Research Article

Abnormal Liver Tests during Hospitalization Predict Mortality in Patients with COVID-19: A Multicenter Study from South America

Table 4

Multivariate logistic regression evaluating risk factors for death associated with COVID-19 during different periods of hospitalization.

VariableFirst week (days 0–7)Second week (days 8–14)Overall hospitalization
UnivariateMultivariateUnivariateMultivariateUnivariateMultivariate

Age (years)1.04 (1.002–1.08)1.08 (1.04–1.12)1.05 (1.03–1.07)
Gender (male)2.57 (0.7–9.41)2.1 (0.7–6.7)1.57 (0.86–2.85)
Cardiovascular comorbidity4.77 (1.59–12.28)8.65 (2.37–31.62)6.17 (2.16–17.7)9.53 (2.17–41.9)3.75 (2.08–6.75)3.1 (1.14–8.45)
Obesity (BMI>35)1.06 (1.03–1.1)3.63 (0.47–28.1)2.87 (1.17–7.02)
Diabetes1.02 (0.2–4.71)0.86 (0.19–3.9)1.1 (0.49–2.43)
Chronic liver disease4.3 (1.03–15.75)7.17 (1.51–34.16)1.76 (0.48–6.4)4.25 (1.72–10.5)4.25 (0.95–19)
Time from symptoms to hospitalization (days)0.99 (0.97–1.02)0.98 (0.96–0.99)0.99 (0.97–1.01)
Active smoker11.35 (0.29–6.62)1.44 (0.39–5.31)2.7 (1.3–5.46)6.45 (1.98–21)
WBC count (x109/L) on admission1.15 (1.07–1.24)1.17 (1.08–1.28)1 (0.91–1.1)1.07 (1.02–1.12)
WBC count (x109/L) at 1 week from admission1.1 (0.95–1.17)1.1 (1.04–1.18)1.13 (1.04–1.23)
ALEx2 at admission4.75 (1.55–14.62)3.55 (1.05–12.05)0.8 (0.25–2.5)1.11 (0.62–2)
De novo-ALEx2 at 1 week after admission6.3 (1.53–25.9)6.09 (1.28–29)2.79 (1.21–6.43)2.93 (1.05–8.19)
Persistent-ALEx2 at 1 week after admission9.57 (1.12–81.9)4.98 (0.53–46.7)3.24 (1.18–8.87)3.73 (0.91–15.37)
Neutrophils/lymphocytes ratio1.05 (1.01–1.08)1 (0.95–1.05)1.02 (0.99–1.05)
C-reactive protein (mg/L)1 (0.99–1.003)1 (0.99–1.01)1.004 (1.001–1.006)
Procalcitonin (mg/L)1.003 (0.91–1.09)0.99 (0.91–1.09)1.005 (0.97–1.05)
Serum creatinine (mg/dL)1.22 (0.96–1.57)1.37 (1.09–1.71)1.24 (1.01–1.5)
Bilateral consolidation at admission0.75 (0.2–2.77)0.31 (0.04–2.4)2.15 (1.12–4.13)

ALEx2, abnormal liver enzymes >2 times over the upper limit of normal; BMI, body mass index; WBC, white blood cells.