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 3

Summary of results.

Outcome or subgroupStudiesParticipantsOdds ratio (95% confidence interval)

Is albumin useful in paracentesis?
1.1.1 Death21731.36 (0.61, 3.04)
1.1.2 Encephalopathy1353.36 (0.13, 88.39)
1.1.3 Hyponatraemia32100.47 (0.13, 1.66)
1.1.4 Paracentesis-induced circulatory dysfunction1720.26 (0.08, 0.93)
1.1.5 Readmission11010.51 (0.22, 1.18)
1.1.6 Renal impairment32080.51 (0.13, 1.98)

Is albumin better than other volume expander in paracentesis?
1.2.1 Death55560.63 (0.38, 1.03)
1.2.2 Encephalopathy65740.87 (0.42, 1.80)
1.2.3 Hyponatraemia76020.70 (0.44, 1.12)
1.2.4 Gastrointestinal bleeding55200.90 (0.35, 2.31)
1.2.5 Readmission54120.83 (0.56, 1.24)
1.2.6 Renal impairment54751.09 (0.51, 2.34)
1.2.7 Sepsis/severe infection31890.74 (0.21, 2.62)

Is albumin useful in infections overall?
1.3.1 Death43880.46 (0.25, 0.86)
1.3.2 Hyponatraemia1402.00 (0.32, 12.41)
1.3.3 Infection resolution22364.30 (0.89, 20.70)
1.3.4 Renal impairment54980.34 (0.15, 0.75)

Is albumin useful in spontaneous bacterial peritonitis?
1.4.1 Death32780.39 (0.18, 0.84)
1.4.2 Infection resolution11264.20 (0.46, 38.71)
1.4.3 Renal impairment32780.32 (0.10, 1.04)

Is albumin useful in non-spontaneous bacterial peritonitis infections?
1.5.1 Death11100.73 (0.27, 2.02)
1.5.2 Infection resolution11104.40 (0.48, 40.70)
1.5.3 Renal impairment11100.23 (0.02, 2.10)