Evaluation Of Prognostic Survival In Cirrhosis Complicated With Upper Gastrointestinal Hemorrhage Based On ALBI Score

Objective: Albumin-bilirubin(ALBI)score was used to evaluate the severity of liver function impairment.To evaluate the prognostic performance of ALBI score in patients with cirrhosis complicated with upper gastrointestinal bleeding(UGIB)and compare it with Child-Pugh(CP)and model of end-stage liver disease(MELD)score.Methods: 111 patients with cirrhosis due to upper gastrointestinal bleeding(UGIB)admitted to the First Affiliated Hospital of New Medical University from January 2017 to March 2020 were retrospectively analyzed.According to the clinical examination analysis and endoscopic examination results,the ALBI,CP and Mel D scores at admission were calculated.Survival analysis of prognosis was performed using correlative statistical methods.RESULTS: The data of 111 patients were collected,and23 cases(20.7%)died within 30 days before follow-up,and 31 cases(27.9%)died within one year of follow-up.Comparing the three scores,ALBI score predicted the most accurate area under the curve(AUC)of the three scores with 0.79(P <0.05),AUC CP score of the two scores with 0.69(P <0.05)and MELD score with 0.739(P <0.05)in terms of mortality at 30 days after hospitalization and discharge.Compared with the first-year mortality,the AUC of ALBI,CP and MELD scores were 0.81(P <0.05),0.0.71(P <0.05)and 0.75(P <0.05),respectively.Conclusions: In our study of 111 patients,ALBI score was a relatively accurate predictor of in-hospital and 30-day mortality,and ALBI score was better than CP and MELD score.All three scores showed good prognostic predictors of first-year survival.The results indicate that ALBI score is more favorable than traditional CP score and MELD score in the short-term efficacy evaluation of patients with cirrhosis complicated with upper gastrointestinal bleeding.