Zheng (2020)
Risk factors of critical & mortal COVID-19 cases: A systematic literature review and meta-analysis
32335169
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177098/
Laboratory Findings
AST (Abnormal vs. Normal)
COVID-19 (severe/fatal)
Odds ratio: 4.000 (2.460-6.520) Univariate analysis

China

Review

Registry

867

Thirteen studies were included in Meta-analysis, including a total number of 3027 patients with SARS-CoV-2 infection - relevant studies published between Jan 1, 2020 and Mar 20, 2020

The median ages ranged from 49 to 70.5 years old in the critical/mortal group across the enrolled studies. The median ages ranged from 37 to 62 years old in the non-critical group. The median ages were generally higher in critical/death group compared to the non-critical group. Furthermore, age over 65 years was analyzed as a subgroup by Guan and Tian (with a total amount of 1273 patients). Meta-analysis showed that the proportion of patients older than 65 years was higher in critical/death group compared to the non-critical group. There was no heterogeneity in the estimates of male, age over 65 years old and current smoking among the identified studies with I^2=0.

0


COVID-19 (severe/fatal)

79

(1) groups involving critical illness or death and non-critical illness (2) patients should be confirmed to have been infected by 2019 novel coronavirus (3) study designs included randomized controlled trials, nonrandomized controlled trials, case?control studies, cohort studies, cross?sectional studies, and also case reports (4) at least one outcome reported among demographical characteristics, comorbidities and clinical manifestations (5) study sample was larger than 20. We excluded duplicate reports, abstracts from conferences and commentary articles.


Laboratory Findings

AST

aspartate amino transferase(AST)>40U/L. the heterogeneity test results were calculated as I^2=0%, 0% and 34%.

Normal

Abnormal


Odds ratio

4.000 (2.460-6.520)

No

Yes

No

pooled odds ratio


none

Good

Yes