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348A AASLD ABSTRACTS HEPATOLOGY, October, 2015 (64.9-83.4), PPV 34.3% (19.1-52.2) and VPN 97.2% (90.2- 99.7). In this study, the prevalence of SIRS was 13.2%. In 5 samples, neutrophil count was above 250/mm 3 (385 to 13020/ mm 3 ) but the strip was considered as negative. When setting “trace” as the first positive result, Se and NPV were both of 100% for outpatients. Conclusions: This study shows, for the first time, in a large sample size of cirrhotic patients that the Periscreen TM strip is a robust screening tool for the detection of SBP. More importantly, this new leukocyte esterase strip has an excellent accuracy to exclude SBP in the outpatient setting. (1) Nousbaum JB, et al. Hepatology 2007;45:1275-1281. (2) Mendler MH, J Hepatol 2010;53:477-483. Disclosures: Alexandra Heurgué-Berlot - Consulting: Abbvie; Speaking and Teaching: Gilead Christophe Bureau - Grant/Research Support: Gore; Speaking and Teaching: Gore Isabelle Ollivier-Hourmand - Speaking and Teaching: gilead, jansen, bayer Eric Nguyen-Khac - Speaking and Teaching: Gilead, Abbvie, Janssen, Roche, MSD, BMS Si Nafa Si Ahmed - Board Membership: La Roche Hoffmann; Grant/Research Support: Janssen; Speaking and Teaching: BMS, Gilead, Abbvie The following authors have nothing to disclose: Thierry Thevenot, Charline Briot, Vincent Macé, Hortensia Lison, Laure Elkrief, Caroline Jezequel, Ghassan Riachi, Alexandre Louvet, Hélène Labadie, Nicolas Carbonell, Karim Aziz, Denis Grasset, Rodolphe Anty, Mehdi Kaasis, Thomas Mouillot, Arnaud Pauwels, Florence Tanné, Jean Paul Cervoni, Jean françois D. Cadranel, Matthieu Schnee 265 Deleterious effect of beta-blockers in cirrhotic patients with refractory ascites: potential role of myocardial dysfunction Valerio Giannelli 1,2 , Olivier Roux 2 , Pierre-Emmanuel Rautou 2 , Emmanuel Weiss 2 , Richard Moreau 2 , Didier Lebrec 2 , Francois Durand 2 , claire francoz 2 ; 1 gastroenterology, university of rome “sapienza”, Rome, Italy; 2 Service d’Hépatologie, Hôpital Beaujon, Assistance Publique-Hôpitaux de Paris, Clichy, France; INSERM U1149,CRI, Paris, France Introduction: Recent <strong>studies</strong> have suggested that non selective beta-blockers (NSBB) could be deleterious in cirrhotic patients with refractory ascites (RA) by increasing transplant-free mortality. It has been proposed that NSBB may increase the risk of paracentesis-induced circulatory dysfunction but the mechanisms involved are still unclear. The aim of this study was to explore the impact of NSBB on systemic and splanchnic hemodynamics in cirrhotic patients with RA evaluated for liver transplantation (LT). Patients and methods: 583 cirrhotic patients evaluated for a first LT in a single center between 1997 and 2013 were studied. There were 74% males, mean age was 52 years. The cause of cirrhosis was alcohol in 43%, HCV in 24% and HBV in 11%. 29% of patients had hepatocellular carcinoma. 196 patients (34%) had RA, and among them, 51 % received NSBB. Physiological MELD score was comparable in RA and no—RA groups (17 vs 16, ns) as well as the proportion of patients receiving NSBB (51 vs 51 %, ns). In addition to standard preLT workup, all patients had measurement of both splanchnic and systemic hemodynamics by right heart catheterization with assessment of cardiac work (Left and Right Ventricular Stroke Work Index, LVSWI and RVSW). Results: Waiting list mortality was higher in RA compared to no-RA group, (62 vs 38 % at 1 year, p=0.001). RA patients had significantly lower mean arterial pressure (MAP) lower heart rate (HR) and higher hepatic venous pressure gradient (HVPG) than no-RA patients. Cardiac index (CI) as well as systemic vascular resistance (SVRI) were similarcomparable in both groups. By contrast, Left and Right Ventricular Stroke Work Index (LVSWI and RVSWI) were significantly lower in RA patients compared to no-RA. In both RA and no-RA patients, NSBB resulted in a significant decrease in HR, MAP, and CI. In the no-RA group, NSBB did not affect LVSWI (57+15 vs 60+21 g.m/m 2 , ns). By contrast, in the RA group, NSBB were associated with a significant decrease in LVSWI (48+15 vs 56+15, p
HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 349A 48%, and 33%, respectively. In multivariate analysis, AKI stage1B or greater (HR=2.32; p
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1000A AASLD ABSTRACTS HEPATOLOGY, O
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1312A AUTHOR INDEX HEPATOLOGY, Octo
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1366A CATEGORY INDEX HEPATOLOGY, Oc
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