Inclusion Criteria:  Age greater than 18 years. Decompensated liver cirrhosis (Child-Pugh classification B or more) of any etiology diagnosed by clinical parameters involving laboratory tests, endoscopic or radiologic evidence of cirrhosis, history of decompensation (hepatic encephalopathy, ascites, variceal bleeding, jaundice), and liver biopsy if available. Use of either loop diuretics and/or distal diuretics (ex; spironolactone and eplerenone) until the time of admission. Availability of a baseline serum creatinine as defined by the International Club Ascites.  Exclusion Criteria:  Prior liver or kidney transplant Advanced chronic kidney disease defined as serum creatinine greater than 4 mg/dL Patients on acute or chronic renal replacement therapy Patients with hepatocellular carcinoma.