Review
Copyright ©The Author(s) 2021.
World J Gastroenterol. Jun 14, 2021; 27(22): 2944-2962
Published online Jun 14, 2021. doi: 10.3748/wjg.v27.i22.2944
Table 1 Characteristics of liver injury during coronavirus disease
Ref.
Total number of patients
Proportion of liver injury, (%)
Proportions of pre-existing liver diseases, n (%)
Others
Guan et al[87]1099Elevated AST 168/757 (22.2); Elevated ALT 158/741 (21.3); Elevated TB 76/722 (10.5)23 (2.1)
Lian et al[56]46561 (13.1)19 (4.1)Liver injury was the most common complication among these patients
Chen et al[88]503301 (69.8)NALiver damage is an independent prognostic factor of COVID-19
Jin et al[55]65164 (9.8)25 (3.8)
Xie et al[89]79Elevated ALT (31.6); Elevated AST (35.4); Elevated TB (5.1)NACOVID-19 with liver injury in non-ICU hospitalized patients was common
Wang et al[90]29319 (6.5)12 (4.1)Compared with the survival group, the non-survival group was more prone to complications of acute liver injury
Chen et al[91]274Elevated AST 84 (31)11 (4)The frequency of liver injury in the deceased patients was significantly higher than that in the recovered patients
Yu et al[54]1633Elevated ALT 298/1445 (20.6); Elevated AST 303/1445 (21.0)38 (2.3)Severe patients are more likely to have liver injury than mild patients
Table 2 Classification of the severity of liver injury in terms of the adverse outcome of coronavirus disease
Ref.
Date
Cohort
The severity of liver injury
How the ULN was defined
Normal/mild (< 2 times ULN)
moderate (2-5 times ULN)
Severe (> 5 times ULN)
Phipps et al[129]March 8, 2020-April 14, 202022731784 (78.5)344 (15.1)145 (6.4)ALT = 50 U/L
Mendizabal et al[130]April 15, 2020-July 31, 20201611322 (84.7)185 (11.5)61 (3.8)ALT (the reference value of different institutions)
Hundt et al[131]March 14, 2020-April, 202017531123 (64.1)408 (23.3)222 (12.7)ALT = 34 U / L
Yip et al[132]January 23, 2020-May 1, 2020816635 (77.8)141 (17.3)40 (4.9)ALT = 40 U / L