Malnutrition is common in patients with decompensated cirrhosis and refractory ascites. The first-line treatment for refractory ascites is large volume paracentesis (LVP) associated with the administration of intravenous albumin. The measurement of anthropometric parameters, laboratory tests including vitamins and minerals are important. The aim of our study was to correlate the severity of liver disease using Child-Pugh and MELD-Na (model for end-stage liver disease) scores with clinical deterioration evaluated by ECOG Performance Status (PS), subjective global assessment (SGA) nutritional and laboratory evaluation.