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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 764
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EUAf/9k=
Liver diseases and covid-19: a global public health problema.
Enfermedades hepáticas y covid-19: un problema de salud pública a
nivel mundial.
Autores:
Lascano Espinoza, Doménica Pauleth
UNIVERSIDAD ESTATAL DEL SUR DE MANABI
Egresada de la Carrera de Laboratorio Clínico
Manabí – Ecuador
lascano-domenica6827@unesum.edu.ec
https://orcid.org/0000-0001-8079-6894
Olivez Gracia, Johana Micaela
UNIVERSIDAD ESTATAL DEL SUR DE MANABI
Egresada de la Carrera de Laboratorio Clínico
Manabí – Ecuador
olivez-johana7432@unesum.edu.ec
https://orcid.org/0000-0001-5168-6426
Lcda. Durán Pincay, Yelisa Estefanía.
UNIVERSIDAD ESTATAL DEL SUR DE MANABI
Docente/Tutor. Facultad Ciencias de la Salud. Carrera de Laboratorio Clínico
Manabí – Ecuador
yelisa.duran@unesum.edu.ec
https://orcid.org/0000-0003-3944-6985
Citación/como citar este artículo: Lascano, D., Olivez, J. y Durán, Y. (2022).
Enfermedades hepáticas y Covid-19: un problema de salud pública a nivel mundial.
MQRInvestigar, 6(3), 764-780.
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Fechas de recepción: 15-JUL-2022 aceptación: 15-AGO-2022 publicación: 15-SEP-2022
https://orcid.org/0000-0002-8695-5005
http://mqrinvestigar.com/
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QmCC
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 765
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EUAf/9k=
Resumen
La enfermedad del Covid-19 ocasionada por el virus SARS-CoV-2, es considerada de
gran importancia por ser un problema de salud pública. Se conoce actualmente que Covid-
19, es una enfermedad sistémica que puede afectar múltiples órganos y tejidos que puede
ser fatal. La afectación hepática en relación a la Covid-19 se asemeja a cualquier daño
hepático que ocurre durante el proceso de la enfermedad. El presente estudio tiene como
objetivo, Analizar las enfermedades hepáticas y Covid-19: un problema de salud pública
a nivel mundial por el impacto presente en las enfermedades hepáticas como: Cirrosis,
Esteatosis hepática, Hepatitis B y C, entre otros. Para el desarrollo del artículo se utilizó
una investigación de tipo descriptivo y diseño documental, a partir de información
recopilada de artículos publicados en los siguientes datos como: Medline, Pubmed,
Google académico, Elsevier y Scielo. Con los booleanos AND, OR, NOT y términos
MESH que abordan el hígado, Covid-19, prevalencia de las enfermedades hepáticas,
pruebas diagnósticas y se procedió a investigar el objeto de estudio para describir la
relación que existe entre estas dos variables. Resultados: se demuestro que existen
diferentes enfermedades hepáticas relacionadas al Covid-19, prevaleciendo la hepatitis C
con 61,40% y el Covid-19 con 46,2%, indicando las pruebas diagnósticas de laboratorio
consideradas para la detección de enfermedades del hígado y Covid-19. En conclusión,
se evidenció que existe una asociación entre las diferentes enfermedades hepáticas en
pacientes positivos de Covid-19.
Palabras claves: Hígado, Esteatosis, Hepatitis B, Covid-19, SARS-CoV-2.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 766
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Abstract
The Covid-19 disease caused by the SARS-CoV-2 virus is considered of great importance
as it is a public health problem. It is currently known that Covid-19 is a systemic disease
that can affect multiple organs and tissues and can be fatal. Liver involvement in relation
to Covid-19 resembles any liver damage that occurs during the disease process. The
objective of this study is to analyze liver diseases and Covid-19: a public health problem
worldwide due to the impact present on liver diseases such as: Cirrhosis, Hepatic
Steatosis, Hepatitis B and C, among others. For the development of the article, a
descriptive research and documentary design was used, based on information collected
from articles published in the following data such as: Medline, Pubmed, Google
academic, Elsevier and Scielo. With the Boolean AND, OR, NOT and MESH terms that
address the liver, Covid-19, prevalence of liver diseases, diagnostic tests and the object
of study was investigated to describe the relationship that exists between these two
variables. Results: it was shown that there are different liver diseases related to Covid-
19, with hepatitis C prevailing with 61.40% and Covid-19 with 46.2%, indicating the
laboratory diagnostic tests considered for the detection of liver diseases and Covid-19. In
conclusion, it was shown that there is an association between the different liver diseases
in Covid-19 positive patients.
Keywords: Liver, Steatosis, Hepatitis B, Covid-19, SARS-CoV-2.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 767
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EUAf/9k=
Introducción
En la actualidad, la enfermedad del Coronavirus ocasionada por el virus SARS-CoV-2,
es considerada de gran impacto por ser el principal problema de salud con una alta tasa
de morbilidad y mortalidad a nivel mundial desde su declaración como pandemia (Fuk, y
otros, 2020). Muchos grupos son vulnerables ante este nuevo contagio, entre ellos las
personas con patologías preexistentes, las cuales podrían representar un mayor riesgo de
enfermarse gravemente a causa del COVID-19. Según la Organización Mundial de la
Salud, la situación global es de 260.867.011 casos confirmados de COVID-19, incluidas
5.200.267 muertes (Salud, 2021).
Según el informe epidemiológico hasta el 09 de enero del 2022 en Ecuador existen
567.332 contagios, teniendo un total de defunciones de 33.709 en el entorno de la
pandemia. En Manabí existen 38.870 contagiados y defunciones 2.581 por COVID-19
(MSP, 2022).
La infección SARS-CoV-2, es un virus que utiliza la enzima convertidora de angiotensina
2 (ECA-2) como co-receptor para poder penetrar la pared intracelular e infectar los
órganos a su paso, manifestándose con síntomas a nivel del tracto respiratorio e
incluyendo daño en órganos como el hígado (Luis, Rosa, & Martín, 2020).
La manifestación clínica del coronavirus es variable y podría ser asintomática, con
indicios leves a moderados, en especial fiebre, dolor de cabeza, tos, congestión nasal e
indicios gastrointestinales; hasta expresiones graves, en especial en un paciente con
agrupación de comorbilidades y afectaciones multisistémica (Wei-jie Guan, y otros,
2020).
La fisiopatología de la COVID-19 aún no se ha dilucidado por completo; sin embargo,
uno de sus mecanismos principales es la liberación exacerbada de citosinas inflamatorias
que culmina en afectación multisistémica, que puede desencadenar varios cambios
vasculares y coagulativos (Behnood, y otros, 2020).
El Global Burden of Disease del 2010 informó que las enfermedades hepáticas eran
responsables de alrededor de 2 millones de muertes al año, con el 50 % de estas asociadas
con complicaciones debidas a cirrosis hepática y la otra mitad relacionada con carcinoma
hepatocelular y hepatitis viral (Mokdad, y otros, 2015).
Según la estimación de salud
global de la Organización Mundial de la Salud (OMS) de 2015, la enfermedad hepática
crónica se ubica como la decimosexta causa de morbilidad en todo el mundo (OMS,
2016).
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 768
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EUAf/9k=
Las enfermedades hepáticas es un término que se usa para indicar que existe una
disfunción en el hígado que evita su funcionamiento normal. Desde la aparición del
COVID-19 se han visto notables complicaciones en pacientes con enfermedades graves,
como las enfermedades hepáticas preexistentes, diagnosticados con COVID-19 positivo
(Rosa & Martín, 2020).
La afectación hepática en relación a la COVID-19 se asemeja a cualquier daño hepático
que ocurre durante el proceso de la enfermedad. En pacientes con COVID-19 se
observaron alteraciones anormales en las enzimas hepáticas, presentando elevación en
AST y ALT de los casos, reflejando el 14 a 53% de los pacientes, en particular en aquellos
con enfermedades graves (Velasco, Velarde, García, & Remes, 2020).
Una revisión reciente informó que el perfil hepático en referencia a los valores de alanino
Aminotransferasa se encontró evidencia que se eleva en 13,3% de casos de pacientes
COVID-19 y en casos severos el 58%, por lo tanto, la función hepática anormal muestra
una
elevación
de
la
Aspartato
Aminotransferasa
se
considera
un
indicador
en
la
mortalidad. La morbilidad por COVID-19 a nivel mundial corresponde al 0,89% con
función hepática anormal y mortalidad por función anormal hepática 0,85%. En Ecuador
el marzo del 2020 tuvo la tasa más alta de morbilidad por función hepática anormal
COVID-19 AL 13,15% en América del Sur (Angamarca & Maldonado, 2015).
El propósito de la investigación es dar a conocer sobre la pandemia del Covid-19 y su
relación con enfermedades hepáticas, misma enfermedad como consecuencia ha generado
o conllevado que la salud de los individuos comience a deteriorarse presentando
comorbilidades asociadas a éstas, de allí la importancia y el interés de realizar la
actualización de la temática, así como también informar el conocimiento científico
disponible a las futuras investigaciones de la ciencia.
Material y métodos
La presente investigación se la realizó de manera descriptiva con diseño documental, en
la que se estudiaron literaturas científicas publicadas desde el año 2017 hasta el 2022
relacionada con las enfermedades hepáticas y Covid-19. La información se obtuvo por
una búsqueda de artículos publicados en los siguientes datos como: Medline, Pubmed,
Google académico, Elsevier y Scielo. Con los booleanos AND, OR, NOT y términos
MESH que abordan el hígado, Covid-19, prevalencia de las enfermedades hepáticas,
pruebas diagnósticas. Dentro de las consideraciones éticas es un deber respetar los
derechos y confidencialidad de los diferentes autores, citando de manera correcta toda la
información de acuerdo a las normativas del estilo Vancouver en cada artículo científico.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 769
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EUAf/9k=
Criterios de inclusión y exclusión
Criterios de inclusión
Se incluyen artículos científicos reconocidos a nivel mundial dentro de los seis últimos
años referentes al tema de estudio, de diferentes países en español e inglés, artículos
originales y de revisión centrados en la temática de Enfermedades hepáticas y Covid-19:
un problema de salud pública a nivel mundial.
Criterios de exclusión
Se excluyeron estudios no relacionados con la temática y que no pertenezcan a revistas
científicas como artículos de casos clínicos, in vitro, opiniones en redes sociales.
Resultados
En la tabla 1. Dentro de los artículos de revisión investigados, se evidencio cuáles eran
las diferentes enfermedades asociadas al COVID-19 en diferentes países, siendo la más
predominante la enfermedad por hepatitis B en infección por SARS- CoV-2.
Tabla 1. Enfermedades hepáticas asociadas al Covid-19
Autor y Ref.
País
Año
Título de la investigación
Enfermedades
hepáticas
COVID-19
Jian Wu y
col. (Wu, y
otros, 2020)
China
2020
Características
epidemiológicas y clínicas de
enfermedad por coronavirus e
infección concomitante por el
virus de la hepatitis B
Hepatitis B
Examen
clínico/Positivo
Aghemo y
col. (Sun,
Aghemo,
Forner, &
Valenti,
2020)
China
2020
COVID-19 y enfermedad
hepática
Hepatitis B
Examen
clínico/Positivo
Liu y col.
(Liu, y otros,
2020)
China
2020
Características clínicas de los
pacientes con COVID-19 con
infección por el virus de la
hepatitis B
Hepatitis B
Examen
clínico/Positivo
Téllez y col.
(Téllez, y
otros, 2020)
España
2020
Actualización en COVID-19
y enfermedad hepática.
Cirrosis
Examen
clínico/Positivo
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 770
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EUAf/9k=
Marín y col.
(Marín, y
otros, 2021)
Perú
2021
Alteración en las pruebas de
función hepática en pacientes
hospitalizados por COVID-
19
Cirrosos, Hepatitis
B y Hepatitis C
Examen
clínico/Positivo
Cerbu y col.
(Cerbul, y
otros, 2021)
Rumania
2021
Deterioro hepático y cambios
hematológicos en pacientes
con hepatitis C crónica y
COVID-19
Hepatitis C
Examen
clínico/Positivo
Haitham y
col.
(Qandeel, y
otros, 2021)
Chile
2021
Correlación entre la
Gravedad de COVID-19, el
Índice de Masa Corporal y la
Morfología Hepática
Radiológica.
Esteatosis hepática
Examen
clínico/Positivo
Pardo y col.
(Pardo,
Orjuela,
Ortíz, Ortiz,
&
Schmalbach,
2020)
Colombia
2022
Comportamiento de las
enfermedades hepáticas en
una cohorte de pacientes
colombianos con COVID 19.
Esteatohepatitis no
alcohólica, Hepatitis
B y Hepatitis C
Examen
clínico/Positivo
Lema y col.
(Lema Rojas,
2022)
Ecuador
2022
Utilidad de las pruebas de
función hepática en pacientes
con COVID-19
Cirrosis
descompensada,
Hepatitis hipotoxica,
enfermedad del
hígado no graso,
enfermedad hepática
por fármacos
Examen
clínico/Positivo
Bianca y col.
(Cerbu,
Grigoras,
Bratosin, &
Bogdan,
2022)
Rumania
2022
Perfil de laboratorio de
pacientes con COVID-19 con
cirrosis hepática relacionada
con hepatitis C
Cirrosis, Hepatitis C
Examen
clínico/Positivo
En la tabla 2. Se evidencian las prevalencias de las enfermedades hepáticas y Covid-19, siendo
la más destacada en España, la hepatitis C con una prevalencia del 61,40% y en Perú la
prevalencia de la infección por Covid-19 es de 46,2%.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 771
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EUAf/9k=
Tabla 2. Prevalencia de las enfermedades hepáticas y Covid-19
Autor y
Ref.
País
Título de la
investigación
Año
Metodología
Población
Prevalencia
Enfermedades
hepáticas/
COVID-19
Singh y
col.
(Singh &
Khan,
2020)
Estados
Unidos
Características
clínicas y
resultados de la
enfermedad por
coronavirus 2019.
2020
Estudio de
cohorte
prospectivo
250
42%
Esteatohepatitis
no alcohólica
Correa y
col.
(Correa, y
otros,
2022)
México
Enfermedades
crónicas
degenerativas
como factor de
riesgo de letalidad
por COVID-19 en
México.
2022
Estudio de
cohorte
retrospectivo
1.114
3,80%
COVID-19
Camarero
j.
(Camarero
& al.)
España
El cribado de las
hepatitis víricas en
pacientes
hospitalizados por
la COVID-19 no
detectaría muchas
infecciones
activas.
2021
Estudio
retrospectivo
3
0,01%
Hepatitis C
Espinoza
y col.
(Quito
Espinoza,
2021)
Ecuador
Prevalencia y
caracterización de
las gestantes con
covid-19 atendidas
en el Hospital
Nacional Ramiro
Priale de
Huancayo.
2021
Estudio
descriptiva,
observacional,
retrospectiva
y transversal
63
6,1%
COVID-19
Julio A.
(Julia &
Sofia,
2021)
España
La pandemia
dispara los casos
de hepatitis C,
principalmente en
población de
riesgo.
2022
Estudio
retrospectivo,
descriptivo
140.000
61,40%
Hepatitis C
Vilca y
col.
(Vilca
Hernández
, 2021)
Perú
Prevalencia de
comorbilidad en
pacientes
atendidos por
COVID-19 en el
Centro de Salud de
Los Aquijes
2021
Estudio
observacional,
transversal,
descriptivo,
no
experimental
377
46.2%
COVID-19
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 772
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EUAf/9k=
En la tabla 3. Mediante el análisis de diferentes pruebas diagnósticas de laboratorio, se
demuestra la importancia que es el seguimiento de estas pruebas en pacientes con
enfermedad hepática infectados por la Covid-19, los cuales se evidencian más repetitivas
en las pruebas hepáticas son: aspartato aminotransferasa (AST), alanina aminotransferasa
(ALT), fosfatasa alcalina (ALP), bilirrubina total y albúmina.
Autor y
Ref.
País
Título de la
investigación
Año
Metodología
Pruebas diagnósticas
Melanie y
col.
(Hundt,
Deng,
Ciarleglio,
Nathanson,
& Lim,
2020)
Estados
Unidos
Pruebas Hepáticas
Anormales en COVID-
19
2020
Estudio
Observacional
,
Retrospectivo,
de Cohorte
PCR, aspartato
aminotransferasa (AST),
alanina aminotransferasa
(ALT), Fosfatasa alcalina
(ALP), bilirrubina total y
albúmina
Omrania
Nava y col.
(Omrani,
Maleki,
Ahmadi, &
Moosazadeh
, 2020)
Saraí
Evaluación de cambios
en enzimas hepáticas y
asociación con
pronóstico en pacientes
con COVID-19
2020
Revisión
sistemática y
metaanálisis
PCR-RT, aspartato
aminotransferasa (AST),
alanina aminotransferasa
(ALT), ferritina, proteína C
reactiva (PCR), bilirrubina
directa y bilirrubina total.
Tai Nin y
col.
(Tai,
Cheonge,
Cheonge, &
al, 2020)
China
. Hepatitis viral
asociada al SARS
causada por un nuevo
coronavirus
2020
Revisión
sistemática y
metaanálisis
aspartato aminotransferasa
(AST), alanina
aminotransferasa (ALT),
bilirrubina total, tiempos de
coagulación, PCR-RT,
radiografía de tórax.
Marín
Dueñas y
col. (Marín,
y otros,
2021)
Perú
. Alteración en las
pruebas de función
hepática en pacientes
hospitalizados por
COVID-19: un estudio
multicéntrico en Perú
2021
Estudio
descriptivo,
retrospectivo
y transversal
aspartato aminotransferasa
(AST), alanina
aminotransferasa (ALT),
fosfatasa alcalina (ALP),
bilirrubina total y albúmina.
Almeida
Tiago y col.
(Almeida,
Cunha, &
Kniess,
2021)
Brasil
Cambios en la función
hepática causados por
COVID-19 y su
impacto en el resultado
clínico del paciente:
una revisión
sistemática.
2021
Revisión
sistemática y
metaanálisis
PCR, dímero D, lactato-
deshidrogenasa (LDH),
Aspartato-aminotransferasa
(AST), Alanina
aminotransferasa (ALT),
Gamma glutamiltransferasa
(GGT).
Bianca y
col. (Cerbu,
Grigoras,
Bratosin, &
Rumania
Perfil de laboratorio de
pacientes con COVID-
19 con cirrosis hepática
relacionada con
hepatitis C.
2022
Estudio de
cohorte
retrospectivo
Biometría Hemática,
glucosa en ayunas, alanina
aminotransferasa (ALT),
aspartato aminotransferasa
(AST), fosfatasa alcalina
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 773
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EUAf/9k=
Bogdan,
2022)
(ALP), albúmina sérica,
proteínas totales, bilirrubina
total, gamma
glutamiltransferasa (GGT).
DISCUSIÓN
El presente estudio titulado “Enfermedades hepáticas y Covid-19: un problema de salud
pública a nivel mundial”, cuyo argumento fue basado en diferentes artículos científicos,
considerando un total de documentos revisados dentro del periodo 2019 y 2022 siendo
actualmente una problemática en las manifestaciones clínicas y complicaciones en la
evolución de la enfermedad.
En esta revisión sistemática se comprobó que las personas con Covid-19 pueden ser más
susceptibles en quienes padecen alguna enfermedad hepática como la hepatitis B,
teniendo un mayor riesgo de muerte, que quienes no presentan ninguna patología
preexistente. La enfermedad prevaleciente en España fue de 61,40% en la hepatitis C y la
infección por Covid-19 fue de 46,2% en Perú. En cuanto a las pruebas diagnósticas del
laboratorio son esenciales para la detección de las enfermedades hepáticas y Covid-19.
Guangzhou y col. (Guan WJ, 2020) en su estudio de 1,099 pacientes, entre los que se
encontraron que 23 de estos presentaban una infección crónica ocasionada por el virus de
la hepatitis B (VHB). Vías Parrado y col (Parrado, y otros, 2020), mencionan que en su
estudio el 69,7% de los pacientes con EHC eran varones, con una mediana edad de 65
años, la mayoría de ellos con enfermedad del hígado graso no alcohólico (EHGNA).
Según Wang y col. (Wang, Yijin, y otros, 2020) En su estudio de 156 pacientes con
Covid-19, en la comparación de las características clínicas de las enzimas hepáticas
anormales y normales se evidencia el incremento en los niveles de enzimas hepáticas con
una prevalencia de 23,5%
mencionaron que el aumento del nivel de estas enzimas estaba
relacionado no solo con la gravedad de la enfermedad, sino también con una mayor
incidencia de tos. Se asocia con el estudio de Mendizábal y col. (Mendizabal, y otros,
2021) en un estudio metacéntrico con referencia a la prevalencia que obtiene un 45.2%,
y se demostró la asociación con la mortalidad y la severidad de la enfermedad. Kulkarni
y col. (kulkarni, y otros, 2020) plantearon la hipótesis de que los pacientes con
enfermedad hepática crónica experimentarían una infección por SARS-CoV-2 con menos
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 774
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EUAf/9k=
complicaciones; sin embargo, se necesitan más estudios sobre el tema para hacer tal
afirmación.
Este análisis abarca principalmente los estudios que destacan las diferentes enfermedades
hepáticas, evidenciando que es uno de los problemas de salud pública ya sea por contagio
del Covid-19, los individuos que más se vieron afectados fueron los adultos mayores.
Se considera muy importante que en las investigaciones posteriores se refieren a las
comorbilidades de los pacientes, entre ellas destaca la diabetes mellitus, enfermedades
hepáticas como la hepatitis B, C, esteatosis hepática y por consumo de alcohol. Por lo que
sería considerable en los próximos estudios investigar sobre la Diabetes mellitus con
problemas en el hígado, y brindar información sobre las medidas de prevención que se
debe de evitar en lo que es la automedicación en los pacientes con enfermedades
hepáticas.
CONCLUSIONES
Según el estudio de la investigación por revisión sistemática se lleva a las siguientes
conclusiones:
Dentro de los estudios bibliográficos analizados se evidenció que las personas con
enfermedades hepáticas preexistentes con Covid-19, se relaciona con mayor gravedad
de mortalidad, la cual se demostró que la hepatitis B, hepatitis C, cirrosis y esteatosis
hepática son las enfermedades que más se asocian a la infección por SARS-CoV-2.
Las
prevalencias
de
las
enfermedades
hepáticas
son
frecuentes
ya
que
existe
información conjunta al COVID-19 siendo más susceptibles en quienes la padecen,
llegando a ocasionar patologías relevantes dentro del área geográfica como la
Hepatitis C.
Las pruebas diagnósticas de laboratorio para las enfermedades hepáticas y Covid-19,
son de suma importancia para detectar y monitorear el curso de la enfermedad ya que
puede perjudicar la salud del individuo, lo cual puede ocasionar la muerte. Por ello,
es fundamental adoptar las enzimas hepáticas como parámetro en la valoración de
pacientes con Covid-19.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
MQRinvestigar 775
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
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pacientes
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Obtenido
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de la hepatitis B: un estudio retrospectivo. Liver Internatiional, 41(4), 720-730.
Doi:
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de
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Luis, T., Rosa, M., & Martín, M. (8 de Octubre de 2020). Actualización en COVID-19 y
enfermedad
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de
https://www.sciencedirect.com/science/article/pii/S0210570520302417
Marín, D., Vega, J., Carrillo, N., Veramendi, S., Alva, Z., Vásquez, E., & Miranda, L.
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
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Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.764-780
Vol.6-N° 03, 2022, pp. 764-780
Journal Scientific
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Características
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Conflicto de intereses:
Los autores declaran que no existe conflicto de interés posible.
Financiamiento:
No existió asistencia financiera de partes externas al presente artículo.
Agradecimiento: N/A Nota:
El artículo no es producto de una publicación anterior, tesis, proyecto, etc.