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Inicio Annals of Hepatology Reply to: Association of liver steatosis and fibrosis with clinical outcomes in ...
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Vol. 22.
(May - June 2021)
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Vol. 22.
(May - June 2021)
Letters to the Editor
DOI: 10.1016/j.aohep.2021.100326
Open Access
Reply to: Association of liver steatosis and fibrosis with clinical outcomes in patients with SARS-CoV-2 infection (COVID-19)
Ivan López-Mendez
Corresponding author

Corresponding author.
, Graciela Castro-Narro
Transplants and Hepatology Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150 Toriello Guerra, Tlalpan, ZC 14050 Mexico City, Mexico
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Dear Editor,

In response to correspondence for Xiaofei Li, we appreciate the interest in our work and we have the following answers to each commentary.

First commentary:

Regarding to Fib4 cut-off point, in our study, we used cut- off point of >3.25, which is validated in the Latin American population. (Ann Hepatol. 2013 May–Jun;12(3):416–24. PMID: 23619258).

Second commentary:

The OR reported in our study correspond to all patients (diabetics and non-diabetics); however, as suggested, we conduct a subgroup analysis with diabetic patients; results showed that in diabetic patients with high levels of glucose (>100mg/dL) the risk of ICU admission still been higher compared to those diabetic patients with normal glucose levels. It is important to consider that despite previous diabetes diagnosis, an increase in glucose levels could be caused by systemic inflammatory response syndrome.

Third commentary:

Regarding obesity, despite the high worldwide and Mexico prevalence, our population is majorly overweight, being 30kg/m2 the cut-off point for obesity in the Mexican population; this distribution and sample size could explain the absence of significative statistical association with clinical outcomes. Nevertheless, the presence of obesity needs to be evaluated in the assessment of COVID-19 patients, especially in those with other metabolic comorbidities.

All the authors appreciate the author's time invested in our manuscript. If you need further information, please contact us.

Copyright © 2021. Fundación Clínica Médica Sur, A.C.
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