ALBI and Child-Pugh Score in Predicting Mortality in Chronic Liver Disease Patients Secondary to Alcohol: A Retrospective Comparative Study
DOI:
https://doi.org/10.59793/zpd3by25Keywords:
Chronic liver disease,, liver cirrhosis,, alcoholic liver disease,, Child-Pugh score,, MELD score,, ALBI scoreAbstract
The severity of liver dysfunction in chronic liver disease (CLD) is often estimated with Child-Pugh
(CTP) classification or model for end‐stage liver disease (MELD) score. The albumin-to-bilirubin (ALBI) score is a new
model for assessing the severity of liver dysfunction, which is simple and more objective. In the present study, we aimed to
retrospectively compare the performance of ALBI score with Child-Pugh score for predicting the mortality in patients with
CLD. Material and methods: Data of patients with CLD, irrespective of etiology, were retrospectively reviewed. Child-Pugh
score and ALBI score were calculated for the patients and results from receiver operating characteristic (ROC) curves were
analyzed. Results: The study was conducted on 299 patients of CLD; age distribution was between 20 and 85 years with
mean age of patients being 45.7 ± 10.94 years, sex ratio male: female 265:34 with mortality rate of 19.73%. The area under
the curve (AUC) of ROC of ALBI and Child-Pugh were 0.586 and 0.549, respectively. Conclusion: Ability of ALBI score for
predicting mortality was comparable with that of Child-Pugh score but Child-Pugh score of >10 had better performance of
predicting mortality as compared to ALBI score.
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