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Cited by 375

The DOI matches its Crossref record; 172 of the 172 references it cites were found in a registry or an index.

EASL Clinical Practice Guidelines on acute-on-chronic liver failure

Open access
Moreau, Richard, Tonon, Marta, Krag, Aleksander, Angeli, Paolo, Berenguer, Marina, Berzigotti, Annalisa, Fernandez, Javier, Francoz, Claire, Gustot, Thierry, Jalan, Rajiv, Papp, Maria, Trebicka, Jonel·2023·Journal of Hepatology

Abstract

Acute-on-chronic liver failure (ACLF) which has been recently described (2013), is a severe form of acutely decompensated cirrhosis characterized by the existence of organ system failure(s) and high risk of short-term death. ACLF is caused by an excessive systemic inflammatory response triggered by precipitants that are clinically apparent (e.g., proven microbial infection with sepsis, severe alcohol-related hepatitis) or not. Since the description of ACLF, results of some important studies have suggested that patients with ACLF may benefit from liver transplantation and because of this, should be urgently stabilized for transplantation by receiving appropriate treatment of identified precipitants, and full general management, including support of organ systems in the intensive care unit (ICU). The objective of the present CPGs is to provide recommendations helping to recognize ACLF, make triage decisions (ICU vs. no ICU), identify and manage acute precipitants, identify organ systems that require support or replacement, define potential criteria for futility of intensive care, and identify potential indications for liver transplantation. Based on an in-depth review of the relevant literature we provide recommendations to navigate clinical dilemmas followed by supporting text. The recommendations are graded according to the Oxford Centre for Evidence-Based Medicine system and categorized as 'weak' or 'strong'. We aim to provide the best available evidence to aid the clinical decision-making process in the management of patients with ACLF.

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Metadata

Authors
Moreau, R., Tonon, M., Krag, A., Angeli, P., Berenguer, M., Berzigotti, A., Fernandez, J., Francoz, C., Gustot, T., Jalan, R., Papp, M., & Trebicka, J.
Venue
Journal of Hepatology
Publisher
Elsevier BV
Published
2023-08
Volume
79
Issue
2
Pages
461-491
ISSN
0168-8278 (ISSN-L)
OpenAlex
W4381885461
Cited by
375
References
172
FWCI
53.08
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: EASL Clinical Practice Guidelines on acute-on-chronic liver failure. https://app.cochat.ai/papers/10.1016/j.jhep.2023.04.021
The paper
Moreau, R., Tonon, M., Krag, A., Angeli, P., Berenguer, M., Berzigotti, A., Fernandez, J., Francoz, C., Gustot, T., Jalan, R., Papp, M., & Trebicka, J. (2023). EASL Clinical Practice Guidelines on acute-on-chronic liver failure. Journal of Hepatology. https://doi.org/10.1016/j.jhep.2023.04.021

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.