Review Article

Albumin Reduces Paracentesis-Induced Circulatory Dysfunction and Reduces Death and Renal Impairment among Patients with Cirrhosis and Infection: A Systematic Review and Meta-Analysis

Table 1

Study design, patient characteristics and selection criteria.

StudyDesign; year of study; countryNumber of participantsMean ageMale %Selection criteria

Abdel-Khalek and Arif 2010 [19]Randomized trial; Apr 2008 to Feb 2009; Egypt.135; 68 albumin; 67 hydroxyethyl starch.4779Patients with cirrhosis and tense ascites which were unresponsive to low-sodium diet and diuretic therapy.

Altman et al. 1998 [20]Randomized trial; unclear dates; France.65; 33 albumin; 27 hydroxyethyl starch.5673Patients with cirrhosis and tense ascites.

Choi et al. 2002 [21]Randomized trial; Jun 1998 to Feb 2001; Korea.40; 21 albumin; 19 no albumin.5678Patients with cirrhosis and spontaneous bacterial peritonitis.

Fassio et al. 1992 [22]Randomized trial; Apr 1988 to Mar 1990; Argentina.40; albumin 21; dextran-70 20.5476Patients with cirrhosis and tense ascites.

Garcia-Compean
et al. 1993 [23]
Randomized trial; unclear dates; Mexico.35; 17 albumin; 18 no albumin.5658Patients with cirrhosis and tense ascites.

García-Compean
et al. 2002 [24]
Randomized trial; unclear dates; France.69; albumin 48; dextran-40 48.5982Patients with cirrhosis and tense ascites.

Gines et al. 1988 [2]Randomized trial; Jul 1985 to Dec 1986, Spain.105; 52 albumin; 53 no albumin.5766Patients with cirrhosis and tense ascites.

Gines et al. 1996 [25]Randomized trial; unclear dates, Spain.289; albumin 97; dextran-70 93; polygeline 99.5870Patients with cirrhosis and tense ascites.

Guevara et al. 2012 [26]Randomized trial; unclear dates; Spain.110; 56 albumin and antibiotics; 54 antibiotics.5664Patients with cirrhosis and non-spontaneous bacterial peritonitis infections.

Moreau et al. 2006 [27]Randomized pilot study; May 2000–Jun 2001; France.68; 30 albumin; 38 polygeline. 5582Patients with cirrhosis and ascites who needed to receive a plasma expander because of paracentesis, renal impairment or marked hyponatraemia.

Nazar et al. 2009 [28]Randomized trial; unclear dates; Spain.110; 56 albumin and antibiotics; 54 antibiotics. NANAPatients with cirrhosis and non-SBP infections.

Planas et al. 1990 [29]Randomized trial; USA.88; 43 albumin; 45 dextran-70.5963Patients with cirrhosis and tense ascites treated with paracentesis.

Salemo 1991 [35]Randomized trial; May 1986–July 1989; Italy.54; 27 albumin; 27 hemaccel. 5487Patients with cirrhosis and refractory ascites.

Sola-Vera et al. 2003 [30]Randomized trial; Jan 1997–Dec 2000; Spain.72; 37 albumin; 35 saline.6165Patients with cirrhosis and tense ascites.

Sort et al. 1999 [8]Randomized trial; Nov 1995–Sept 1997; Spain.126; 63 cefotaxime and albumin; 63 cefotaxime. 6164Patients with cirrhosis and spontaneous bacterial peritonitis.

Xue et al. 2002 [31]Randomized trial; unclear dates; China.112; 56 albumin and ceftriaxone; 56 ceftriaxone. NANAPatients with cirrhosis, ascites and spontaneous bacterial peritonitis.

NA: not available.