التفاصيل البيبلوغرافية
| العنوان: |
Liver abnormalities following SARS-CoV-2 infection in children 1 to 10 years of age |
| المؤلفون: |
Terebuh, Pauline, Olaker, Veronica R, Kendall, Ellen K, Kaelber, David C, Xu, Rong, Davis, Pamela B |
| المساهمون: |
National Institutes of Health |
| المصدر: |
Family Medicine and Community Health ; volume 12, issue 1, page e002655 ; ISSN 2305-6983 2009-8774 |
| بيانات النشر: |
BMJ |
| سنة النشر: |
2024 |
| مصطلحات موضوعية: |
Family Practice, Public Health, Environmental and Occupational Health |
| الوصف: |
Objective Beginning in October 2021 in the USA and elsewhere, cases of severe paediatric hepatitis of unknown aetiology were identified in young children. While the adenovirus and adenovirus-associated virus have emerged as leading aetiological suspects, we attempted to investigate a potential role for SARS-CoV-2 in the development of subsequent liver abnormalities. Design We conducted a study using retrospective cohorts of deidentified, aggregated data from the electronic health records of over 100 million patients contributed by US healthcare organisations. Results Compared with propensity score matched children with other respiratory infections, children aged 1–10 years with COVID-19 had a higher risk of elevated transaminases (HR (95% CI) 2.16 (1.74 to 2.69)) or total bilirubin (HR (95% CI) 3.02 (1.91 to 4.78)), or new diagnoses of liver diseases (HR (95% CI) 1.67 (1.21 to 2.30)) from 1 to 6 months after infection. Patients with pre-existing liver abnormalities, liver abnormalities surrounding acute infection, younger age (1–4 years) or illness requiring hospitalisation all had similarly elevated risk. Children who developed liver abnormalities following COVID-19 had more pre-existing conditions than those who developed abnormalities following other infections. Conclusion These results indicate that SARS-CoV-2 may prime the patient for subsequent development of liver infections or non-infectious liver diseases. While rare (~1 in 1000), SARS-CoV-2 is a risk for subsequent abnormalities in liver function or the diagnosis of diseases of the liver. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1136/fmch-2023-002655 |
| الإتاحة: |
https://doi.org/10.1136/fmch-2023-002655Test |
| حقوق: |
http://creativecommons.org/licenses/by-nc/4.0Test/ |
| رقم الانضمام: |
edsbas.E641E81C |
| قاعدة البيانات: |
BASE |
