Short-term outcomes of patients with chronic liver disease hospitalised with COVID-19

Ivica Grgurevic1,2,3, Marko Lucijanić2,4, Frane Pastrovic1

  • 1Department of Gastroenterology, Hepatology and Clinical Nutrition, University Hospital Dubrava, Zagreb, Croatia.

Insights

Patients with cirrhosis hospitalized for COVID-19 face significantly higher mortality risks. This study highlights cirrhosis as an independent predictor of poor outcomes in COVID-19 patients.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Chronic liver disease (CLD) may worsen COVID-19 outcomes.
  • Understanding COVID-19 impact on CLD patients is crucial.

Purpose of the Study:

  • To analyze the outcomes of hospitalized COVID-19 patients with CLD.
  • To identify risk factors for mortality in this population.

Main Methods:

  • Retrospective analysis of 4014 COVID-19 hospitalizations over 12 months.
  • Identification of CLD and cirrhosis patients using ICD-10 codes.
  • 30-day follow-up for ICU admission, mechanical ventilation, and death.

Main Results:

  • 110 patients (2.7%) had CLD; 49 (1.2%) had cirrhosis.
  • Cirrhosis patients had higher 30-day mortality (45% vs. 73% in matched controls).
  • Liver cirrhosis independently predicted a fourfold higher adjusted risk of 30-day mortality.

Conclusions:

  • Cirrhosis is a significant independent risk factor for mortality in hospitalized COVID-19 patients.
  • CLD alone, without cirrhosis, did not predict worse survival.
Abstract

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