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©The Author(s) 2025.
World J Hepatol. Sep 27, 2025; 17(9): 109118
Published online Sep 27, 2025. doi: 10.4254/wjh.v17.i9.109118
Table 3 Plasma exchange in Severe alcoholic hepatitis
Ref.
Inclusion
Exclusion criteria
Survival at day 90 in intervention group
Kumar et al[24]APASL defined alcohol ACLFLiver illness due to other causes (such as drug- or virus-induced hepatitis, Wilson's disease, autoimmune hepatitis, or nonalcoholic fatty liver disease), sepsis, bleeding that has occurred recently (within the last three months), cancer, acute pancreatitis, or human immunodeficiency virus infection35.6%
Kumar et al[24]EASL defined ACLFHepatocellular cancer, patients with PLEX contraindications, such as infection, recent gastrointestinal bleeding, and hypotension70% with centrifugal plasma exchange
Ramakrishnan et al[23]ACLF defined by APASL with AARC score 8-10 and not responding to medical therapyNonalcoholic etiologies, coexisting hepatocellular carcinoma or extra-hepatic malignancy, bleeding, pregnancy, multiorgan failure (≥ 3 organ failures), severe pre-existing cardiopulmonary disease, APASL-AARC score > 10 or < 8, mechanically ventilated and requiring inotropic support at the time of enrolment were excluded from the study.64%


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