Evaluation of Liver Enzyme Levels in Patients with SARS-CoV-2 Infection

A. Janbakhsh, Zahra Naghibifar, Sodabeh Eskandari, Zeinab Mohseniafshar, M. Shirvani, M. Zamanian, R. Miladi
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Abstract

Background: Although coronavirus disease 2019 (COVID-19) is a respiratory disease, it seems that liver abnormalities are also prevalent in the patients. Objectives: The present study aimed to evaluate liver enzymes in COVID-19 patients. Methods: This descriptive, cross-sectional study was conducted on 111 COVID-19 patients admitted to Imam Reza Hospital in Kermanshah during September-November 2020. The required data were extracted from the hospital files, and data analysis was performed in the Excel software and SPSS version 21. Results: The mean age of the patients was 60.87 ± 15.85 years. 50.5% of patients were female. Among the patients, 38.7% had hypertension, 19.8% had diabetes, and 7.2% had cardiovascular diseases. Moreover, 34.2% of the patients had abnormal aspartate aminotransferase (AST), 17.1% had abnormal alanine aminotransferase (ALT), and 100% had abnormal lactate dehydrogenase (LDH). Conclusions: According to the results, hypertension, diabetes, and cardiovascular diseases were the most common comorbidities among the COVID-19 patients. AST, ALT, and LDH are important indicators of hepatic disorders, which were abnormal in these patients as well. Moreover, the patients aged less than 60 years, male patients, and those with renal disorders had a higher mean ALT.
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SARS-CoV-2感染患者肝酶水平的评价
背景:虽然冠状病毒病2019 (COVID-19)是一种呼吸系统疾病,但患者中似乎也普遍存在肝脏异常。目的:本研究旨在评估COVID-19患者的肝酶。方法:对2020年9月至11月在克尔曼沙阿伊玛目礼萨医院住院的111例COVID-19患者进行了描述性横断面研究。从医院档案中提取所需数据,在Excel软件和SPSS 21版中进行数据分析。结果:患者平均年龄60.87±15.85岁。50.5%的患者为女性。其中38.7%患有高血压,19.8%患有糖尿病,7.2%患有心血管疾病。此外,34.2%的患者有天冬氨酸转氨酶(AST)异常,17.1%的患者有丙氨酸转氨酶(ALT)异常,100%的患者有乳酸脱氢酶(LDH)异常。结论:结果显示,高血压、糖尿病和心血管疾病是新冠肺炎患者最常见的合并症。AST、ALT、LDH是肝脏疾病的重要指标,在这些患者中也出现异常。此外,年龄小于60岁的患者、男性患者和肾脏疾病患者的平均ALT较高。
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