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Evidence worth finding again
Detailed walkthroughs of selected new studies, alongside a concise, topic-led collection of the papers, guidelines and reviews that have shaped liver critical care.
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22 papers
Evidence Deep Dives
ACLF
Therapeutic plasma exchange in ACLF: what the randomised trial found
Swaroop and colleagues randomised 194 adults with ACLF to therapeutic plasma exchange plus standard medical therapy or standard therapy alone. This Evidence Deep Dive examines the study population, treatment protocol, 28- and 90-day outcomes, and the questions raised by the difference between early and later survival.
Hepatology30 Mar 2026
Read Deep Dive →Key papers
ACLF
- Therapeutic plasma exchange improves short-term survival in patients with acute-on-chronic liver failure: a randomized controlled trial ↗
Swaroop S, Biswas S, Aggarwal A, et al.
Hepatology30 Mar 2026Original research
- Factors Associated with Survival of Patients With Severe Acute-On-Chronic Liver Failure Before and After Liver Transplantation ↗
Sundaram V, et al.
Gastroenterology1 Apr 2019Original research
- Diagnosis and management of acute kidney injury in patients with cirrhosis: Revised consensus recommendations of the International Club of Ascites ↗
Angeli P, et al.
Journal of Hepatology1 Apr 2015Guideline or consensus
- Acute-on-chronic liver failure: consensus recommendations of the Asian Pacific Association for the Study of the Liver (APASL): an update ↗
Sarin SK, et al.
Hepatology International1 Jul 2019Guideline or consensus
- Clinical Course of acute-on-chronic liver failure syndrome and effects on prognosis ↗
Gustot T, et al.
Hepatology1 Jul 2015Landmark study
- Granulocyte-colony stimulating factor (G-CSF) to treat acute-on-chronic liver failure: A multicenter randomized trial (GRAFT study) ↗
Engelmann C, et al.
Journal of Hepatology1 Dec 2021Landmark study
- Liver transplantation for critically ill cirrhotic patients: Stratifying utility based on pretransplant factors ↗
Artzner T, et al.
American Journal of Transplantation1 Sept 2020Original research
- Acute-on-chronic liver failure is a distinct syndrome that develops in patients with acute decompensation of cirrhosis ↗
Moreau R, et al.
Gastroenterology1 Jun 2013Landmark study
- The PREDICT study uncovers three clinical courses of acutely decompensated cirrhosis that have distinct pathophysiology ↗
Trebicka J, et al.
Journal of Hepatology1 Oct 2020Landmark study
- EASL Clinical Practice Guidelines on acute-on-chronic liver failure ↗
European Association for the Study of the Liver
Journal of Hepatology1 Aug 2023Guideline or consensus
- AASLD Practice Guidance on Acute-on-chronic liver failure and the management of critically ill patients with cirrhosis ↗
Karvellas CJ, et al.
Hepatology1 Jun 2024Guideline or consensus
- Liver transplantation in the most severely ill cirrhotic patients: A multicenter study in acute-on-chronic liver failure grade 3 ↗
Artru F, et al.
Journal of Hepatology1 Oct 2017Landmark study
- Liver transplantation for patients with acute-on-chronic liver failure (ACLF) in Europe: Results of the ELITA/EF-CLIF collaborative study (ECLIS) ↗
Belli LS, et al.
Journal of Hepatology1 Sept 2021Landmark study
- Extracorporeal albumin dialysis with the molecular adsorbent recirculating system in acute-on-chronic liver failure: the RELIEF trial ↗
Bañares R, et al.
Hepatology1 Mar 2013Landmark study
- Effects of fractionated plasma separation and adsorption on survival in patients with acute-on-chronic liver failure ↗
Kribben A, et al.
Gastroenterology1 Apr 2012Landmark study
- Acute kidney injury in patients with cirrhosis: Acute Disease Quality Initiative (ADQI) and International Club of Ascites (ICA) joint multidisciplinary consensus meeting ↗
Nadim MK, et al.
Journal of Hepatology1 Jul 2024Guideline or consensus
- Terlipressin Is Superior to Noradrenaline in the Management of Acute Kidney Injury in Acute on Chronic Liver Failure ↗
Arora V, et al.
Hepatology1 Feb 2020Landmark study
- Epidemiology and Effects of Bacterial Infections in Patients With Cirrhosis Worldwide ↗
Piano S, et al.
Gastroenterology1 Apr 2019Original research
- Multidrug-resistant bacterial infections in patients with decompensated cirrhosis and with acute-on-chronic liver failure in Europe ↗
Fernández J, et al.
Journal of Hepatology1 Mar 2019Original research
- Development and validation of a prognostic score to predict mortality in patients with acute-on-chronic liver failure ↗
Jalan R, et al.
Journal of Hepatology1 Nov 2014Landmark study
- Validation of CLIF-C ACLF score to define a threshold for futility of intensive care support for patients with acute-on-chronic liver failure ↗
Engelmann C, et al.
Critical Care10 Oct 2018Original research