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Retrospective Study
©The Author(s) 2025.
World J Gastrointest Pathophysiol. Sep 22, 2025; 16(3): 108842
Published online Sep 22, 2025. doi: 10.4291/wjgp.v16.i3.108842
Table 3 Factors associated with refractory ascites, n (%)
VariablesRefractory ascites
P value
Yes (n = 115)
No (n = 64)
Mean age56.96 ± 12.4062.89 ± 13.39< 0.01
GenderMale65 (56.5)35 (54.7)0.81
Female50 (43.5)29 (45.3)
EthnicityHispanic or Latino114 (99.1)62 (96.9)0.36
Caucasian1 (0.9)1 (1.6)
African American0 (0.0)1 (1.6)
Etiology of liver diseaseHepatitis (A, B, C, D)10 (8.7)13 (20.3)0.09
Congenital liver disease2 (1.7)1 (1.6)
MASH7 (6.1)4 (6.3)
Alcoholic liver disease56 (48.7)25 (39.1)
Autoimmune hepatitis20 (17.4)6 (9.4)
Others17 (14.8)9 (14.1)
NA3 (2.6)6 (9.4)
Severity of ascitesGrade I1 (0.9)2 (3.1)0.26
Grade II2 (1.7)3 (4.7)
Grade III112 (97.4)59 (92.2)
HENone76 (66.1)43 (67.2)0.67
Grade I2 (1.7)2 (3.1)
Grade II29 (25.2)11 (17.2)
Grade III7 (6.1)6 (9.4)
Grade IV1 (0.9)1 (1.6)
GI bleed56 (48.7)20 (31.3)0.02
Serum BUN< 25 mg/dL38 (33.0)33 (51.6)0.04
25-35 mg/dL23 (20.0)11 (17.2)
> 35 mg/dL54 (47.0)20 (31.3)
Mean creatinine2.79 ± 2.741.61 ± 1.29< 0.01
Platelet count1.5-4.5 × 10338 (33.0)17 (26.6)0.61
1-1.49 × 10327 (23.5)20 (31.3)
50000-9999938 (33.0)19 (29.7)
< 50000012 (10.4)8 (12.5)
INR< 1.742 (36.5)35 (54.7)< 0.01
1.7-2.335 (30.4)21 (32.8)
> 2.338 (33.0)8 (12.5)
Bilirubin< 2 mg/dL34 (29.6)24 (37.5)0.10
2-3 mg/dL21 (18.3)17 (26.6)
> 3 mg/dL60 (52.2)23 (35.9)
Albumin> 3.5 g/dL5 (4.3)5 (7.8)0.56
2.8-3.5 g/dL52 (45.2)30 (46.9)
< 2.8 g/dL58 (50.4)29 (45.3)
Sodium136-145 mEq/L19 (16.5)19 (29.7)0.13
126-135 mEq/L73 (63.5)38 (59.4)
< 125 mEq/L21 (18.3)6 (9.4)
> 135 mEq/L2 (1.7)1 (1.6)
Serum potassium
3.5-5.5 mEq/L42 (36.5)41 (64.1)< 0.001
< 3.5 mEq/L45 (39.1)17 (26.6)
> 5.5 mEq/L28 (24.3)6 (9.4)
Child Pugh scoreClass A4 (3.5)4 (6.3)0.03
Class B31 (27.0)28 (43.8)
Class C80 (69.6)32 (50.0)
MELD-Na score6-1514 (12.2)12 (18.8)0.02
16-2540 (34.8)33 (51.6)
26-3548 (41.7)16 (25.0)
> 3513 (11.3)3 (4.7)
Ascitic fluid proteinLow69 (60.0)40 (62.5)0.87
High46 (40.0)24 (37.5)
CLIF-ACLF56.33 ± 9.4956.53 ± 9.290.89


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