Id |
Subject |
Object |
Predicate |
Lexical cue |
T129 |
0-82 |
Sentence |
denotes |
What Are the Roles of a Hepatologist in the Management of a Patient With COVID‐19? |
T130 |
83-218 |
Sentence |
denotes |
Elevation of serum transaminase levels is commonly observed in patients with COVID‐19, and a hepatologist might therefore be consulted. |
T131 |
219-395 |
Sentence |
denotes |
All of the guidance suggests that the underlying cause of liver injury may be related to SARS‐CoV‐2 infections, exacerbation of preexisting CLD, or drug‐induced hepatotoxicity. |
T132 |
396-466 |
Sentence |
denotes |
AASLD and APASL provide an algorithm to clinical evaluations (Fig. 1). |
T133 |
467-550 |
Sentence |
denotes |
A key question is whether patients with CLD have a higher risk for severe COVID‐19. |
T134 |
551-736 |
Sentence |
denotes |
AASLD and APASL suggest nonalcoholic fatty liver disease (NAFLD) as an independent prognostic factor, and patients with CLD should be prioritized as candidates for COVID‐19 drug trials. |
T135 |
737-865 |
Sentence |
denotes |
EASL and AASLD mention that patients with NAFLD are more likely than others to have other comorbidity risks for severe COVID‐19. |
T136 |
866-1042 |
Sentence |
denotes |
To date, there is no evidence that patients with stable CLD due to chronic hepatitis B (CHB) or chronic hepatitis C (CHC) have increased susceptibility to SARS‐CoV‐2 infection. |
T137 |
1043-1192 |
Sentence |
denotes |
It is controversial whether there is an increased risk for flare‐up of CHB or CHC during COVID‐19 and whether prophylactic therapy should be started. |
T138 |
1193-1286 |
Sentence |
denotes |
Both AASLD and APASL recommend continuing treatment for CHB or CHC in patients with COVID‐19. |
T139 |
1287-1404 |
Sentence |
denotes |
APASL recommends prophylactic hepatitis B therapy for those planned for anti‐IL‐6 or other immunosuppressive therapy. |
T140 |
1405-1468 |
Sentence |
denotes |
Initiating prophylactic hepatitis C therapy is not recommended. |
T141 |
1469-1618 |
Sentence |
denotes |
If there is any suggestion of a flare‐up, therapy should be initiated in patients who are not already receiving hepatitis B or hepatitis C treatment. |
T142 |
1619-1704 |
Sentence |
denotes |
Fig 1 Approach to the patient with COVID‐19 and elevated serum liver biochemistries. |
T143 |
1705-1748 |
Sentence |
denotes |
Reproduced with permission from Hepatology. |
T144 |
1749-1821 |
Sentence |
denotes |
5 Copyright 2020, American Association for the Study of Liver Diseases. |
T145 |
1822-2043 |
Sentence |
denotes |
On May 1, 2020, remdesivir, a nucleotide RNA polymerase inhibitor, was authorized by the US Food and Drug Administration under Emergency Use Authorization for treatment of those patients hospitalized with severe COVID‐19. |
T146 |
2044-2180 |
Sentence |
denotes |
9 APASL and AASLD recommend close monitoring of liver function in patients, especially those with CLD, who are treated with remdesivir. |
T147 |
2181-2328 |
Sentence |
denotes |
Patients with decompensated CLD and those with alanine aminotransferase (ALT) >5 times upper limit of normal should not be treated with remdesivir. |