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. 2021 Jul 31;27(9):1312–1325. doi: 10.1002/lt.26194

TABLE 1.

Outcomes and Predictors of COVID‐19 in Patients with CLD and Cirrhosis

Study Cohort Outcomes in CLD Outcomes in Cirrhosis Outcomes in Comparator Group
Iavarone et al.( 33 )
  • 50 patients with cirrhosis

  • Comparator group: patients hospitalized over previous year for hepatic decompensation due to bacterial infection

N/A
  • 30‐day mortality rate of 34.0%

  • 28% of patients had ACLF

  • Severity of lung and liver disease (by CLIF‐C, CLIF‐OF, and MELD) predicted mortality

  • 30‐day mortality rate of 17%

June 2020
9 centers in Italy
Sarin et al.( 34 )
  • 185 patients with CLD

  • 43 patients with cirrhosis

  • 2.7% mortality rate

  • Diabetes mellitus predisposed to liver injury

  • 16.3% mortality rate

  • Obesity predisposed to liver injury

  • 20.0% of patients presented with ACLF or decompensation

  • Liver‐related complications increased with CTP class

  • Rising bilirubin and aspartate aminotransferase‐to‐ alanine aminotransferase ratio predicted mortality

CLIF‐C [Chronic Liver Failure Consortium]

CLIF‐OF [Chronic Liver Failure Organ Failure]

July 2020
13 countries in Asia
Qi et al.( 35 )
  • 21 patients with cirrhosis

N/A
  • 23.8% mortality rate

  • Lower total lymphocytes and platelets and higher direct bilirubin predicted mortality

N/A
May 2020
16 centers in China
Bajaj et al.( 36 )
  • 37 patients with cirrhosis

  • Comparator group: 2 age‐ and sex‐matched groups—108 patients with COVID‐19 and no cirrhosis; 127 patients with cirrhosis and no COVID‐19

N/A
  • Mortality rate of 29.7% in patients with cirrhosis with COVID‐19

  • Mortality rate of 13.8% in patients without cirrhosis with COVID‐19

  • Mortality rate of 18.9% in patients with cirrhosis without COVID‐19

July 2020
7 centers in the United States
Hashemi et al.( 32 )
  • 69 patients with CLD

  • 9 patients with cirrhosis

  • Comparator group: hospitalized patients without CLD

  • 49.3% required ICU‐level care

  • 47.8% required mechanical ventilation

  • 23.9% mortality rate

  • Nonalcoholic fatty liver disease associated with increased length of stay, higher rates of ICU‐level care, and mechanical ventilation

  • 55.6% mortality rate

  • 35.0% required ICU‐level care

  • 30.3% required mechanical ventilation

  • 13.2% mortality rate

July 2020
9 centers in the United States
Singh and Khan( 6 )
  • 250 patients with CLD (including 50 patients with cirrhosis)

  • Comparator group: propensity score–matched analysis (for body mass index, hypertension, diabetes mellitus, age, race, nicotine use) of liver disease versus no liver disease

  • 46.0% risk of hospitalization

  • 12.0% risk of mortality

  • Highest mortality in patients with cirrhosis (relative risk, 4.6; 95% CI, 2.6‐8.3)

  • 36.0% risk of hospitalization

  • 4.0% risk of mortality

May 2020
34 centers in the United States
Kim et al.( 30 )
  • 867 patients with CLD

  • 227 patients with cirrhosis

  • Higher mortality in ALD

  • 14.0% mortality rate

  • Higher mortality in decompensated cirrhosis (CTP class C) and HCC

  • New or worsening hepatic decompensation in 7.7% of patients

N/A
September 2020
21 centers in the United States
Marjot et al.( 31 )
  • 359 patients with CLD but no cirrhosis

  • 386 patients with cirrhosis

  • Comparator group: 620 propensity score–matched patients without CLD

  • Mortality rate of 7.5%

  • ALD associated with higher mortality (in entire cohort of CLD and cirrhosis)

  • Mortality rate of 31.9%

  • Increase in mortality stepwise by CTP class (A [19.3%], B [35.5%], C [50.5%])

October 2020
International registry (29 countries)