Evidence map›Paper›PMID 34786170›Full record

ReviewWorld journal of hepatology2021

Assessing the prognosis of cirrhotic patients in the intensive care unit: What we know and what we need to know better.

Fernando da Silveira, Pedro H R Soares, Luana Q Marchesan, Roberto S A da Fonseca, Wagner L Nedel

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in World journal of 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 NCT06561477 (Study of the Validity of Intensive Care Cirrhosis Outcome Score), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 32% 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.

NCT06561477 completednot on this mapstarted 2025, after this paper: background citation

Study of the Validity of Intensive Care Cirrhosis Outcome Score (ICCO) in Predicting Outcome in Cirrhotic Patients Admitted to Intensive Care Unit.

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled150ConditionsLiver CirrhosisArmsIntensive care cirrhosis outcome (ICCO) score
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Fernando da SilveiraPrograma de Pós-Graduação em Pneumologia, Universidade Federal do Rio Grande do Sul, Porto Alegre 91430835, Brazil.
Pedro H R SoaresIntensive Care Unit, Grupo Hospitalar Conceição, Porto Alegre 91430835, Brazil.
Luana Q MarchesanIntensive Care Unit, Grupo Hospitalar Conceição, Porto Alegre 91430835, Brazil.
Roberto S A da FonsecaIntensive Care Unit, Grupo Hospitalar Conceição, Porto Alegre 91430835, Brazil.
Wagner L NedelIntensive Care Unit, Grupo Hospitalar Conceição, Porto Alegre 91430835, Brazil.
Grupo Hospitalar Conceição · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critically ill cirrhotic patients have high in-hospital mortality and utilize significant health care resources as a consequence of the need for multiorgan support. Despite this fact, their mortality has decreased in recent decades due to improved care of critically ill patients. Acute-on-chronic liver failure (ACLF), sepsis and elevated hepatic scores are associated with increased mortality in this population, especially among those not eligible for liver transplantation. No score is superior to another in the prognostic assessment of these patients, and both liver-specific and intensive care unit-specific scores have satisfactory predictive accuracy. The sequential assessment of the scores, especially the Sequential Organ Failure Assessment (SOFA) and Chronic Liver Failure Consortium (CLIF)-SOFA scores, may be useful as an auxiliary tool in the decision-making process regarding the benefits of maintaining supportive therapies in this population. A CLIF-ACLF > 70 at admission or at day 3 was associated with a poor prognosis, as well as SOFA score > 19 at baseline or increasing SOFA score > 72. Additional studies addressing the prognostic assessment of these patients are necessary.

Indexed as

Chronic Liver Failure Consortium-Sequential Organ Failure AssessmentCirrhosisExtrahepatic organ failureModel for End-stage Liver DiseaseMortalityOrgan replacement therapyPrognostic scoresSequential Organ Failure Assessment

Identifiers

PMID34786170
PMCPMC8568574
OpenAlexW3209184680

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.