Hung A, et al. - In this present study, the experts identified patients with decompensated cirrhosis at a high risk of developing procedure-related bleeding in whom the value of pre-procedure transfusions could be evaluated. In cirrhosis, infection/sepsis was generally considered predictive of bleeding. The most important predictor of post-procedure bleeding in patients with decompensated cirrhosis was acute kidney injury (AKI), and not sepsis. They found no studies which established AKI as a risk factor for post-procedure bleeding in cirrhosis although the end-stage renal disease was a known cause of bleeding in non-cirrhotic patients.