Abnormal Liver Function in Predicting COVID-19 Patients’ Prognosis

Abnormal Liver Function in Predicting COVID-19 Patients’ Prognosis

Authors

  • Steven Faculty of Medicine, Pelita Harapan University, Tangerang Regency, Banten, Indonesa
  • Callista Faculty of Medicine, Pelita Harapan University, Tangerang Regency, Banten, Indonesa

Keywords:

Abnormal Liver Function, COVID-19 Patients’ Prognosis

Abstract

Background: The literature reviewed demonstrates a significant correlation between liver function abnormalities and the prognosis of COVID-19 patients. Literature Review: Subsequent studies, including those by (Du et al., 2021) and (Singhai et al., 2021), documented that a significant percentage of hospitalized patients exhibited abnormal liver function tests, particularly in severe cases, thereby establishing a clear relationship between liver dysfunction and the severity of COVID-19. The implications of these findings underscore the necessity for healthcare providers to monitor liver function closely, as abnormalities can serve as prognostic indicators. The review of literature also indicates that the mechanisms underlying liver injury in COVID-19 are multifaceted. Studies have pointed to direct viral effects, systemic inflammatory responses, and drug-induced toxicity as contributing factors to liver dysfunction. The interplay between liver injury and inflammatory markers has been emphasized as a vital area for further research, with findings suggesting that elevated liver enzymes correlate with increased mortality risk. Conclusion: In conclusion, the literature consistently highlights that liver dysfunction is a significant factor in predicting the prognosis of COVID-19 patients. The prevalence of liver abnormalities, their association with disease severity, and the underlying mechanisms warrant close monitoring and management of liver health in this patient population. Clinicians are encouraged to incorporate routine liver function assessments into care strategies to optimize patient outcomes during the COVID-19 pandemic.

References

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Váncsa, S., Jeno Hegyi, P., Zádori, N., Szakó, L., Vörhendi, N., Ocskay, K., Földi, M., Dembrovszky, F., Réka Dömötör, Z., Jánosi, K., Rakonczay, Z., Hartmann, P., Horváth, T., Erőss, B., Kiss, S., Szakács, Z., Németh, D., Hegyi, P., & Pár, G., 2020. Pre-existing Liver Diseases and On-Admission Liver-Related Laboratory Tests in COVID-19: A Prognostic Accuracy Meta-Analysis With Systematic Review. ncbi.nlm.nih.gov

Du, M., Yang, S., Liu, M., & Liu, J., 2021. COVID-19 and liver dysfunction: Epidemiology, association and potential mechanisms. ncbi.nlm.nih.gov

Singhai, A., Sai Pavan, G., & Panda, S., 2021. Evaluation of liver function in symptomatic COVID-19 patients. ncbi.nlm.nih.gov

Luo, K., Chen, Y., Yang, J., Tao, Q., & Luo, M., 2021. Liver Injury and Elevated Levels of Interleukins, Interleukin-2 Receptor, and Interleukin-6 Predict the Severity in Patients With COVID-19. ncbi.nlm.nih.gov

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Published

2025-02-22

How to Cite

Abnormal Liver Function in Predicting COVID-19 Patients’ Prognosis (Steven & Callista , Trans.). (2025). The Indonesian Journal of General Medicine, 9(2), 21-33. https://doi.org/10.70070/h8yed003