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World J Crit Care Med. Sep 9, 2026; 15(3): 117566
Published online Sep 9, 2026. doi: 10.5492/wjccm.117566
Table 2 Clinical and laboratory outcomes of molecular adsorbent recirculating system therapy in trauma-associated acute liver dysfunction
Ref.
Primary outcomes
Secondary outcomes
Adverse events
Ben-Abraham et al[3]; 2003Survival 100% (1/1), liver recovery (1/1)Normalized intracranial pressure, improved bilirubin, ammonia, international normalized ratio, factor VNot reported
Rittler et al[4]; 2004Mortality 100% (5/5)Reduced bilirubin; no improvement in ammonia, coagulopathyBleeding, thrombocytopenia
Monet et al[14]; 2022Survival 40%, transplantation-free (acute liver failure, 13/32); variable by groupImproved bilirubin, prothrombin time, hepatic encephalopathy, pruritusThrombocytopenia (30.6%), hypotension, hypothermia
Powell et al[5]; 2024Survival 50% (4/8 trauma cases)Improved aspartate aminotransferase, alanine aminotransferase, international normalized ratio, lactic acid; no change in ammonia; no improvement in hepatic encephalopathyNot reported


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