Zou et al used the albumin-bilirubin score to predict in-hospital mortality for a patient with acute upper gastrointestinal bleeding associated with liver cirrhosis. This can help to identify a patient who may benefit from more aggressive management. The authors are from the General Hospital of the Shenyang Military Area, Dalan Medical University, and Liaoning University of Traditional Chinese Medicine in China.
Patient selection: upper GI bleeding associated with hepatic cirrhosis
Outcome: in-hospital mortality
Parameters:
(1) serum albumin in g/L
(2) serum total bilirubin in µmol/L
albumin-bilirubin (ALBI) score =
= (0.66 * LOG10(serum total bilirubin in µmol/L)) - (0.085 * (serum albumin in g/L))
Interpretation:
• The cutoff used was -1.4851.
Performance:
• The cutoff score had a sensitivity of 100% and specificity 63%.
• The area under the ROC curve is 0.81 for all patients.
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