The prognosis of cirrhotic patients with multiple organ failure is not universally dismal. A retrospective French study examined predictive factors of mortality and concluded: In-hospital survival rate of intensive care unit- admitted cirrhotic patients seemed acceptable, even in patients requiring life-sustaining treatments and/or with multiple organ failure on admission. The most important risk factor for in-hospital mortality was the severity of nonhematologic organ failure, as best assessed after 3 days. A trial of unrestricted intensive care for a few days could be proposed for select critically ill cirrhotic patients.
Cirrhotic patients in the medical intensive care unit: Early prognosis and long-term survival
Crit Care Med. 2010 Nov;38(11):2108-2116