Evidence map›Paper›PMID 35838488›Full record

ReviewLiver international : official journal of the International Association for the Study of the Liver2022

Respiratory events with terlipressin and albumin in hepatorenal syndrome: A review and clinical guidance.

Andrew S Allegretti, Ram M Subramanian, Claire Francoz, Jody C Olson, Andrés Cárdenas

Open access · greenAbstract readReview
In one paragraph

Review in Liver international : official journal of the International Association for the Study of the Liver, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.3field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. United States Experience With Terlipressin in Hepatorenal Syndrome: Response, Mortality, and Transplant Outcomes - Results From the HRS Harmony Consortium.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Terlipressin-Induced Skin Necrosis of 3 Cases: Should We Concern?The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
    Article
  9. Review
  10. Review
  11. Controversies Surrounding Albumin Use in Sepsis: Lessons from Cirrhosis.International journal of molecular sciences · 2023
    Review
  12. Formulary Drug Reviews: Terlipressin.Hospital pharmacy · 2023
    Review
  13. Article
  14. Review
  15. Article
  16. Acute Kidney Injury in Liver Cirrhosis.Diagnostics (Basel, Switzerland) · 2023
    Review
  17. Article
  18. 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

5 authors at 5 institutions in 3 countries.

Andrew S AllegrettiDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-9416-6623
Ram M SubramanianDivisions of Gastroenterology and Hepatology and Pulmonary and Critical Care Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Claire FrancozHepatology and Liver Intensive Care Unit, Hospital Beaujon, Clichy, France.ORCID 0000-0001-7391-8507
Jody C OlsonDivisions of Gastroenterology, Hepatology, Pulmonary and Critical Care Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Andrés CárdenasGI and Liver Unit, Institut de Malalties Digestives, Hospital Clínic, Barcelona, Spain. Institut d'Investigacions Biomèdiques August Pi-Sunyer (IDIBAPS), Barcelona and Ciber de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain.ORCID 0000-0002-0764-7873
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESEmory University · USHôpital Beaujon · FRMassachusetts General Hospital · USUniversity of Kansas Medical Center · US

Funding

Personalizing Therapies for Acute Kidney Injury in CirrhosisK23DK128567 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Andrew S Allegretti · 2022 to 2026
$982k
NIDDK NIH HHS K23 DK128567
6 · The paper itself

Abstract

Hepatorenal syndrome-acute kidney injury (HRS-AKI) is a serious complication of severe liver disease with a clinically poor prognosis. Supportive care using vasoconstrictors and intravenous albumin are the current mainstays of therapy. Terlipressin is an efficacious vasoconstrictor that has been used for 2 decades as the first-line treatment for HRS-AKI in Europe and has demonstrated greater efficacy in improving renal function compared to placebo and other vasoconstrictors. One of the challenges associated with terlipressin use is monitoring and mitigating serious adverse events, specifically adverse respiratory events, which were noted in a subset of patients in the recently published CONFIRM trial, the largest randomized trial examining terlipressin use for HRS-AKI. In this article, we review terlipressin's pharmacology, hypothesize how its mechanism contributes to the risk of respiratory compromise and propose strategies that will decrease the frequency of these events by rationally selecting patients at lower risk for these events.

Indexed as

Acute Kidney InjuryHepatorenal SyndromeAlbuminsHumansLypressinTerlipressinTreatment OutcomeVasoconstrictor AgentsAlbuminsLypressinTerlipressinVasoconstrictor Agentsalbuminhepatorenal syndromerespiratory eventsterlipressinvasoconstrictor

Identifiers

PMID35838488
PMCPMC9762017
OpenAlexW4285492711

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.