{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T02:47:48Z","timestamp":1773802068525,"version":"3.50.1"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Hepatology"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n            <jats:title>Background and Aims<\/jats:title>\n            <jats:p>Data regarding outcome of COVID\u201019 in patients with autoimmune hepatitis (AIH) are lacking.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Approach and Results<\/jats:title>\n            <jats:p>We performed a retrospective study on patients with AIH and COVID\u201019 from 34 centers in Europe and the Americas. We analyzed factors associated with severe COVID\u201019 outcomes, defined as the need for mechanical ventilation, intensive care admission, and\/or death. The outcomes of patients with AIH were compared to a propensity score\u2013matched cohort of patients without AIH but with chronic liver diseases (CLD) and COVID\u201019. The frequency and clinical significance of new\u2010onset liver injury (alanine aminotransferase\u00a0&gt;\u00a02 \u00d7 the upper limit of normal) during COVID\u201019 was also evaluated. We included 110 patients with AIH (80% female) with a median age of 49 (range, 18\u201085) years at COVID\u201019 diagnosis. New\u2010onset liver injury was observed in 37.1% (33\/89) of the patients. Use of antivirals was associated with liver injury (<jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0=\u00a00.041; OR, 3.36; 95% CI, 1.05\u201010.78), while continued immunosuppression during COVID\u201019 was associated with a lower rate of liver injury (<jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0=\u00a00.009; OR, 0.26; 95% CI, 0.09\u20100.71). The rates of severe COVID\u201019 (15.5% versus 20.2%, <jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0=\u00a00.231) and all\u2010cause mortality (10% versus 11.5%, <jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0=\u00a00.852) were not different between AIH and non\u2010AIH CLD. Cirrhosis was an independent predictor of severe COVID\u201019 in patients with AIH (<jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0&lt;\u00a00.001; OR, 17.46; 95% CI, 4.22\u201072.13). Continuation of immunosuppression or presence of liver injury during COVID\u201019 was not associated with severe COVID\u201019.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This international, multicenter study reveals that patients with AIH were not at risk for worse outcomes with COVID\u201019 than other causes of CLD. Cirrhosis was the strongest predictor for severe COVID\u201019 in patients with AIH. Maintenance of immunosuppression during COVID\u201019 was not associated with increased risk for severe COVID\u201019 but did lower the risk for new\u2010onset liver injury during COVID\u201019.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/hep.31797","type":"journal-article","created":{"date-parts":[[2021,3,13]],"date-time":"2021-03-13T12:06:45Z","timestamp":1615637205000},"page":"2099-2109","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":60,"title":["Outcome of COVID\u201019 in Patients With Autoimmune Hepatitis: An International Multicenter Study"],"prefix":"10.1097","volume":"73","author":[{"given":"Cumali","family":"Efe","sequence":"first","affiliation":[{"name":"Department of Gastroenterology,Harran University Hospital,\u015eanl\u0131urfa,Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8819-7511","authenticated-orcid":false,"given":"Renumathy","family":"Dhanasekaran","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Department of Medicine,Stanford University,Stanford,CA,USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3809-640X","authenticated-orcid":false,"given":"Craig","family":"Lammert","sequence":"additional","affiliation":[{"name":"Department of Medicine Indiana,University School of Medicine,Indianapolis,IN,USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berat","family":"Ebik","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology,Gazi Ya\u015fargil Education and Research Hospital,Diyarbakir,Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"Higuera\u2010de la Tijera","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology Unit,Hospital General de M\u00e9xico,Mexico City,Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Costica","family":"Aloman","sequence":"additional","affiliation":[{"name":"Section of Hepatology,Rush University Medical Center,Chicago,IL,USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"R\u0131za Cal\u0131\u015fkan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology,Ad\u0131yaman University,Ad\u0131yaman,Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirta","family":"Peralta","sequence":"additional","affiliation":[{"name":"Hepatology Section,Hospital Francisco J Mu\u00f1iz,Buenos Aires,Argentina"},{"name":"Latin American Liver Research Educational and Awareness 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