Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients

Yıl: 2021 Cilt: 59 Sayı: 2 Sayfa Aralığı: 108 - 113 Metin Dili: İngilizce DOI: 10.4274/haseki.galenos.2021.6538 İndeks Tarihi: 21-05-2021

Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients

Öz:
Aim: The severe acute respiratory syndrome novel corona virus-2 (SARS-nCoV-2) which is an enveloped RNA virus was defined as the cause of Corona Virus Disease-2019 (COVID-19). Gastrointestinal (GI) symptoms can also be observed in COVID-19 patients. This study was performed to evaluate the association between GI symptoms and laboratory results.Methods: This retrospective study was carried out in the University of Health Sciences Turkey, Istanbul Haseki Health Training and Research Hospital between 11th March and 1st June 2020. This study consisted of a total of 159 patients with COVID-19. COVID-19 infection was defined via a positive nasal and pharyngeal swab test. All symptoms of patients were recorded. Study patients were divided into 2 groups according to the presence of GI symptoms or not.Results: There were 41 patients in the group with GI and 118 were in the group without GI symptoms. Nausea and/or vomiting were observed in 29, diarrhea in 20 and abdominal pain in 10 patients. Percentages of anosmia (loss of smell sense) and ageusia (loss of taste sense) increased in patients with GI symptoms than the other group (p=0.005 and <0.0001). The mean serum aspartate amino transferase (AST) level elevated in COVID-19 patients with GI symptoms (p=0.022).Conclusion: Anosmia and ageusia increased significantly in COVID-19 patients with GI. Serum C-reactive protein and AST levels statistically increased in COVID-19 patients with GI.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Lu R, Zhao X, Li J, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet 2020;395:565-74.
  • 2. Xu C, Dong Y, Yu X, et al. Estimation of reproduction numbers of COVID-19 in typical countries and epidemic trends under different prevention and control scenarios. Front Med 2020;14:613-22.
  • 3. Li Q, Guan X, Wu P, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med 2020;382:1199-207.
  • 4. Wan Y, Shang J, Graham R, Baric RS, Li F. Receptor Recognition by the Novel Coronavirus from Wuhan: an Analysis Based on Decade-Long Structural Studies of SARS Coronavirus. J Virol 2020;94:127-20.
  • 5. Hamming I, Timens W, Bulthuis ML, Lely AT, Navis G, van Goor H. Tissue distribution of ACE2 protein, the functional receptor for SARS coronavirus. A first step in understanding SARS pathogenesis. J Pathol 2004;203:631-7.
  • 6. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506.
  • 7. Guan WJ, Ni ZY, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med 2020;382:1708-20.
  • 8. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507-13.
  • 9. Gu J, Han B, Wang J. COVID-19: Gastrointestinal Manifestations and Potential Fecal-Oral Transmission. Gastroenterology 2020;158:1518-9.
  • 10. WHO. Laboratory testing for 2019 novel coronavirus in suspected human cases. Interim guidance January 17,2020. Available from: https://apps.who.int/iris/bitstream/ handle/10665/332300/WHO-2019-nCoV-laboratory-2020.2- eng.pdf
  • 11. Chung M, Bernheim A, Mei X, et al. CT Imaging Features of 2019 Novel Coronavirus (2019-nCoV). Radiology 2020;295:202-7.
  • 12. Luo S, Zhang X, Xu H. Don’t Overlook Digestive Symptoms in Patients With 2019 Novel Coronavirus Disease (COVID-19). Clin Gastroenterol Hepatol 2020;18:1636-7.
  • 13. Xu H, Zhong L, Deng J, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci 2020;12:8.
  • 14. Vaira LA, Salzano G, Deiana G, De Riu G. Anosmia and Ageusia: Common Findings in COVID-19 Patients. Laryngoscope 2020;130:1787.
  • 15. Xydakis MS, Dehgani-Mobaraki P, Holbrook EH, et al. Smell and taste dysfunction in patients with COVID-19. Lancet Infect Dis 2020;20:1015-6.
  • 16. Baig AM, Khaleeq A, Ali U, Syeda H. Evidence of the COVID-19 Virus Targeting the CNS: Tissue Distribution, Host Virus Interaction, and Proposed Neurotropic Mechanisms. ACS Chem Neurosci 2020;11:995-8.
  • 17. Kern RC, Conley DB, Haines GK 3rd, Robinson AM. Pathology of the olfactory mucosa: implications for the treatment of olfactory dysfunction. Laryngoscope 2004;114:279-85.
  • 18. Gilani S, Roditi R, Naraghi M. COVID-19 and anosmia in Tehran, Iran. Med Hypotheses 2020;141:109757.
  • 19. Vaira LA, Salzano G, Fois AG, Piombino P, Riu GD. Potential pathogenesis of ageusia and anosmia in COV ID-19 patients. Int Forum Allergy Rhinol 2020;10:1103-4.
  • 20. Lechien JR, Chiesa-Estomba CM, De Siati DR, et al. Olfactory and gustatory dysfunctions as a clinical presentation of mild to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study. Eur Arch Otorhinolaryngol 2020;277:2251-61.
  • 21. Eliezer M, Hautefort C, Hamel AL, et al. Sudden and Complete Olfactory Loss of Function as a Possible Symptom of COVID-19. JAMA Otolaryngol Head Neck Surg 2020;146:674-5.
  • 22. Han C, Duan C, Zhang S, et al. Digestive Symptoms in COVID-19 Patients With Mild Disease Severity: Clinical Presentation, Stool Viral RNA Testing, and Outcomes. Am J Gastroenterol 2020;115:916-23.
  • 23. Zhang C, Shi L, Wang FS. Liver injury in COVID-19: management and challenges. Lancet Gastroenterol Hepatol 2020;5:428-30.
  • 24. Jin X, Lian JS, Hu JH, et al. Epidemiological, clinical and virological characteristics of 74 cases of coronavirus-infected disease 2019 (COVID-19) with gastrointestinal symptoms. Gut 2020;69:1002-9.
  • 25. Xu XW, Wu XX, Jiang XG, et al. Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS Cov-2) outside of Wuhan, China: retrospective case series. BMJ 2020;368:606.
  • 26. Agarwal A, Chen A, Ravindran N, To C, Thuluvath PJ. Gastrointestinal and Liver Manifestations of COVID-19. J Clin Exp Hepatol 2020;10:263-5.
  • 27. Aroniadis OC, DiMaio CJ, Dixon RE, et al. Current Knowledge and Research Priorities in the Digestive Manifestations of COVID-19. Clin Gastroenterol Hepatol 2020;18:1682-4.
  • 28. Wang F, Wang H, Fan J, Zhang Y, Wang H, Zhao Q. Pancreatic Injury Patterns in Patients With Coronavirus Disease 19 Pneumonia. Gastroenterology 2020;159:367-70.
APA Ahbab S, türker f, çavuşoğlu b, Kula A, Ziyadanoğlu F, Açar P, Ak E, Alçelik R, Aydoğan Ahbab M, Ataoglu H (2021). Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. , 108 - 113. 10.4274/haseki.galenos.2021.6538
Chicago Ahbab Süleyman,türker fatih,çavuşoğlu betül,Kula Atay Can,Ziyadanoğlu Fatma Pınar,Açar Pelin,Ak Elif Ceren,Alçelik Raife Dilhan,Aydoğan Ahbab Müfide,Ataoglu Hayriye Esra Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. (2021): 108 - 113. 10.4274/haseki.galenos.2021.6538
MLA Ahbab Süleyman,türker fatih,çavuşoğlu betül,Kula Atay Can,Ziyadanoğlu Fatma Pınar,Açar Pelin,Ak Elif Ceren,Alçelik Raife Dilhan,Aydoğan Ahbab Müfide,Ataoglu Hayriye Esra Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. , 2021, ss.108 - 113. 10.4274/haseki.galenos.2021.6538
AMA Ahbab S,türker f,çavuşoğlu b,Kula A,Ziyadanoğlu F,Açar P,Ak E,Alçelik R,Aydoğan Ahbab M,Ataoglu H Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. . 2021; 108 - 113. 10.4274/haseki.galenos.2021.6538
Vancouver Ahbab S,türker f,çavuşoğlu b,Kula A,Ziyadanoğlu F,Açar P,Ak E,Alçelik R,Aydoğan Ahbab M,Ataoglu H Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. . 2021; 108 - 113. 10.4274/haseki.galenos.2021.6538
IEEE Ahbab S,türker f,çavuşoğlu b,Kula A,Ziyadanoğlu F,Açar P,Ak E,Alçelik R,Aydoğan Ahbab M,Ataoglu H "Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients." , ss.108 - 113, 2021. 10.4274/haseki.galenos.2021.6538
ISNAD Ahbab, Süleyman vd. "Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients". (2021), 108-113. https://doi.org/10.4274/haseki.galenos.2021.6538
APA Ahbab S, türker f, çavuşoğlu b, Kula A, Ziyadanoğlu F, Açar P, Ak E, Alçelik R, Aydoğan Ahbab M, Ataoglu H (2021). Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. Haseki Tıp Bülteni, 59(2), 108 - 113. 10.4274/haseki.galenos.2021.6538
Chicago Ahbab Süleyman,türker fatih,çavuşoğlu betül,Kula Atay Can,Ziyadanoğlu Fatma Pınar,Açar Pelin,Ak Elif Ceren,Alçelik Raife Dilhan,Aydoğan Ahbab Müfide,Ataoglu Hayriye Esra Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. Haseki Tıp Bülteni 59, no.2 (2021): 108 - 113. 10.4274/haseki.galenos.2021.6538
MLA Ahbab Süleyman,türker fatih,çavuşoğlu betül,Kula Atay Can,Ziyadanoğlu Fatma Pınar,Açar Pelin,Ak Elif Ceren,Alçelik Raife Dilhan,Aydoğan Ahbab Müfide,Ataoglu Hayriye Esra Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. Haseki Tıp Bülteni, vol.59, no.2, 2021, ss.108 - 113. 10.4274/haseki.galenos.2021.6538
AMA Ahbab S,türker f,çavuşoğlu b,Kula A,Ziyadanoğlu F,Açar P,Ak E,Alçelik R,Aydoğan Ahbab M,Ataoglu H Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. Haseki Tıp Bülteni. 2021; 59(2): 108 - 113. 10.4274/haseki.galenos.2021.6538
Vancouver Ahbab S,türker f,çavuşoğlu b,Kula A,Ziyadanoğlu F,Açar P,Ak E,Alçelik R,Aydoğan Ahbab M,Ataoglu H Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients. Haseki Tıp Bülteni. 2021; 59(2): 108 - 113. 10.4274/haseki.galenos.2021.6538
IEEE Ahbab S,türker f,çavuşoğlu b,Kula A,Ziyadanoğlu F,Açar P,Ak E,Alçelik R,Aydoğan Ahbab M,Ataoglu H "Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients." Haseki Tıp Bülteni, 59, ss.108 - 113, 2021. 10.4274/haseki.galenos.2021.6538
ISNAD Ahbab, Süleyman vd. "Evaluation of the Association between Gastrointestinal Symptoms and Laboratory Outcomes in Hospitalized COVID-19 Patients". Haseki Tıp Bülteni 59/2 (2021), 108-113. https://doi.org/10.4274/haseki.galenos.2021.6538