Predictors of Lin et al for Hemorrhagic Complications After Abdominal Paracentesis for a Patient with Acute on Chronic Liver Failure (ACLF)

Patient selection: acute-on-chronic liver failure (ACLF)

Hemorrhagic complications included:

(1) hemorrhagic ascites during or after the procedure (fluid RBC count > 10 * 10^9/L)

(2) abdominal wall hematoma

The diagnosis required presence within 7 days of the procedure and no other explanation.

The source of bleeding is presumed to be from either a vessel in the abdominal wall or mesenteric varices.

A patient was at risk for hemorrhagic complications if both of the following are present:

(1) MELD score > 25

(2) plasma fibrinogen <= 0.7 g/L (70 mg/dL)

Performance:

• The area under the ROC curve was 0.73 for fibrinogen concentrations.

• The positive predictive value was 36.5%.