COVID-19 in Patients With Pre-existing Cirrhosis (COVID-Cirrhosis-CHESS2002): A Multicentre Observational Study
Study Details
Study Description
Brief Summary
COVID-19 pandemic with SARS-CoV-2 infection has become a global challenge. Though most cases of COVID-19 are mild, the disease can also be fatal. Patients with liver cirrhosis are more susceptible to damage from SARS-CoV-2 infection considering their immunocompromised status. The spectrum of disease and factors that influence the disease course in COVID-19 cases with liver cirrhosis are incompletely defined. This muilticentre observational study (COVID-Cirrhosis-CHESS2002) aims to study the clinical characteristics and risk factors associated with specific outcomes in COVID-19 patients with pre-existing liver cirrhosis.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Coronavirus disease 2019 (COVID-19) pandemic with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has become a global challenge. Though most cases of COVID-19 are mild, the disease can also be fatal. Patients with liver cirrhosis are more susceptible to damage from SARS-CoV-2 infection considering their immunocompromised status. The spectrum of disease and factors that influence the disease course in COVID-19 cases with liver cirrhosis are incompletely defined. This muilticentre observational study (COVID-Cirrhosis-CHESS2002) aims to study the clinical characteristics and risk factors associated with specific outcomes in COVID-19 patients with pre-existing liver cirrhosis.
Study Design
Outcome Measures
Primary Outcome Measures
- All-cause mortality of COVID-19 patients with liver cirrhosis [From illness onset of COVID-19 to death from any cause, up to 365 days]
7-day, 28-day, 60-day, 180-day and 365-day all-cause mortality of COVID-19 patients with liver cirrhosis
Secondary Outcome Measures
- Liver-related mortality of COVID-19 patients with liver cirrhosis [From illness onset of COVID-19 to death from liver-related cause, up to 365 days]
7-day, 28-day, 60-day, 180-day and 365-day liver-related mortality of COVID-19 patients with liver cirrhosis
- Risk factors associated with specific outcomes of COVID-19 patients with liver cirrhosis [From hospital admission to death, up to 365 days]
Risk factors (laboratory findings, imaging findings, etc.) associated with specific outcomes (death, etc.) of COVID-19 patients with liver cirrhosis
- Baseline characteristics of COVID-19 patients with liver cirrhosis [1 Day]
Baseline characteristics (laboratory findings, imaging findings, etc.) of COVID-19 patients with liver cirrhosis
Eligibility Criteria
Criteria
Inclusion Criteria:
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- Aged 18 or above;
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- Laboratory-confirmed COVID-19 infection;
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- Pre-existing liver cirrhosis based on liver biopsy or clinical findings.
Exclusion Criteria:
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- Pregnancy or unknown pregnancy status.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Dalian Sixth People's Hospital | Dalian | China | ||
2 | Minda Hospital Affiliated to Hubei University for Nationalities | Enshi | China | ||
3 | The Central Hospital of Enshi Tujia And Miao Autonomous Prefecture | Enshi | China | ||
4 | The First Hospital of Lanzhou University | Lanzhou | China | ||
5 | The Central Hospital of Lishui City | Lishui | China | ||
6 | Guangxi Zhuang Autonomous Region | Nanning | China | ||
7 | The Sixth Peoples Hospital of Shenyang | Shenyang | China | ||
8 | Shenzhen Third People's Hospital | Shenzhen | China | ||
9 | Suizhou Hospital, Hubei University of Medicine | Suizhou | China | ||
10 | Tianjin Second People's Hospital | Tianjin | China | ||
11 | Ankang Central Hospital | Wuhan | China | ||
12 | Renmin Hospital of Wuhan University | Wuhan | China | ||
13 | Wuhan Union Hospital | Wuhan | China | ||
14 | Xingtai People's Hospital | Xingtai | China | ||
15 | The Affiliated Third Hospital of Jiangsu University | Zhenjiang | China |
Sponsors and Collaborators
- Hepatopancreatobiliary Surgery Institute of Gansu Province
- Renmin Hospital of Wuhan University
- LanZhou University
- Minda Hospital Affiliated to Hubei University for Nationalities
- Wuhan Union Hospital, China
- The Central Hospital of Enshi Tujia And Miao Autonomous Prefecture
- Tianjin Second People's Hospital
- The Sixth People's Hospital of Shenyang
- Guangxi Zhuang Autonomous Region
- Shenzhen Third People's Hospital
- Ankang Central Hospital
- Xingtai People's Hospital
- Dalian Sixth People's Hospital
- The Central Hospital of Lishui City
- The Affiliated Third Hospital of Jiangsu University
- Suizhou Hospital, Hubei University of Medicine
Investigators
- Study Chair: Mingkai Chen, MD, Renmin Hospital of Wuhan University
- Study Chair: Xiaolong Qi, MD, LanZhou University
- Principal Investigator: Fengmei Wang, MD, Tianjin Second People's Hospital
- Principal Investigator: Ye Gu, MD, The Sixth People's Hospital of Shenyang
- Principal Investigator: Zicheng Jiang, MD, Ankang Central Hospital
- Principal Investigator: Guo Zhang, MD, Guangxi Zhuang Autonomous Region
- Principal Investigator: Yong Zhang, MD, Dalian Sixth People's Hospital
- Principal Investigator: Dengxiang Liu, MD, Xingtai People's Hospital
- Principal Investigator: Qing He, MD, Shenzhen Third People's Hospital
- Principal Investigator: Hua Yang, MD, Minda Hospital Affiliated to Hubei University for Nationalities
- Principal Investigator: Zhengyan Wang, MD, Suizhou Hospital, Hubei University of Medicine
- Principal Investigator: Bin Xiong, MD, Wuhan Union Hospital, China
- Principal Investigator: Xiaodan Li, MD, The Central Hospital of Enshi Tujia And Miao Autonomous Prefecture
- Principal Investigator: Hongguang Zhang, MD, The Affiliated Third Hospital of Jiangsu University
- Principal Investigator: Chuxiao Shao, MD, The Central Hospital of Lishui City
- Principal Investigator: Hongmei Yue, MD, LanZhou University
Study Documents (Full-Text)
None provided.More Information
Publications
- Bangash MN, Patel J, Parekh D. COVID-19 and the liver: little cause for concern. Lancet Gastroenterol Hepatol. 2020 Jun;5(6):529-530. doi: 10.1016/S2468-1253(20)30084-4. Epub 2020 Mar 20.
- Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS; China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.
- Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020 Apr 7;323(13):1239-1242. doi: 10.1001/jama.2020.2648.
- Xu L, Liu J, Lu M, Yang D, Zheng X. Liver injury during highly pathogenic human coronavirus infections. Liver Int. 2020 May;40(5):998-1004. doi: 10.1111/liv.14435. Epub 2020 Mar 30. Review.
- Zhang C, Shi L, Wang FS. Liver injury in COVID-19: management and challenges. Lancet Gastroenterol Hepatol. 2020 May;5(5):428-430. doi: 10.1016/S2468-1253(20)30057-1. Epub 2020 Mar 4.
- CHESS2002