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- W4220998519 abstract "Background and Aim. The relationship between liver fibrosis scores and clinical outcomes in patients with COVID-19 is not compressively assessed. Methods. We identified relevant cohort studies that assessed the relationship between liver fibrosis scores (e.g., FIB-4, NAFLD fibrosis score (NFS), and aspartate aminotransferase to platelet ratio index (APRI)) and associated prognosis outcomes by searching the PubMed, EMBASE, and medRxiv databases. The potential dose-response effect was performed using a stage robust error meta-regression. Results. Sixteen studies with 8,736 hospitalized patients with COVID-19 were included. One-point score in FIB-4 increase was significantly associated with increased mechanical ventilation (RR: 2.23, 95% CI: 1.37–3.65, <math xmlns=http://www.w3.org/1998/Math/MathML id=M1> <mi>P</mi> <mo>=</mo> <mn>0.001</mn> </math> ), severe COVID-19 (RR: 1.82, 95% CI: 1.53–2.16, <math xmlns=http://www.w3.org/1998/Math/MathML id=M2> <mi>P</mi> <mo><</mo> <mn>0.001</mn> </math> ), and death (RR: 1.47, 95% CI: 1.31–1.65, <math xmlns=http://www.w3.org/1998/Math/MathML id=M3> <mi>P</mi> <mo><</mo> <mn>0.001</mn> </math> ), rather than hospitalization (RR: 1.35, 95% CI: 0.72–2.56, <math xmlns=http://www.w3.org/1998/Math/MathML id=M4> <mi>P</mi> <mo>=</mo> <mn>0.35</mn> </math> ). Furthermore, there is a significant positive linear relationship between FIB-4 and severe COVID-19 ( <math xmlns=http://www.w3.org/1998/Math/MathML id=M5> <msub> <mrow> <mi>P</mi> </mrow> <mrow> <mtext>nonlinearity</mtext> </mrow> </msub> <mo>=</mo> <mn>0.12</mn> </math> ) and mortality ( <math xmlns=http://www.w3.org/1998/Math/MathML id=M6> <msub> <mrow> <mi>P</mi> </mrow> <mrow> <mtext>nonlinearity</mtext> </mrow> </msub> <mo>=</mo> <mn>0.18</mn> </math> ). Regarding other liver scores, one unit elevation in APRI increased the risk of death by 178% (RR: 2.78, 95% CI: 1.10–6.99, <math xmlns=http://www.w3.org/1998/Math/MathML id=M7> <mi>P</mi> <mo>=</mo> <mn>0.03</mn> </math> ). Higher NFS (≥−1.5) and Forns index were associated with increased risk of severe COVID-19 and COVID-19-associated death. Conclusion. Our dose-response meta-analysis suggests high liver fibrosis scores are associated with worse prognosis in patients with COVID-19. For patients with COVID-19 at admission, especially for those with coexisting chronic liver diseases, assessment of liver fibrosis scores might be useful for identifying high risk of developing severe COVID-19 cases and worse outcomes." @default.
- W4220998519 created "2022-04-03" @default.
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- W4220998519 date "2022-03-29" @default.
- W4220998519 modified "2023-10-18" @default.
- W4220998519 title "Liver Fibrosis Scores and Hospitalization, Mechanical Ventilation, Severity, and Death in Patients with COVID-19: A Systematic Review and Dose-Response Meta-Analysis" @default.
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- W4220998519 doi "https://doi.org/10.1155/2022/7235860" @default.
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