Effects of Hepatitis B Virus Infection on Patients with COVID-19: A Meta-Analysis.
Dig Dis Sci
; 2022 Sep 09.
Article
in English
| MEDLINE | ID: covidwho-2306233
ABSTRACT
BACKGROUND:
The COVID-19 pandemic has brought new problems to patients infected with hepatitis B virus (HBV).AIM:
We aim to know the effects of HBV infection on patients with COVID-19.METHODS:
We searched PubMed, Embase, and Web of Science for data and utilized Stata 14.0 software for this meta-analysis with a random-effects model. This paper was conducted in alignment with the preferred reporting items for systematic review and meta-analysis (PRISMA) guideline.RESULTS:
In total, 37,696 patients were divided into two groups 2591 COVID-19 patients infected with HBV in the experimental group and 35,105 COVID-19 patients not infected with HBV in the control group. Our study showed that the in-hospital mortality of the experimental group was significant higher than that of the control group (OR = 2.04, 95% CI 1.49-2.79). We also found that COVID-19 patients infected with HBV were more likely to develop severe disease (OR = 1.90, 95% CI 1.32-2.73) than COVID-19 patients not infected with HBV. Upon measuring alanine aminotransferase (SMD = 0.62, 95% CI 0.25-0.98), aspartate aminotransferase (SMD = 0.60, 95% CI 0.30-0.91), total bilirubin (SMD = 0.45, 95% CI 0.23-0.67), direct bilirubin (SMD = 0.36, 95% CI 0.24-0.47), lactate dehydrogenase (SMD = 0.32, 95% CI 0.18-0.47), we found that HBV infection led to significantly higher laboratory results in COVID-19 patients.CONCLUSION:
COVID-19 patients infected with HBV should receive more attention, and special attention should be given to various liver function indices during treatment.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Experimental Studies
/
Randomized controlled trials
/
Reviews
/
Systematic review/Meta Analysis
Language:
English
Year:
2022
Document Type:
Article
Affiliation country:
S10620-022-07687-2
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