A114 IMPROVING THE QUALITY OF PARACENTESIS PRACTICES IN PEOPLE WITH ADVANCED CIRRHOSIS IN AN AMBULATORY CARE SETTING Article Swipe
Mary Sedarous
,
E Lee
,
Amol A. Verma
,
Kieran L. Quinn
,
Gideon M. Hirschfield
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/jcag/gwad061.114
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/jcag/gwad061.114
Background Spontaneous bacterial peritonitis (SBP) is a lethal complication of decompensated cirrhosis carrying a 90% mortality rate when left untreated. Despite AASLD recommendations, there is a practice gap regarding fluid cell count (FCC) collection during paracentesis. Aims We initiated prospective quality improvement (QI) project to improve FCC collection in an ambulatory care setting from a baseline of 78% to a goal of 100% compliance between September 11, 2022 and April 17, 2023. Methods We examined the effects of a quality improvement initiative in 233 adult patient encounters with cirrhosis undergoing paracentesis in an ambulatory setting located within a quaternary care centre in Toronto, Canada within the study timeframe. Using a multidisciplinary approach, the quality improvement initiatives included focused groups, education regarding AASLD guidelines, development of a paracentesis bundle, and streamlining workflow process. Descriptive statistics were collected. Statistical analysis using run charts and p-charts were conducted using QI Macros. Approval was obtained from the QI Review Committee at the institution where this QI initiative took place. Results Baseline adherence for collecting ascitic FCC per paracentesis procedure was 78%. Inconsistencies during process mapping such as variations in documentation, printing FCC labels and consistency in FCC collection were identified as root causes. Thus, bedside paracentesis bundles were introduced to standardize process and improve workflow. Post-intervention, the FCC rate increased marginally to 79.6% with no special cause variation identified (Figure 1). Subgroup analysis demonstrated FCC collection rates of 100% amongst registered nurse (RN) and nurse practitioners (NP), 97% amongst resident physicians, and 92% amongst attending physicians. Subsequently, another subgroup analysis was completed demonstrating 97% FCC collection rate amongst general hepatology group, while 40% FCC rate amongst specialty hepatology group. Overall rate of SBP was 1.62% (N=3). Conclusions This prospective QI study revealed a gap in guidance pertaining to the role of ascitic fluid cell count collection in patients with cirrhosis undergoing paracentesis in ambulatory settings. Further studies ascertaining rationale for not sending FCC may be helpful in elucidating why there is a gap in clinical practice. Additionally conducting studies in ambulatory settings to assess FCC collection's impact on morbidity and mortality will provide vital evidence and clarity for the role of FCC in this vulnerable patient group. Figure 1: P-chart demonstrating percentage FCC Collection per week from September 11, 2022 to April 17, 2023. UCL indicates upper control limit; CL, center line; LCL, lower Control Limit. Funding Agencies Toronto Centre for Liver Disease funded the MSc QI program for Mary Sedarous (writer) who completed this study as her MSc QI project.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/jcag/gwad061.114
- https://academic.oup.com/jcag/article-pdf/7/Supplement_1/85/56673227/gwad061.114.pdf
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391873573
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4391873573Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/jcag/gwad061.114Digital Object Identifier
- Title
-
A114 IMPROVING THE QUALITY OF PARACENTESIS PRACTICES IN PEOPLE WITH ADVANCED CIRRHOSIS IN AN AMBULATORY CARE SETTINGWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-14Full publication date if available
- Authors
-
Mary Sedarous, E Lee, Amol A. Verma, Kieran L. Quinn, Gideon M. HirschfieldList of authors in order
- Landing page
-
https://doi.org/10.1093/jcag/gwad061.114Publisher landing page
- PDF URL
-
https://academic.oup.com/jcag/article-pdf/7/Supplement_1/85/56673227/gwad061.114.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/jcag/article-pdf/7/Supplement_1/85/56673227/gwad061.114.pdfDirect OA link when available
- Concepts
-
Ambulatory, Paracentesis, Medicine, Cirrhosis, Intensive care medicine, Internal medicine, AscitesTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- Related works (count)
-
10Other works algorithmically related by OpenAlex
Full payload
| id | https://openalex.org/W4391873573 |
|---|---|
| doi | https://doi.org/10.1093/jcag/gwad061.114 |
| ids.doi | https://doi.org/10.1093/jcag/gwad061.114 |
| ids.openalex | https://openalex.org/W4391873573 |
| fwci | 0.0 |
| type | article |
| title | A114 IMPROVING THE QUALITY OF PARACENTESIS PRACTICES IN PEOPLE WITH ADVANCED CIRRHOSIS IN AN AMBULATORY CARE SETTING |
| biblio.issue | Supplement_1 |
| biblio.volume | 7 |
| biblio.last_page | 86 |
| biblio.first_page | 85 |
| topics[0].id | https://openalex.org/T10337 |
| topics[0].field.id | https://openalex.org/fields/27 |
| topics[0].field.display_name | Medicine |
| topics[0].score | 0.7354999780654907 |
| topics[0].domain.id | https://openalex.org/domains/4 |
| topics[0].domain.display_name | Health Sciences |
| topics[0].subfield.id | https://openalex.org/subfields/2721 |
| topics[0].subfield.display_name | Hepatology |
| topics[0].display_name | Liver Disease and Transplantation |
| is_xpac | False |
| apc_list.value | 1993 |
| apc_list.currency | USD |
| apc_list.value_usd | 1993 |
| apc_paid.value | 1993 |
| apc_paid.currency | USD |
| apc_paid.value_usd | 1993 |
| concepts[0].id | https://openalex.org/C35785553 |
| concepts[0].level | 2 |
| concepts[0].score | 0.7042177319526672 |
| concepts[0].wikidata | https://www.wikidata.org/wiki/Q756720 |
| concepts[0].display_name | Ambulatory |
| concepts[1].id | https://openalex.org/C2776258039 |
| concepts[1].level | 3 |
| concepts[1].score | 0.6870530843734741 |
| concepts[1].wikidata | https://www.wikidata.org/wiki/Q4254147 |
| concepts[1].display_name | Paracentesis |
| concepts[2].id | https://openalex.org/C71924100 |
| concepts[2].level | 0 |
| concepts[2].score | 0.6734570264816284 |
| concepts[2].wikidata | https://www.wikidata.org/wiki/Q11190 |
| concepts[2].display_name | Medicine |
| concepts[3].id | https://openalex.org/C2777214474 |
| concepts[3].level | 2 |
| concepts[3].score | 0.6249645948410034 |
| concepts[3].wikidata | https://www.wikidata.org/wiki/Q147778 |
| concepts[3].display_name | Cirrhosis |
| concepts[4].id | https://openalex.org/C177713679 |
| concepts[4].level | 1 |
| concepts[4].score | 0.4699663817882538 |
| concepts[4].wikidata | https://www.wikidata.org/wiki/Q679690 |
| concepts[4].display_name | Intensive care medicine |
| concepts[5].id | https://openalex.org/C126322002 |
| concepts[5].level | 1 |
| concepts[5].score | 0.25113996863365173 |
| concepts[5].wikidata | https://www.wikidata.org/wiki/Q11180 |
| concepts[5].display_name | Internal medicine |
| concepts[6].id | https://openalex.org/C2780496750 |
| concepts[6].level | 2 |
| concepts[6].score | 0.0787782371044159 |
| concepts[6].wikidata | https://www.wikidata.org/wiki/Q193889 |
| concepts[6].display_name | Ascites |
| keywords[0].id | https://openalex.org/keywords/ambulatory |
| keywords[0].score | 0.7042177319526672 |
| keywords[0].display_name | Ambulatory |
| keywords[1].id | https://openalex.org/keywords/paracentesis |
| keywords[1].score | 0.6870530843734741 |
| keywords[1].display_name | Paracentesis |
| keywords[2].id | https://openalex.org/keywords/medicine |
| keywords[2].score | 0.6734570264816284 |
| keywords[2].display_name | Medicine |
| keywords[3].id | https://openalex.org/keywords/cirrhosis |
| keywords[3].score | 0.6249645948410034 |
| keywords[3].display_name | Cirrhosis |
| keywords[4].id | https://openalex.org/keywords/intensive-care-medicine |
| keywords[4].score | 0.4699663817882538 |
| keywords[4].display_name | Intensive care medicine |
| keywords[5].id | https://openalex.org/keywords/internal-medicine |
| keywords[5].score | 0.25113996863365173 |
| keywords[5].display_name | Internal medicine |
| keywords[6].id | https://openalex.org/keywords/ascites |
| keywords[6].score | 0.0787782371044159 |
| keywords[6].display_name | Ascites |
| language | en |
| locations[0].id | doi:10.1093/jcag/gwad061.114 |
| locations[0].is_oa | True |
| locations[0].source.id | https://openalex.org/S4210190764 |
| locations[0].source.issn | 2515-2084, 2515-2092 |
| locations[0].source.type | journal |
| locations[0].source.is_oa | True |
| locations[0].source.issn_l | 2515-2084 |
| locations[0].source.is_core | True |
| locations[0].source.is_in_doaj | True |
| locations[0].source.display_name | Journal of the Canadian Association of Gastroenterology |
| locations[0].source.host_organization | https://openalex.org/P4310311648 |
| locations[0].source.host_organization_name | Oxford University Press |
| locations[0].source.host_organization_lineage | https://openalex.org/P4310311648 |
| locations[0].license | cc-by |
| locations[0].pdf_url | https://academic.oup.com/jcag/article-pdf/7/Supplement_1/85/56673227/gwad061.114.pdf |
| locations[0].version | publishedVersion |
| locations[0].raw_type | journal-article |
| locations[0].license_id | https://openalex.org/licenses/cc-by |
| locations[0].is_accepted | True |
| locations[0].is_published | True |
| locations[0].raw_source_name | Journal of the Canadian Association of Gastroenterology |
| locations[0].landing_page_url | https://doi.org/10.1093/jcag/gwad061.114 |
| locations[1].id | pmh:oai:pubmedcentral.nih.gov:10871979 |
| locations[1].is_oa | True |
| locations[1].source.id | https://openalex.org/S2764455111 |
| locations[1].source.issn | |
| locations[1].source.type | repository |
| locations[1].source.is_oa | False |
| locations[1].source.issn_l | |
| locations[1].source.is_core | False |
| locations[1].source.is_in_doaj | False |
| locations[1].source.display_name | PubMed Central |
| locations[1].source.host_organization | https://openalex.org/I1299303238 |
| locations[1].source.host_organization_name | National Institutes of Health |
| locations[1].source.host_organization_lineage | https://openalex.org/I1299303238 |
| locations[1].license | cc-by |
| locations[1].pdf_url | https://pmc.ncbi.nlm.nih.gov/articles/PMC10871979/pdf/gwad061.114.pdf |
| locations[1].version | submittedVersion |
| locations[1].raw_type | Text |
| locations[1].license_id | https://openalex.org/licenses/cc-by |
| locations[1].is_accepted | False |
| locations[1].is_published | False |
| locations[1].raw_source_name | J Can Assoc Gastroenterol |
| locations[1].landing_page_url | https://www.ncbi.nlm.nih.gov/pmc/articles/10871979 |
| indexed_in | crossref, doaj |
| authorships[0].author.id | https://openalex.org/A5044234424 |
| authorships[0].author.orcid | |
| authorships[0].author.display_name | Mary Sedarous |
| authorships[0].countries | CA |
| authorships[0].affiliations[0].institution_ids | https://openalex.org/I185261750 |
| authorships[0].affiliations[0].raw_affiliation_string | University of Toronto , Toronto, ON, Canada |
| authorships[0].institutions[0].id | https://openalex.org/I185261750 |
| authorships[0].institutions[0].ror | https://ror.org/03dbr7087 |
| authorships[0].institutions[0].type | education |
| authorships[0].institutions[0].lineage | https://openalex.org/I185261750 |
| authorships[0].institutions[0].country_code | CA |
| authorships[0].institutions[0].display_name | University of Toronto |
| authorships[0].author_position | first |
| authorships[0].raw_author_name | M Sedarous |
| authorships[0].is_corresponding | False |
| authorships[0].raw_affiliation_strings | University of Toronto , Toronto, ON, Canada |
| authorships[1].author.id | https://openalex.org/A5110908941 |
| authorships[1].author.orcid | |
| authorships[1].author.display_name | E Lee |
| authorships[1].countries | CA |
| authorships[1].affiliations[0].institution_ids | https://openalex.org/I185261750 |
| authorships[1].affiliations[0].raw_affiliation_string | University of Toronto , Toronto, ON, Canada |
| authorships[1].institutions[0].id | https://openalex.org/I185261750 |
| authorships[1].institutions[0].ror | https://ror.org/03dbr7087 |
| authorships[1].institutions[0].type | education |
| authorships[1].institutions[0].lineage | https://openalex.org/I185261750 |
| authorships[1].institutions[0].country_code | CA |
| authorships[1].institutions[0].display_name | University of Toronto |
| authorships[1].author_position | middle |
| authorships[1].raw_author_name | E Lee |
| authorships[1].is_corresponding | False |
| authorships[1].raw_affiliation_strings | University of Toronto , Toronto, ON, Canada |
| authorships[2].author.id | https://openalex.org/A5010837853 |
| authorships[2].author.orcid | https://orcid.org/0000-0001-6857-931X |
| authorships[2].author.display_name | Amol A. Verma |
| authorships[2].countries | CA |
| authorships[2].affiliations[0].institution_ids | https://openalex.org/I185261750 |
| authorships[2].affiliations[0].raw_affiliation_string | University of Toronto , Toronto, ON, Canada |
| authorships[2].institutions[0].id | https://openalex.org/I185261750 |
| authorships[2].institutions[0].ror | https://ror.org/03dbr7087 |
| authorships[2].institutions[0].type | education |
| authorships[2].institutions[0].lineage | https://openalex.org/I185261750 |
| authorships[2].institutions[0].country_code | CA |
| authorships[2].institutions[0].display_name | University of Toronto |
| authorships[2].author_position | middle |
| authorships[2].raw_author_name | A Verma |
| authorships[2].is_corresponding | False |
| authorships[2].raw_affiliation_strings | University of Toronto , Toronto, ON, Canada |
| authorships[3].author.id | https://openalex.org/A5005545100 |
| authorships[3].author.orcid | https://orcid.org/0000-0002-1681-5170 |
| authorships[3].author.display_name | Kieran L. Quinn |
| authorships[3].countries | CA |
| authorships[3].affiliations[0].institution_ids | https://openalex.org/I185261750 |
| authorships[3].affiliations[0].raw_affiliation_string | University of Toronto , Toronto, ON, Canada |
| authorships[3].institutions[0].id | https://openalex.org/I185261750 |
| authorships[3].institutions[0].ror | https://ror.org/03dbr7087 |
| authorships[3].institutions[0].type | education |
| authorships[3].institutions[0].lineage | https://openalex.org/I185261750 |
| authorships[3].institutions[0].country_code | CA |
| authorships[3].institutions[0].display_name | University of Toronto |
| authorships[3].author_position | middle |
| authorships[3].raw_author_name | K Quinn |
| authorships[3].is_corresponding | False |
| authorships[3].raw_affiliation_strings | University of Toronto , Toronto, ON, Canada |
| authorships[4].author.id | https://openalex.org/A5028517177 |
| authorships[4].author.orcid | https://orcid.org/0000-0002-6736-2255 |
| authorships[4].author.display_name | Gideon M. Hirschfield |
| authorships[4].countries | CA |
| authorships[4].affiliations[0].institution_ids | https://openalex.org/I185261750 |
| authorships[4].affiliations[0].raw_affiliation_string | University of Toronto , Toronto, ON, Canada |
| authorships[4].institutions[0].id | https://openalex.org/I185261750 |
| authorships[4].institutions[0].ror | https://ror.org/03dbr7087 |
| authorships[4].institutions[0].type | education |
| authorships[4].institutions[0].lineage | https://openalex.org/I185261750 |
| authorships[4].institutions[0].country_code | CA |
| authorships[4].institutions[0].display_name | University of Toronto |
| authorships[4].author_position | last |
| authorships[4].raw_author_name | G Hirschfield |
| authorships[4].is_corresponding | False |
| authorships[4].raw_affiliation_strings | University of Toronto , Toronto, ON, Canada |
| has_content.pdf | True |
| has_content.grobid_xml | True |
| is_paratext | False |
| open_access.is_oa | True |
| open_access.oa_url | https://academic.oup.com/jcag/article-pdf/7/Supplement_1/85/56673227/gwad061.114.pdf |
| open_access.oa_status | gold |
| open_access.any_repository_has_fulltext | False |
| created_date | 2025-10-10T00:00:00 |
| display_name | A114 IMPROVING THE QUALITY OF PARACENTESIS PRACTICES IN PEOPLE WITH ADVANCED CIRRHOSIS IN AN AMBULATORY CARE SETTING |
| has_fulltext | True |
| is_retracted | False |
| updated_date | 2025-11-06T03:46:38.306776 |
| primary_topic.id | https://openalex.org/T10337 |
| primary_topic.field.id | https://openalex.org/fields/27 |
| primary_topic.field.display_name | Medicine |
| primary_topic.score | 0.7354999780654907 |
| primary_topic.domain.id | https://openalex.org/domains/4 |
| primary_topic.domain.display_name | Health Sciences |
| primary_topic.subfield.id | https://openalex.org/subfields/2721 |
| primary_topic.subfield.display_name | Hepatology |
| primary_topic.display_name | Liver Disease and Transplantation |
| related_works | https://openalex.org/W2748952813, https://openalex.org/W3031052312, https://openalex.org/W4389568370, https://openalex.org/W3032375762, https://openalex.org/W1995515455, https://openalex.org/W2080531066, https://openalex.org/W2586801360, https://openalex.org/W3108674512, https://openalex.org/W1506200166, https://openalex.org/W1489783725 |
| cited_by_count | 0 |
| locations_count | 2 |
| best_oa_location.id | doi:10.1093/jcag/gwad061.114 |
| best_oa_location.is_oa | True |
| best_oa_location.source.id | https://openalex.org/S4210190764 |
| best_oa_location.source.issn | 2515-2084, 2515-2092 |
| best_oa_location.source.type | journal |
| best_oa_location.source.is_oa | True |
| best_oa_location.source.issn_l | 2515-2084 |
| best_oa_location.source.is_core | True |
| best_oa_location.source.is_in_doaj | True |
| best_oa_location.source.display_name | Journal of the Canadian Association of Gastroenterology |
| best_oa_location.source.host_organization | https://openalex.org/P4310311648 |
| best_oa_location.source.host_organization_name | Oxford University Press |
| best_oa_location.source.host_organization_lineage | https://openalex.org/P4310311648 |
| best_oa_location.license | cc-by |
| best_oa_location.pdf_url | https://academic.oup.com/jcag/article-pdf/7/Supplement_1/85/56673227/gwad061.114.pdf |
| best_oa_location.version | publishedVersion |
| best_oa_location.raw_type | journal-article |
| best_oa_location.license_id | https://openalex.org/licenses/cc-by |
| best_oa_location.is_accepted | True |
| best_oa_location.is_published | True |
| best_oa_location.raw_source_name | Journal of the Canadian Association of Gastroenterology |
| best_oa_location.landing_page_url | https://doi.org/10.1093/jcag/gwad061.114 |
| primary_location.id | doi:10.1093/jcag/gwad061.114 |
| primary_location.is_oa | True |
| primary_location.source.id | https://openalex.org/S4210190764 |
| primary_location.source.issn | 2515-2084, 2515-2092 |
| primary_location.source.type | journal |
| primary_location.source.is_oa | True |
| primary_location.source.issn_l | 2515-2084 |
| primary_location.source.is_core | True |
| primary_location.source.is_in_doaj | True |
| primary_location.source.display_name | Journal of the Canadian Association of Gastroenterology |
| primary_location.source.host_organization | https://openalex.org/P4310311648 |
| primary_location.source.host_organization_name | Oxford University Press |
| primary_location.source.host_organization_lineage | https://openalex.org/P4310311648 |
| primary_location.license | cc-by |
| primary_location.pdf_url | https://academic.oup.com/jcag/article-pdf/7/Supplement_1/85/56673227/gwad061.114.pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | https://openalex.org/licenses/cc-by |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | Journal of the Canadian Association of Gastroenterology |
| primary_location.landing_page_url | https://doi.org/10.1093/jcag/gwad061.114 |
| publication_date | 2024-02-14 |
| publication_year | 2024 |
| referenced_works_count | 0 |
| abstract_inverted_index.a | 7, 14, 26, 55, 60, 79, 98, 110, 126, 289, 328 |
| abstract_inverted_index.1: | 365 |
| abstract_inverted_index.QI | 147, 154, 162, 286, 403, 416 |
| abstract_inverted_index.We | 38, 74 |
| abstract_inverted_index.an | 50, 93 |
| abstract_inverted_index.as | 183, 197, 413 |
| abstract_inverted_index.at | 157 |
| abstract_inverted_index.be | 321 |
| abstract_inverted_index.in | 49, 83, 92, 102, 185, 192, 291, 303, 309, 323, 330, 336, 359 |
| abstract_inverted_index.is | 6, 25, 327 |
| abstract_inverted_index.no | 221 |
| abstract_inverted_index.of | 10, 57, 62, 78, 125, 234, 278, 297, 357 |
| abstract_inverted_index.on | 344 |
| abstract_inverted_index.to | 45, 59, 206, 218, 294, 339, 377 |
| abstract_inverted_index.1). | 227 |
| abstract_inverted_index.11, | 67, 375 |
| abstract_inverted_index.17, | 71, 379 |
| abstract_inverted_index.233 | 84 |
| abstract_inverted_index.40% | 269 |
| abstract_inverted_index.78% | 58 |
| abstract_inverted_index.90% | 15 |
| abstract_inverted_index.92% | 249 |
| abstract_inverted_index.97% | 244, 260 |
| abstract_inverted_index.CL, | 386 |
| abstract_inverted_index.FCC | 47, 172, 188, 193, 214, 231, 261, 270, 319, 341, 358, 369 |
| abstract_inverted_index.MSc | 402, 415 |
| abstract_inverted_index.SBP | 279 |
| abstract_inverted_index.UCL | 381 |
| abstract_inverted_index.and | 69, 129, 142, 190, 209, 240, 248, 346, 352 |
| abstract_inverted_index.for | 169, 316, 354, 397, 405 |
| abstract_inverted_index.gap | 28, 290, 329 |
| abstract_inverted_index.her | 414 |
| abstract_inverted_index.may | 320 |
| abstract_inverted_index.not | 317 |
| abstract_inverted_index.per | 173, 371 |
| abstract_inverted_index.run | 140 |
| abstract_inverted_index.the | 76, 106, 113, 153, 158, 213, 295, 355, 401 |
| abstract_inverted_index.was | 150, 176, 257, 280 |
| abstract_inverted_index.who | 409 |
| abstract_inverted_index.why | 325 |
| abstract_inverted_index.(QI) | 43 |
| abstract_inverted_index.(RN) | 239 |
| abstract_inverted_index.100% | 63, 235 |
| abstract_inverted_index.2022 | 68, 376 |
| abstract_inverted_index.78%. | 177 |
| abstract_inverted_index.Aims | 37 |
| abstract_inverted_index.LCL, | 389 |
| abstract_inverted_index.Mary | 406 |
| abstract_inverted_index.This | 284 |
| abstract_inverted_index.care | 52, 100 |
| abstract_inverted_index.cell | 31, 300 |
| abstract_inverted_index.from | 54, 152, 373 |
| abstract_inverted_index.goal | 61 |
| abstract_inverted_index.left | 19 |
| abstract_inverted_index.rate | 17, 215, 263, 271, 277 |
| abstract_inverted_index.role | 296, 356 |
| abstract_inverted_index.root | 198 |
| abstract_inverted_index.such | 182 |
| abstract_inverted_index.this | 161, 360, 411 |
| abstract_inverted_index.took | 164 |
| abstract_inverted_index.week | 372 |
| abstract_inverted_index.were | 135, 144, 195, 204 |
| abstract_inverted_index.when | 18 |
| abstract_inverted_index.will | 348 |
| abstract_inverted_index.with | 88, 220, 305 |
| abstract_inverted_index.(FCC) | 33 |
| abstract_inverted_index.(NP), | 243 |
| abstract_inverted_index.(SBP) | 5 |
| abstract_inverted_index.1.62% | 281 |
| abstract_inverted_index.2023. | 72, 380 |
| abstract_inverted_index.79.6% | 219 |
| abstract_inverted_index.AASLD | 22, 122 |
| abstract_inverted_index.April | 70, 378 |
| abstract_inverted_index.Liver | 398 |
| abstract_inverted_index.Thus, | 200 |
| abstract_inverted_index.Using | 109 |
| abstract_inverted_index.adult | 85 |
| abstract_inverted_index.cause | 223 |
| abstract_inverted_index.count | 32, 301 |
| abstract_inverted_index.fluid | 30, 299 |
| abstract_inverted_index.line; | 388 |
| abstract_inverted_index.lower | 390 |
| abstract_inverted_index.nurse | 238, 241 |
| abstract_inverted_index.rates | 233 |
| abstract_inverted_index.study | 107, 287, 412 |
| abstract_inverted_index.there | 24, 326 |
| abstract_inverted_index.upper | 383 |
| abstract_inverted_index.using | 139, 146 |
| abstract_inverted_index.vital | 350 |
| abstract_inverted_index.where | 160 |
| abstract_inverted_index.while | 268 |
| abstract_inverted_index.(N=3). | 282 |
| abstract_inverted_index.Canada | 104 |
| abstract_inverted_index.Centre | 396 |
| abstract_inverted_index.Figure | 364 |
| abstract_inverted_index.Limit. | 392 |
| abstract_inverted_index.Review | 155 |
| abstract_inverted_index.assess | 340 |
| abstract_inverted_index.center | 387 |
| abstract_inverted_index.centre | 101 |
| abstract_inverted_index.charts | 141 |
| abstract_inverted_index.during | 35, 179 |
| abstract_inverted_index.funded | 400 |
| abstract_inverted_index.group, | 267 |
| abstract_inverted_index.group. | 275, 363 |
| abstract_inverted_index.impact | 343 |
| abstract_inverted_index.labels | 189 |
| abstract_inverted_index.lethal | 8 |
| abstract_inverted_index.limit; | 385 |
| abstract_inverted_index.place. | 165 |
| abstract_inverted_index.within | 97, 105 |
| abstract_inverted_index.(Figure | 226 |
| abstract_inverted_index.Control | 391 |
| abstract_inverted_index.Despite | 21 |
| abstract_inverted_index.Disease | 399 |
| abstract_inverted_index.Funding | 393 |
| abstract_inverted_index.Further | 312 |
| abstract_inverted_index.Macros. | 148 |
| abstract_inverted_index.Methods | 73 |
| abstract_inverted_index.Overall | 276 |
| abstract_inverted_index.P-chart | 366 |
| abstract_inverted_index.Results | 166 |
| abstract_inverted_index.Toronto | 395 |
| abstract_inverted_index.amongst | 236, 245, 250, 264, 272 |
| abstract_inverted_index.another | 254 |
| abstract_inverted_index.ascitic | 171, 298 |
| abstract_inverted_index.bedside | 201 |
| abstract_inverted_index.between | 65 |
| abstract_inverted_index.bundle, | 128 |
| abstract_inverted_index.bundles | 203 |
| abstract_inverted_index.causes. | 199 |
| abstract_inverted_index.clarity | 353 |
| abstract_inverted_index.control | 384 |
| abstract_inverted_index.effects | 77 |
| abstract_inverted_index.focused | 118 |
| abstract_inverted_index.general | 265 |
| abstract_inverted_index.groups, | 119 |
| abstract_inverted_index.helpful | 322 |
| abstract_inverted_index.improve | 46, 210 |
| abstract_inverted_index.located | 96 |
| abstract_inverted_index.mapping | 181 |
| abstract_inverted_index.patient | 86, 362 |
| abstract_inverted_index.process | 180, 208 |
| abstract_inverted_index.program | 404 |
| abstract_inverted_index.project | 44 |
| abstract_inverted_index.provide | 349 |
| abstract_inverted_index.quality | 41, 80, 114 |
| abstract_inverted_index.sending | 318 |
| abstract_inverted_index.setting | 53, 95 |
| abstract_inverted_index.special | 222 |
| abstract_inverted_index.studies | 313, 335 |
| abstract_inverted_index.(writer) | 408 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Agencies | 394 |
| abstract_inverted_index.Approval | 149 |
| abstract_inverted_index.Baseline | 167 |
| abstract_inverted_index.Sedarous | 407 |
| abstract_inverted_index.Subgroup | 228 |
| abstract_inverted_index.Toronto, | 103 |
| abstract_inverted_index.analysis | 138, 229, 256 |
| abstract_inverted_index.baseline | 56 |
| abstract_inverted_index.carrying | 13 |
| abstract_inverted_index.clinical | 331 |
| abstract_inverted_index.evidence | 351 |
| abstract_inverted_index.examined | 75 |
| abstract_inverted_index.guidance | 292 |
| abstract_inverted_index.included | 117 |
| abstract_inverted_index.obtained | 151 |
| abstract_inverted_index.p-charts | 143 |
| abstract_inverted_index.patients | 304 |
| abstract_inverted_index.practice | 27 |
| abstract_inverted_index.printing | 187 |
| abstract_inverted_index.process. | 132 |
| abstract_inverted_index.project. | 417 |
| abstract_inverted_index.resident | 246 |
| abstract_inverted_index.revealed | 288 |
| abstract_inverted_index.settings | 338 |
| abstract_inverted_index.subgroup | 255 |
| abstract_inverted_index.workflow | 131 |
| abstract_inverted_index.Committee | 156 |
| abstract_inverted_index.September | 66, 374 |
| abstract_inverted_index.adherence | 168 |
| abstract_inverted_index.approach, | 112 |
| abstract_inverted_index.attending | 251 |
| abstract_inverted_index.bacterial | 3 |
| abstract_inverted_index.cirrhosis | 12, 89, 306 |
| abstract_inverted_index.completed | 258, 410 |
| abstract_inverted_index.conducted | 145 |
| abstract_inverted_index.education | 120 |
| abstract_inverted_index.increased | 216 |
| abstract_inverted_index.indicates | 382 |
| abstract_inverted_index.initiated | 39 |
| abstract_inverted_index.morbidity | 345 |
| abstract_inverted_index.mortality | 16, 347 |
| abstract_inverted_index.practice. | 332 |
| abstract_inverted_index.procedure | 175 |
| abstract_inverted_index.rationale | 315 |
| abstract_inverted_index.regarding | 29, 121 |
| abstract_inverted_index.settings. | 311 |
| abstract_inverted_index.specialty | 273 |
| abstract_inverted_index.variation | 224 |
| abstract_inverted_index.workflow. | 211 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Collection | 370 |
| abstract_inverted_index.ambulatory | 51, 94, 310, 337 |
| abstract_inverted_index.collected. | 136 |
| abstract_inverted_index.collecting | 170 |
| abstract_inverted_index.collection | 34, 48, 194, 232, 262, 302 |
| abstract_inverted_index.compliance | 64 |
| abstract_inverted_index.conducting | 334 |
| abstract_inverted_index.encounters | 87 |
| abstract_inverted_index.hepatology | 266, 274 |
| abstract_inverted_index.identified | 196, 225 |
| abstract_inverted_index.initiative | 82, 163 |
| abstract_inverted_index.introduced | 205 |
| abstract_inverted_index.marginally | 217 |
| abstract_inverted_index.percentage | 368 |
| abstract_inverted_index.pertaining | 293 |
| abstract_inverted_index.quaternary | 99 |
| abstract_inverted_index.registered | 237 |
| abstract_inverted_index.statistics | 134 |
| abstract_inverted_index.timeframe. | 108 |
| abstract_inverted_index.undergoing | 90, 307 |
| abstract_inverted_index.untreated. | 20 |
| abstract_inverted_index.variations | 184 |
| abstract_inverted_index.vulnerable | 361 |
| abstract_inverted_index.Conclusions | 283 |
| abstract_inverted_index.Descriptive | 133 |
| abstract_inverted_index.Spontaneous | 2 |
| abstract_inverted_index.Statistical | 137 |
| abstract_inverted_index.consistency | 191 |
| abstract_inverted_index.development | 124 |
| abstract_inverted_index.elucidating | 324 |
| abstract_inverted_index.guidelines, | 123 |
| abstract_inverted_index.improvement | 42, 81, 115 |
| abstract_inverted_index.initiatives | 116 |
| abstract_inverted_index.institution | 159 |
| abstract_inverted_index.peritonitis | 4 |
| abstract_inverted_index.physicians, | 247 |
| abstract_inverted_index.physicians. | 252 |
| abstract_inverted_index.prospective | 40, 285 |
| abstract_inverted_index.standardize | 207 |
| abstract_inverted_index.Additionally | 333 |
| abstract_inverted_index.ascertaining | 314 |
| abstract_inverted_index.collection's | 342 |
| abstract_inverted_index.complication | 9 |
| abstract_inverted_index.demonstrated | 230 |
| abstract_inverted_index.paracentesis | 91, 127, 174, 202, 308 |
| abstract_inverted_index.streamlining | 130 |
| abstract_inverted_index.Subsequently, | 253 |
| abstract_inverted_index.decompensated | 11 |
| abstract_inverted_index.demonstrating | 259, 367 |
| abstract_inverted_index.paracentesis. | 36 |
| abstract_inverted_index.practitioners | 242 |
| abstract_inverted_index.documentation, | 186 |
| abstract_inverted_index.Inconsistencies | 178 |
| abstract_inverted_index.recommendations, | 23 |
| abstract_inverted_index.multidisciplinary | 111 |
| abstract_inverted_index.Post-intervention, | 212 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8199999928474426 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.03406853 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |