Liver international : official journal of the International Association for the Study of the Liver
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Multicenter Study
Lactate and number of organ failures predict intensive care unit mortality in patients with acute-on-chronic liver failure.
Patients with acute-on-chronic liver failure (ACLF) have high mortality rates. Most prognostic scores were not developed for the intensive care unit (ICU) setting. We aimed to improve risk stratification for patients with ACLF in the ICU. ⋯ In patients with ACLF, lactate and number of organ failures on admission to ICU are useful to predict ICU mortality. This early prognostic evaluation may help to better stratify the risk of ICU mortality and thus optimize organ support strategies.