Impact of chronic liver disease on COVID-9 infection at Zagazig University Hospitals | ||||
African Journal of Gastroenterology and Hepatology | ||||
Volume 5, Issue 2, October 2022, Page 16-31 PDF (626.32 K) | ||||
Document Type: Original Clinical | ||||
DOI: 10.21608/ajgh.2022.176239.1020 | ||||
View on SCiNiTO | ||||
Authors | ||||
Amr Samir1; Fedaa Nabil 2; Mahmoud Ashour1; Mahmoud sharafeddin1; Abdrahman Mahdy1 | ||||
1Gastroenterology and hepatology unit, internal medicine department, faculty of medicine,zagazig university. | ||||
2Microbiology department, faculty of medicine, Zagazig university | ||||
Abstract | ||||
Background. Chronic liver disease (CLD) is linked to immune system failure, which increases the risk of infections and consequences brought on by COVID-19. Therefore, we aimed to compare hospitalized COVID -19 patients with and without CLD to assess the effect of CLD on the severity of COVID-19 infection. Methods. The study was conducted between April and October 2022 at Zagazig university hospitals. It enrolled 108 subjects admitted at the isolation hospital for COVID-19 illness. The cases were allocated equally into three groups, group (I): Patients without evidence of liver disease. Group (II): patients with chronic hepatitis, and group (III): patients with cirrhotic liver. Result. There were significant correlations between the severity of COVID -19 and the CTP classification of Group III (r=0.5 p=0.05 in child A, r=0.08 p=0.05 in child B, r=0.4 p=0.001in child C). In addition, there were significant correlations between laboratory parameters such as INR (r=0.6, p=0.05), bilirubin (r=0.4, p=0.001), ALT (r= 0.5, p=0.05), and AST (r=0.08, p=0.05) and severity of COVID -19 in studies groups. Conclusion: Those with CLD and cirrhosis had a higher death rate. COVID-19 severity related to the Child-Turcotte-Pugh score (CTP) score. | ||||
Keywords | ||||
COVID-19; chronic liver disease; Child-Turcotte-Pugh; Zagazig | ||||
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