Evidence map›Paper›PMID 42067758›Full record

SynthesisBMC gastroenterology2026

Effect of human albumin infusion on inflammation, oxidative stress, and prognosis in decompensated cirrhosis: a prospective cohort study with a meta-analysis.

Haonan Zhao, Liyan Dong, Guo Lin, Siqi Jia, Junxiu Chen, Zhuang Liu, Ji Feng, Wenxiu Zhang, Yue Hou, Mauro Bernardi and 1 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2026. 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. Review
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

11 authors.

Haonan Zhao *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Liyan Dong *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Guo Lin *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Siqi Jia *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Junxiu Chen *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Zhuang Liu *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Ji Feng *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Wenxiu Zhang *Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China.
Yue HouDepartment of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China. houyue405@163.com.
Mauro BernardiDepartment of Medical and Surgical Sciences, University of Bologna, S Orsola-Malpighi University Hospital, Bologna, 40138, Italy. mauro.bernardi@unibo.it.
Xingshun QiDepartment of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, 110840, China. xingshunqi@126.com.

Funding

Independent Research Funding of General Hospital of Northern Theater Command ZZKY2024018Liaoning Revitalization Talents Program XLYC2203078Shenyang Science and Technology Plan Project 24-214-3-143
6 · The paper itself

Abstract

backgroundHuman albumin (HA) infusion is beneficial for the management of decompensated cirrhosis, but its mechanism remains unclear. This study aimed to evaluate the effect of HA infusion on systemic inflammation, oxidative stress, and prognosis in decompensated cirrhosis.

methodsIn a cohort study, patients with acute decompensated cirrhosis were enrolled and categorized according to HA infusion. Serum interleukin (IL)-6, IL-10, tumor necrosis factor-alpha (TNF-α), superoxide dismutase (SOD), malondialdehyde (MDA), and glutathione (GSH) levels were measured before and after treatment. We compared the one-year cumulative incidence of further decompensation between the two groups. In a meta-analysis, all relevant papers were systematically searched, and pooled using a random-effects model.

resultsIn the cohort study, 55 patients were included, of whom 23 received HA infusion. HA infusion significantly reduced IL-6 (92.79 ± 144.14 vs. 66.99 ± 89.61, P = 0.031) and MDA (15.19 ± 8.44 vs. 11.05 ± 6.77, P = 0.006) levels, but increased GSH (135.76 ± 14.91 vs. 142.00 ± 19.69, P = 0.033) level. ∆IL-6 (-25.80 ± 64.28 vs. 1.83 ± 25.05, P = 0.013) and ∆TNF-α (-12.95 ± 28.91 vs. 1.82 ± 11.31, P = 0.037) were greater in the HA group than in the control group. One-year cumulative incidence of further decompensation was significantly lower in the HA group than in the control group (P = 0.036). HA infusion was an independent protective factor of further decompensation (sHR = 0.312, P = 0.02). In the meta-analysis, 7 papers with 450 patients were included. ∆IL-6, ∆TNF-α, and ∆MDA were greater in the HA group than in the control group, but the difference was not statistically significant.

conclusionsHA infusion may reduce the risk of further decompensation by improving systemic inflammation and oxidative stress in decompensated cirrhosis.

Indexed as

InflammationLiver CirrhosisOxidative StressSerum Albumin, HumanAdultAgedAged, 80 and overFemaleGlutathioneHumansInfusions, IntravenousInterleukin-10Interleukin-6MaleMalondialdehydeMiddle AgedGlutathioneInterleukin-10Interleukin-6MalondialdehydeSerum Albumin, HumanSuperoxide DismutaseTumor Necrosis Factor-alphaDecompensated cirrhosisHuman albuminInflammationOxidative stress

Identifiers

PMID42067758
PMCPMC13231561

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.