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VOLUME 28 , ISSUE 2 ( February, 2024 ) > List of Articles

EDITORIAL

Acute on Chronic Liver Failure: Lessons from a Decade of EASL-CLIF Definition and Scoring Systems

Vaishali Solao

Keywords : 28-day mortality, 90-day mortality, Acute on chronic liver failure, Cirrhosis, CLIF-SOFA score, CLIF-C ACLF SCORE, CTP score, MELD, MELD-Na

Citation Information : Solao V. Acute on Chronic Liver Failure: Lessons from a Decade of EASL-CLIF Definition and Scoring Systems. Indian J Crit Care Med 2024; 28 (2):100-102.

DOI: 10.5005/jp-journals-10071-24648

License: CC BY-NC 4.0

Published Online: 30-01-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract
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  1. Sen S, Williams R, Jalan R. The pathophysiological basis of acute-on-chronic liver failure. Liver 2002;22(Suppl2):5–13. DOI: 10.1034/j.1600-0676.2002.00001.x.
  2. Sarin SK, Kumar A, Almeida JA, Chawla YK, Sheung TF, Garg H, et al. Acute-on-chronic liver failure: Consensus recommendations of the Asian Pacific Association for the study of the liver (APASL). Hepatol Int 2009;3(1)269–282. DOI: 10.1007/s12072-008-9106-x.
  3. Moreau R, Jalan R, Gines P, Pavesi M, Angeli P, Cordoba J, et al; CANONIC Study Investigators of the EASL–CLIF Consortium. Acute-on-chronic liver failure is a distinct syndrome that develops in patients with acute decompensation of cirrhosis. Gastroenterology 2013;144(7):1426–1437. DOI: 10.1053/j.gastro.2013.02.042.
  4. Gustot T, Fernandez J, Garcia E, Morando F, Caraceni P, Alessandria C, et al. CANONIC Study Investigators of the EASL-CLIF Consortium. Clinical Course of acute-on-chronic liver failure syndrome and effects on prognosis. Hepatology 2015;62(1):243–252. DOI: 10.1002/hep.27849.
  5. Jalan R, Saliba F, Pavesi M, Amoros A, Moreau R, Ginès P, et al. CANONIC study investigators of the EASL-CLIF Consortium. Development and validation of a prognostic score to predict mortality in patients with acute-on-chronic liver failure. J Hepatol 2014;61(5):1038–1047. DOI: 10.1016/j.jhep.2014.06.012.
  6. Mezzano G, Juanola A, Cardenas A, Mezey E, Hamilton JP, Pose E, et al. Global burden of disease: Acute-on-chronic liver failure, a systematic review and meta-analysis. Gut 2022;71(1):148–155. DOI: 10.1136/gutjnl-2020-322161.
  7. Rashed E, Soldera J. CLIF-SOFA and CLIF-C scores for the prognostication of acute-on-chronic liver failure and acute decompensation of cirrhosis: A systematic review. World J Hepatol 2022;14(12):2025–2043. DOI: 10.4254/wjh.v14.i12.2025.
  8. Belli LS, Duvoux C, Artzner T, Bernal W, Conti S, Cortesi PA, et al. Liver transplantation for patients with acute-on-chronic liver failure (ACLF) in Europe: Results of the ELITA/EF-CLIF collaborative study (ECLIS). J Hepatol 2021;75;(3):610–622. DOI: 10.1016/j.jhep.2021.03.030.
  9. Blasco-Algora Sara, Masegosa-Atz J, Gutierrez-Garcia ML, Lopez SA, Rodriguez FM. “Acute-on-chronic liver failure: Pathogenesis, prognostic factors and management.” World J Gastroenterol 2015; 21(42):12125–12140. DOI: 10.3748/wjg.v21.i42.12125.
  10. Hareesh GJ, Ramadoss R. Clinical profile. Short-term prognostic accuracies of CLIF-C ACLF score and serial CLIF-C OF scores in acute-on-chronic liver failure patients: A prospective observational study. Indian J Crit Care Med 2024;28(2):126–133.
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