Evidence map›Paper›PMID 34608435›Full record

ArticleCanadian journal of gastroenterology & hepatology2021

Comparison of General and Liver-Specific Prognostic Scores in Their Ability to Predict Mortality in Cirrhotic Patients Admitted to the Intensive Care Unit.

Pedro Paulo Costa E Silva, Liana Codes, Fernanda Ferreira Rios, Carolina Pedreira Esteve, Murilo Tavares Valverde Filho, Douglas Oliveira Carmo Lima, Geraldo Fernandes de Almeida Filho, Maria Clara Alves Morais, Bruno Calazans Lima, Paulo Bravo de Oliveira Chagas and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06121908 (Role of Blood Lactate Level in Prediction of Outcome of Cirrhotic Patients at The Intensive Care Unit), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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.

NCT06121908 unknown statusnot on this mapstarted 2023, after this paper: background citation

Role of Blood Lactate Level in Prediction of Outcome of Cirrhotic Patients at The Intensive Care Unit

TypeobservationalSponsorAssiut UniversityRan2023 to 2024Enrolled50ConditionsLiver Cirrhosis
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Prognostic Value of Inflammatory Markers in Septic Critically Ill Patients with Chronic Liver Disease: A Retrospective Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
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  4. From prognostication to therapeutics: Four key questions to accelerate the development of therapeutics for patients with acute-on-chronic liver failure.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
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  8. Clinical Profile, Short-term Prognostic Accuracies of CLIF-C ACLF Score and Serial CLIF-C OF Scores in Acute-on-chronic Liver Failure Patients: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
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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

12 authors.

Pedro Paulo Costa E SilvaEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0002-6596-0067
Liana CodesGastroenterology and Hepatology Unit, Hospital Português (HP), Salvador, Brazil.ORCID 0000-0001-5178-8705
Fernanda Ferreira RiosGastroenterology and Hepatology Unit, Hospital Português (HP), Salvador, Brazil.ORCID 0000-0002-8168-7881
Carolina Pedreira EsteveEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0003-0089-377X
Murilo Tavares Valverde FilhoEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0002-8325-8538
Douglas Oliveira Carmo LimaGastroenterology and Hepatology Unit, Hospital Português (HP), Salvador, Brazil.ORCID 0000-0002-5050-6742
Geraldo Fernandes de Almeida FilhoEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0003-1228-6301
Maria Clara Alves MoraisEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0003-3752-584X
Bruno Calazans LimaEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0002-7912-5599
Paulo Bravo de Oliveira ChagasEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0003-0606-2088
Ney Boa-SorteEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0001-7068-3319
Paulo Lisboa BittencourtEscola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Brazil.ORCID 0000-0003-0883-4870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Acute Physiology and Chronic Health Evaluation (APACHE) II and III and Sequential Organ Failure Assessment (SOFA) are prognostic scores commonly used in the intensive care unit (ICU). Their accuracy in predicting mortality has not been adequately evaluated in comparison to prognostic scores commonly used in critically ill cirrhotic patients with acute decompensation (AD) or acute-on-chronic liver failure (ACLF). Aims: This study was conducted to evaluate the performance of prognostic scores, including APACHE II, SOFA, Chronic Liver Failure Consortium (CLIF-C) SOFA, Child-Turcotte-Pugh (CPS), Model for End-Stage Liver Disease (MELD), MELD-Na, MELD to serum sodium ratio (MESO) index, CLIF-C organ failure (CLIF-C OF), CLIF-C ACLF, and CLIF-C AD scores, in predicting mortality of cirrhotic patients admitted to the ICU. Results: Mortality was observed in 31% of the patients. Analysis of AUC revealed that CLIF-C OF (0.807) and CLIF-SOFA (0.776) had the best ability to predict mortality in all patients, but CLIF-C OF (0.749) had higher prognostic accuracy in patients with ACLF. CLIF-SOFA, SOFA, and CLIF-C AD had the highest AUC values in patients with AD, with no statistical difference ( Conclusions: When compared to other general or liver-specific prognostic scores, CLIF-C OF, CLIF-SOFA, SOFA, and CLIF-C AD have good accuracy to predict mortality in critically ill patients with cirrhosis and patients with AD. According to the clinical scenario, different scores should be used to provide prognosis to patients with cirrhosis in the ICU.

Indexed as

End Stage Liver DiseaseAgedHumansIntensive Care UnitsLiver CirrhosisMaleMiddle AgedPrognosisRetrospective StudiesROC CurveSeverity of Illness Index

Identifiers

PMID34608435
PMCPMC8487366

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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.