Evidence map›Paper›PMID 32274344›Full record

ReviewJournal of clinical and translational hepatology2020

Pathophysiology and Prevention of Paracentesis-induced Circulatory Dysfunction: A Concise Review.

Anand V Kulkarni, Pramod Kumar, Mithun Sharma, T R Sowmya, Rupjyoti Talukdar, Padaki Nagaraj Rao, D Nageshwar Reddy

2 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in Journal of clinical and translational hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05240391 phase3completednot on this mapstarted 2021, after this paper: background citation

Midodrine Versus Albumin During Large-volume Paracentesis and Its Effect on Paracentesis Induced Circulatory Disturbance in Patients With Acute on Chronic Liver Failure - A Randomized Controlled Trial

TypeinterventionalSponsorAsian Institute of Gastroenterology, IndiaRan2021 to 2022Enrolled50ConditionsParacentesis-Induced Circulatory DysfunctionArmsMidodrine Hydrochloride, Human Albumin 20%
NCT06892535 phase4completednot on this mapstarted 2024, after this paper: background citation

Low-Dose Albumin Infusion for the Prevention of Paracentesis Induced Circulatory Dysfunction (PICD), After Large Volume Paracentesis in Decompensated Cirrhosis of Liver.

TypeinterventionalSponsorBangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshRan2024 to 2025Enrolled52ConditionsParacentesis-Induced Circulatory DysfunctionArmsAlbumin infusion, 2g/L of ascitic fluid aspiration.
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Low-Dose vs. Standard Care Iv Human Albumin During Large-Volume Paracentesis in Patients With Liver Cirrhosis: A Systematic Review.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Refractory Ascites and the Alfapump.Gastro hep advances · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Observational
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Overview of Complications in Cirrhosis.Journal of clinical and experimental hepatology
    Review
  20. Management of Portal Hypertension.Journal of clinical and experimental hepatology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Anand V KulkarniDepartment of Hepatology, Asian Institute of Gastroenterology, Hyderabad, India.
Pramod KumarDepartment of Hepatology, Asian Institute of Gastroenterology, Hyderabad, India.
Mithun SharmaDepartment of Hepatology, Asian Institute of Gastroenterology, Hyderabad, India.
T R SowmyaDepartment of Hepatology, Asian Institute of Gastroenterology, Hyderabad, India.
Rupjyoti TalukdarDepartment of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
Padaki Nagaraj RaoDepartment of Hepatology, Asian Institute of Gastroenterology, Hyderabad, India.
D Nageshwar ReddyDepartment of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
Asian Institute of Gastroenterology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Annually, 10% of cirrhotic patients with ascites develop refractory ascites for which large-volume paracentesis (LVP) is a frequently used therapeutic procedure. LVP, although a safe method, is associated with circulatory dysfunction in a significant percentage of patients, which is termed paracentesis-induced circulatory dysfunction (PICD). PICD results in faster reaccumulation of ascites, hyponatremia, renal impairment, and shorter survival. PICD is diagnosed through laboratory results, with increases of >50% of baseline plasma renin activity to a value ≥4 ng/mL/h on the fifth to sixth day after paracentesis. In this review, we discuss the pathophysiology and prevention of PICD.

Indexed as

CirrhosisLarge-volume paracentesisPlasma renin activityPortal hypertensionRefractory ascites

Identifiers

PMID32274344
PMCPMC7132018
OpenAlexW3013646983

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.