SINGH, A., Mohammad Salman HUSSAIN and B. ANTONY. Non-alcoholic fatty liver disease and clinical outcomes in patients with COVID-19: A comprehensive systematic review and meta-analysis. DIABETES & METABOLIC SYNDROME-CLINICAL RESEARCH & REVIEWS. OXFORD: ELSEVIER SCI LTD, 2021, vol. 15, No 3, p. 813-822. ISSN 1871-4021. Available from: https://dx.doi.org/10.1016/j.dsx.2021.03.019.
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Basic information
Original name Non-alcoholic fatty liver disease and clinical outcomes in patients with COVID-19: A comprehensive systematic review and meta-analysis
Authors SINGH, A. (guarantor), Mohammad Salman HUSSAIN (356 India, belonging to the institution) and B. ANTONY.
Edition DIABETES & METABOLIC SYNDROME-CLINICAL RESEARCH & REVIEWS, OXFORD, ELSEVIER SCI LTD, 2021, 1871-4021.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30202 Endocrinology and metabolism
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/21:00122062
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.dsx.2021.03.019
UT WoS 000661873400025
Keywords in English NAFLD; COVID-19; Mortality; Severity; Systematic review
Tags 14119612, 14119613, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 9/8/2021 13:08.
Abstract
Background: Non-alcoholic fatty liver disease (NAFLD) patients represent a vulnerable population that may be susceptible to more severe COVID-19. Moreover, not only the underlying NAFLD may influence the progression of COVID-19, but the COVID-19 may affect the clinical course of NAFLD as well. However, comprehensive evidence on clinical outcomes in patients with NAFLD is not well characterized. Objectives: To systematically review and meta-analysis the evidence on clinical outcomes in NAFLD patients with COVID-19. Methods: MEDLINE, EMBASE, and Cochrane Central were searched from inception through November 2020. Epidemiological studies assessing the clinical outcomes in COVID-19 patients with NAFLD were included. Newcastle-Ottawa Scale (NOS) was used to assess study quality. Generic inverse variance method using RevMan was used to determine the pooled estimates using the random-effects model. Results: Fourteen studies consisting of 1851 NAFLD patients, were included. Significant heterogeneity was observed among the studies, and studies were of moderate to high quality [mean, (range):8 (6, 8)]. For NAFLD patients, the adjusted odds ratio (aOR) for the severe COVID-19 was 2.60 (95%CI:2.24-3.02; p < 0.001) (studies,n:8), aOR for admission to ICU due to COVID-19 was 1.66 (95%CI:1.26-2.20; p < 0.001) (studies,n:2), and aOR for mortality for was 1.01 (95%CI:0.65-1.58; p 1/4 0.96) (studies,n:2). Conclusions: An increased risk of severe COVID-19 infection and admission to ICU due to COVID-19 with no difference in mortality was observed between NAFLD and non-NAFLD patients. Future studies should include the mortality outcome to conclusively elucidate the impact of NAFLD in patients with COVID-19. (C) 2021 Diabetes India. Published by Elsevier Ltd. All rights reserved.
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