{"id":280822,"date":"2021-06-22T18:23:02","date_gmt":"2021-06-22T15:23:02","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/covid-19-death-after-liver-disease-may-reveal-difference-in-care-study\/"},"modified":"2021-06-22T18:23:02","modified_gmt":"2021-06-22T15:23:02","slug":"covid-19-death-after-liver-disease-may-reveal-difference-in-care-study","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/covid-19-death-after-liver-disease-may-reveal-difference-in-care-study\/","title":{"rendered":"#COVID-19 death after liver disease may reveal difference in care: study"},"content":{"rendered":"

“#COVID-19 death after liver disease may reveal difference in care: study<\/strong>”<\/p>\n

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A survey of people hospitalised for COVID-19 found those with chronic liver disease and a history of alcohol abuse were 80 percent more likely to die from the virus and less likely to receive life-saving intubation.\n <\/p>\n

In research to be presented this week at the International Liver Congress, researchers based in France analysed the national database of 259,000 COVID patients admitted to hospitals in 2020. <\/p>\n

Some 16,300 of those had been previously diagnosed with chronic liver disease.<\/p>\n

The average rate of death among all patients hospitalised with the virus was 15 percent. Among those with chronic liver disease, however, the rate jumped to nearly a quarter.<\/p>\n

But while previous studies had looked at liver failure as a factor in the severity of COVID, this study found that mortality could be linked to which patients were placed on ventilation.<\/p>\n

According to the study, patients who suffered alcoholism, advanced cirrhosis or liver cancer and showed higher COVID-19 morbidity and were less likely to have been intubated.<\/p>\n

Patients with milder liver problems\u2014from chronic liver disease unrelated to alcohol abuse, organ transplants and viral hepatitis for example\u2014were not at heightened risk for COVID-19 mortality but received ventilation at a greater rate.<\/p>\n

“Our results suggest that a limitation of the therapeutic effort may have contributed to the excess mortality of patients with a liver-related complication and of patients with alcohol use disorders,” the study said.<\/p>\n

Thomas Berg, incoming president of the European Association for the Study of the Liver (EASL), told AFP the findings reflected a trend in care for liver patients that pre-dates the pandemic.<\/p>\n

“There is already some public data showing that having a liver-related complication and an alcohol-abuse disorder reduces the likelihood of being mechanically ventilated by 20-25 percent,” he said. <\/p>\n

‘Important study’<\/b><\/p>\n

A 2013 US survey of 300 people with mild and advanced liver diseases found the majority of respondents perceived a stigma against their diagnosis.<\/p>\n

“Most patients are willing to talk about if they have a cardiac disease or cancer,” Berg said, “but when it comes to liver disease there is always the perception it is self-inflicted, related to drugs or alcohol.”<\/p>\n

The national survey is the largest that has looked at the question of how likely chronic liver disease patients are to survive a coronavirus infection.<\/p>\n

France’s universal access to hospital care means a wide range of COVID patients were represented, and analysts could look back at 10 years of records from the national discharge database to determine comorbidities.<\/p>\n

“It’s an important study because the data is coming from a natural registry and the data is quite robust,” said Berg.<\/p>\n

Other studies to be presented at the conference look at how the pandemic has affected alcohol use in general<\/a>.<\/p>\n

Last month figures from Britain’s Office of National Statistics (ONS) showed there had been 7,423 deaths directly caused by misuse of alcohol in 2020\u2014a 20 percent rise from 2019 and a 20-year high.\n <\/p>\n\n

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Alcohol use in patients with chronic liver disease\n <\/p><\/div>\n

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\n \u00a9 2021 AFP<\/p>\n

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Citation<\/strong>:
\n COVID-19 death after liver disease may reveal difference in care: study (2021, June 22)
\n retrieved 22 June 2021
\n from https:\/\/medicalxpress.com\/news<\/a>\/2021-06-covid-death-liver-disease-reveal.html<\/p>\n

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