Evidence map›Paper›PMID 42761958›Full record

ArticleJournal of general and family medicine2026

Acute-On-Chronic Liver Failure With Discordant Severity Assessments Following Binge Drinking: A Case Report.

Minami Seki, Tomoyuki Watanabe, Yuma Haraguchi

Abstract read
In one paragraph

Article in Journal of general and family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Minami SekiDivision of Internal Medicine Health Co-op. Watari Hospital Fukushima Japan.ORCID https://orcid.org/0009-0000-6642-9457
Tomoyuki WatanabeDivision of Cardiology and Internal Medicine Health Co-op. Watari Hospital Fukushima Japan.ORCID https://orcid.org/0000-0001-8900-470X
Yuma HaraguchiDivision of General Medicine Health Co-op. Watari Hospital Fukushima Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute-on-chronic liver failure (ACLF) is associated with high short-term mortality. We report a man in his 50s with alcohol-related cirrhosis who developed ACLF following binge drinking. Despite being classified as grade 1 ACLF according to the Japanese severity classification, he presented with severe metabolic acidosis and marked hyperlactatemia and died 4 h after admission. Another prognostic scoring system classified him in the most severe category. This case illustrates that different severity assessments may provide complementary information regarding ACLF severity and prognosis and underscores the importance of repeatedly addressing problematic alcohol use and facilitating engagement in specialized addiction treatment during outpatient care.

Indexed as

acute‐on‐chronic liver failurealcohol‐related cirrhosisalcohol use disorderbrief interventionhyperlactatemia

Identifiers

PMID42761958
PMCPMC13588322

What OpenQuestion holds

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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.