Evidence map›Paper›PMID 41377535›Full record

ReviewWorld journal of critical care medicine2025

Management of acute liver failure-an updated literature review.

Vignesh K Nagesh, Emelyn Martinez, Shruthi Badam, Jevon Lamar Harrison, Marina Basta, Vivek Joseph Varughese, Ghulam R Anwar, Vishal Deshpande, Deepa Francis, Damien Islek and 5 more

Abstract readReview
In one paragraph

Review in World journal of critical care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Vignesh K NageshDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States. vgneshkrishnan@gmail.com.
Emelyn MartinezDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Shruthi BadamDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Jevon Lamar HarrisonDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Marina BastaDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Vivek Joseph VarugheseInternal Medicine, Prisma Health/University of South Carolina, Columbia, SC 29203, United States.
Ghulam R AnwarDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Vishal DeshpandeDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Deepa FrancisDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Damien IslekDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Sai Priyanka PulipakaDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Ruchi BhujuDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.
Pratiksha MoliyaDepartment of Gastroenterology and Hepatology, University of Nebraska Medical Center, Omaha, NE 68198, United States.
Bilal NiaziDepartment of Gastroenterology and Hepatology, University of Nebraska Medical Center, Omaha, NE 68198, United States.
Sameh EliasDepartment of Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ 07047, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute liver failure (ALF) is a rare but life-threatening condition marked by rapid hepatic dysfunction, coagulopathy and encephalopathy in patients without prior liver disease. Common causes include drug-induced liver injury, viral hepatitis, and metabolic or autoimmune disorders. This review provides an updated overview of ALF's etiology, diagnosis, and management. Timely diagnosis and risk stratification using tools like the King's College Criteria and Model for End-Stage Liver Disease score are critical for guiding care. Early identification of etiology allows targeted treatments, such as N-acetylcysteine for acetaminophen toxicity or antivirals for hepatitis. Supportive care in specialized intensive care units, focused on hemodynamics, cerebral edema prevention, and metabolic stabilization, remains the cornerstone of management. Advances in extracorporeal liver support systems, such as molecular adsorbent recirculating systems and plasma exchange, offer promising bridges to recovery or liver transplantation - the definitive treatment for irreversible liver injury. Expanded donor criteria and improved allocation policies have enhanced transplantation access. Despite progress, ALF carries significant morbidity and mortality. Emerging therapies, including stem cell treatments and immunomodulatory agents, show potential to revolutionize care. This review emphasizes the need for a multidisciplinary approach and continued research to improve outcomes and refine therapeutic strategies.

Indexed as

Acute liver failureCoagulopathyDrug-induced liver injuryExtracorporeal liver supportHepatic encephalopathyKing’s College CriteriaLiver transplantationModel for End-Stage Liver Disease scoreMultidisciplinary managementN-acetylcysteine

Identifiers

PMID41377535
PMCPMC12687055

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.