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. 2021 Sep 6;67(8):4204–4214. doi: 10.1007/s10620-021-07230-9

Table 2.

Predictors of elevated ALT and ALP and liver injury in hospitalized patients with COVID-19

Variables Fully adjusted regression model
Peak ALT beta (95% CI) p-value Peak ALP beta (95% CI) p-value Severe ALI OR (95% CI) p-value
WBC count (per mL3) 9.7 (6.7–12.6)  < 0.001 2.8 (2.0–3.5)  < 0.001 1.0 (1.01–1.1) 0.015
Hemoglobin (g/dL) NS − 6.5 (− 9.1 to − 3.9)  < 0.001 NS
Platelet count (per 109/L) NS − 0.1 (− 0.2 to − 0.02) 0.013 1.0 (0.98–1.0) 0.001
African-American race NS NS 2.5 (1.01–6.1) 0.047
Hispanic ethnicity NS 26.5 (10.8–42.2) 0.001 NS
BMI (per unit) NS − 1.3 (− 2.0 to − 0.6)  < 0.001 NS
AKI NS 19.9 (2.3–37.4) 0.027 NS
ESRD 106.3 (27.6–185.1) 0.008 NS NS
Vasopressor requirement 80.1 (21.5–138.8) 0.007 18.8 (3.7–33.9) 0.015 4.2 (1.4–12.5) 0.009

Abbreviations: AKI = acute kidney injury, ALI = acute liver injury, ALP = alkaline phosphatase, ALT = alanine aminotransferase, BMI = body mass index, CI = confidence interval, ESRD = end-stage renal disease, OR = odds ratio, NS = not significant, WBC = white blood cell