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研究新冠病毒疫苗对肝功能的影响:来自单机构研究的见解

Investigating the Impact of COVID-19 Vaccines on Liver Function: Insights From a Single-Institute Study.

作者信息

Rammohan Rajmohan, Joy Melvin, Saggar Tulika, Magam Sai Greeshma, Sinha Atul, Natt Dilman, Mehta Vaishali, Bunting Susan, Anand Prachi, Mustacchia Paul

机构信息

Gastroenterology and Hepatology, Nassau University Medical Center, East Meadow, USA.

Internal Medicine, Nassau University Medical Center, East Meadow, USA.

出版信息

Cureus. 2023 Mar 23;15(3):e36588. doi: 10.7759/cureus.36588. eCollection 2023 Mar.

Abstract

Introduction SARS-CoV-2 can cause respiratory and extrapulmonary complications, including liver injury. Therefore, understanding the virus's impact on the liver and the coronavirus disease 2019 (COVID-19) vaccine's protective effect is crucial, given the correlation between hepatic involvement and disease severity. Our study aims to evaluate this relationship and the impact of vaccination on liver injury in COVID-19-infected patients. Methods A retrospective cohort study analyzed liver function outcomes in COVID-19-infected patients who received two doses of the Pfizer-BioNTech or Moderna mRNA vaccine from October 2019 to October 2021. The study population was matched based on baseline characteristics, and Fisher's T-test was used for analysis. Secondary outcomes included COVID-19-related death, hospital stay, and SARS-CoV-2 infection after the second dose. SPSS (IBM Corp., Armonk, NY) and RStudio (RStudio, PBC, Boston, USA) software were utilized to ensure robust statistical analysis. Results A group of 78 patients with a propensity score were matched and analyzed, resulting in two groups of 39 patients each: vaccinated and unvaccinated. The vaccinated group had a lower incidence of liver injury, reduced length of stay, and mortality. The study suggests that COVID-19 vaccination can positively impact infected patients. These findings should be considered when making decisions about vaccine distribution and usage, and more research is needed to fully understand the vaccine's impact on ending the pandemic. Conclusion This study emphasizes the COVID-19 vaccine's significance in reducing liver injury and related outcomes, such as length of stay and mortality in infected patients. The results provide further evidence of vaccination benefits, with implications for healthcare professionals and policymakers. Further research is needed to deepen our understanding of COVID-19's complex effects on the liver and the vaccine's impact. Investing in research can inform clinical management, improve patient outcomes, and ultimately help end the pandemic.

摘要

引言 严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)可引发呼吸道及肺外并发症,包括肝损伤。鉴于肝脏受累与疾病严重程度之间的相关性,了解该病毒对肝脏的影响以及2019冠状病毒病(COVID-19)疫苗的保护作用至关重要。我们的研究旨在评估这种关系以及疫苗接种对COVID-19感染患者肝损伤的影响。方法 一项回顾性队列研究分析了2019年10月至2021年10月期间接受两剂辉瑞-生物科技公司或莫德纳信使核糖核酸(mRNA)疫苗的COVID-19感染患者的肝功能结果。研究人群根据基线特征进行匹配,并采用费舍尔t检验进行分析。次要结局包括第二次接种后与COVID-19相关的死亡、住院时间和SARS-CoV-2感染情况。使用社会科学统计软件包(SPSS,IBM公司,纽约州阿蒙克)和RStudio(RStudio公司,美国波士顿)软件以确保进行可靠的统计分析。结果 一组78例具有倾向评分的患者进行匹配并分析,分为两组,每组39例:接种疫苗组和未接种疫苗组。接种疫苗组肝损伤发生率较低,住院时间缩短,死亡率降低。该研究表明,COVID-19疫苗接种可对感染患者产生积极影响。在做出疫苗分发和使用决策时应考虑这些发现,并且需要更多研究来全面了解疫苗对终结大流行的影响。结论 本研究强调了COVID-19疫苗在减少肝损伤及相关结局(如感染患者的住院时间和死亡率)方面的重要性。结果提供了疫苗接种益处的进一步证据,对医疗保健专业人员和政策制定者具有启示意义。需要进一步研究以加深我们对COVID-19对肝脏的复杂影响以及疫苗影响的理解。开展研究可为临床管理提供信息,改善患者结局,并最终有助于终结大流行。

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