Trebicka et al reported common precipitating events for acute decompensation in a patient with cirrhosis. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Europe and belong to the PREDICT STUDY group of the EASL-CLIF Consortium.
Patient selection: cirrhosis
A cirrhotic patient with acute decompensation may present with or without acute-on-chronic liver failure (ACLF).
Although not listed, shock from a cause other than sepsis or GI bleeding would also qualify.
Identifying the precipitating cause and treating it promptly can improve outcomes. Adequate first-line antibiotic therapy of proven bacterial infections are associated with better outcomes.
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