Background: Liver involvement in Coronavirus disease 2019 (COVID-19) has been recognised. We aimed to investigate the correlation of non-invasive surrogates of liver steatosis, fibrosis and inflammation using transient elastography (TE) and FibroScan-AST (FAST) score with (a) clinical severity and (b) 30-day composite outcome of mechanical ventilation (MV) or death among patients hospitalized due to COVID-19. Method: Patients with non-critical COVID-19 at admission were included. Liver stiffness measurement (LSM) and controlled attenuation parameter (CAP) were assessed by TE. Clinical severity of COVID-19 was assessed by 4C Mortality Score (4CMS) and need for high-flow nasal cannula (HFNC) oxygen supplementation. Results: 217 patients were included (66.5% males, median age 65 years, 4.6% with history of chronic liver disease). Twenty-four (11.1%) patients met the 30-day composite outcome. Median LSM, CAP and FAST score were 5.2 kPa, 274 dB/m and 0.31, respectively, and neither was associated with clinical severity of COVID-19 at admission. In multivariate analysis FAST > 0.36 (OR 3.19, p = 0.036), 4CMS (OR 1.68, p = 0.002) and HFNC (OR 7.03, p = 0.001) were independent predictors of adverse composite outcome. Conclusion: Whereas LSM and CAP failed to show correlation with COVID-19 severity and outcomes, FAST score was an independent risk factor for 30-day mortality or need for MV.
【저자키워드】 COVID-19, Mortality, liver, non-alcoholic steatohepatitis, transient elastography, 【초록키워드】 Inflammation, Coronavirus disease 2019, mechanical ventilation, severity, fibrosis, nasal, outcome, outcomes, severity of COVID-19, clinical, Patient, death, HFNC, correlation, Admission, 30-Day mortality, Clinical severity, liver steatosis, Analysis, chronic liver disease, Non-invasive, median age, 4C mortality score, independent risk factor, oxygen supplementation, parameter, males, independent predictor, kPa, patients hospitalized, were assessed, with COVID-19, 【제목키워드】 score, Mechanical, with COVID-19,