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An YW, Song S, Li WX, Chen YX, Hu XP, Zhao J, Li ZW, Jiang GY, Wang C, Wang JC, Yuan B, Liu HQ. Liver function recovery of COVID-19 patients after discharge, a follow-up study. Int J Med Sci 2021; 18:176-186. [PMID: 33390786 PMCID: PMC7738966 DOI: 10.7150/ijms.50691] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 10/16/2020] [Indexed: 02/06/2023] Open
Abstract
Objective: The aim of this study was to observe the liver function recovery of COVID-19 patients after discharge. Patients and Methods: A total of 253 discharged COVID-19 patients in Shenzhen city, China were selected. The clinical characteristics of these patients were assessed. A 2-month follow-up and laboratory hematology test were performed to examine the status of patients' liver function. Results: Patients combined with liver diseases, especially fatty liver, are more likely to progress to severe condition (P<0.05). Patients in severe condition and those with liver diseases have higher rates of liver injuries during hospitalization, characterized by a significant increase in alanine aminotransferase (ALT) and aspartate aminotransferase (AST, P<0.01). The ALT, AST/ALT, gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP), total protein (TP), albumin (ALB), and A/G levels showed significant differences in comparison with the control group (P<0.05, and P<0.001); and the outlier ratio of A/G, ALT, GGT and ALP of patients remained abnormal higher within 14 days after discharge (P<0.001). Liver injuries of COVID-19 patients may be related to the epidemiological characteristics, clinical indexes, basic diseases, symptoms, drug treatment during hospitalization and the complications. Indicators of liver function were correlated with cardiac function, renal function, thyroid function, lipid metabolism, glucose metabolism, immune index, leukocyte, erythrocyte, hemoglobin and platelet related indexes. The outlier ratio of TP, ALB and GLB remained extremely low throughout the follow-up period; the outlier ratio of ALT, AST and GGT decreased below 10% from a high level at 40 days after discharged. However, the outlier ratio of A/G, AST/ALT and ALP remained high during the follow-up period. Conclusions: Abnormal liver function might indicate worse recovery of COVID-19 patients. Changes in liver function should be emphasized during long-term follow-up of COVID-19 patients after hospital discharge; the necessity of employing appropriate interventions for liver function repair should be emphasized.
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Affiliation(s)
- Ya-Wen An
- Central laboratory, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Shuo Song
- Central laboratory, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Wei-Xin Li
- Neurology department, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Yong-Xin Chen
- Neurology department, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Xiao-Peng Hu
- Central laboratory, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Jia Zhao
- Central laboratory, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Zhi-Wen Li
- Central laboratory, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Guang-Yu Jiang
- Neurology department, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Cheng Wang
- Neurology department, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Jian-Chun Wang
- Central laboratory, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Bo Yuan
- Neurology department, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
| | - Han-Qing Liu
- Central laboratory, Shenzhen Samii Medical Center, Shenzhen city, Guangdong province, China, 518118
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