{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T12:00:09Z","timestamp":1769256009875,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Paracentesis is a commonly performed procedure with overall low complication rates. There is a paucity of modern data investigating outcomes for inpatients using standardized point of care ultrasound.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to evaluate complication rates and outcomes of paracentesis in patients in the inpatient setting of a large tertiary transplantation center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified patients with ascites of multiple etiologies undergoing paracentesis by a medicine procedure service at a university center. Univariate and multivariate analyses were conducted to identify clinical and demographic factors associated with kidney injury (AKI) or significant HGB drop (\u22652\u2009g\/dL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1746 patients, 12% of patients receiving small volume (\u22645\u2009L) and 10% receiving large volume paracentesis (&gt;5\u2009L) developed a post procedural AKI (OR 0.857, 95% CI: 0.633\u20131.154) with no significant difference between groups (<jats:italic>p<\/jats:italic>\u2009=\u2009.30). In multivariable analysis, Model for End\u2010Stage Liver Disease Sodium (MELD\u2010Na) score as a continuous variable had a more significant impact in the development of AKI (OR 1.15 CI 1.08\u20131.22, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) as well as patients who were noted to be receiving paracentesis due to clinical deterioration (OR 2.48 CI 1.08\u20135.7, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.03). Of 2034 patients, 94% of patients had no significant drop in hemoglobin (&lt;2\u2009g\/dL). There was no significant difference in BMI (12.73 vs. 16.68, <jats:italic>p<\/jats:italic>\u2009=\u2009.6), INR (1.6 vs. 1.6, <jats:italic>p<\/jats:italic>\u2009=\u2009.8), or platelet count (114 vs. 106, <jats:italic>p<\/jats:italic>\u2009&gt;\u2009.9) between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Regardless of volume of ascites removed, paracentesis is associated with a low risk of AKI, however there was an increased risk in the clinically decompensating patient. The bleeding risk was also found to be low when performed by experienced proceduralists on a procedure service.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.70037","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T09:03:26Z","timestamp":1743325406000},"page":"943-952","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Paracentesis outcomes from a medicine procedure service at a tertiary care transplant center"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6464-8832","authenticated-orcid":false,"given":"Pete","family":"Meliagros","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hospital Medicine Virginia Commonwealth University Health System\/VCU Health Richmond Virginia 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