GPT and anemia: Regarding the secondary outcomes, patients with an abnormal AST/ALT ratio had significantly higher incidence rates of shock (37.8% vs. 3.7%, p < 0.001), acute bleeding-related anaemia (39.1% vs. 21.6%, p = 0.044), and acute kidney failure (40.4% vs. 20.8%, p = 0.027) than those with a normal AST/ALT ratio.