CLD
chronic liver disease

030211 gastroenterology & hepatology
business
OR
Odds ratio
Zdroj: Journal of Clinical and Experimental Hepatology
ISSN: 0973-6883
Popis: Coronavirus disease 2019 (COVID-19) is associated with a significant morbidity and mortality in patients with cirrhosis. There is a significantly higher morbidity and mortality due to COVID-19 in patients with decompensated cirrhosis as compared to compensated cirrhosis, and in patients with cirrhosis as compared to non-cirrhotic chronic liver disease. The fear of COVID-19 before or after liver transplantation has lead to a significant reduction in liver transplantation numbers, and patients with decompensated cirrhosis remain at risk of wait list mortality. The studies in liver transplantation recipients show that risk of mortality due to COVID-19 is generally driven by higher age and comorbidities. The current review discusses available literature regarding outcomes of COVID-19 in patients with cirrhosis and outcomes in liver transplant recipients.
Databáze: OpenAIRE