Performance of albumin-bilirubin score in prediction of hepatic encephalopathy in cirrhotic patients with acute variceal bleeding

Abstract Background Hepatic encephalopathy exacerbates the morbidity, delays hospital discharge, and increases rate of readmissions cirrhotic patients, particularly those are admitted by acute variceal bleeding. We evaluated performance albumin-bilirubin score in prediction hepatic patients with bleeding, comparison to Child-Pugh MELD scores. This prospective cohort study was conducted on 250 who were consecutively presented bleeding period from January December 2020 at Tanta university emergency hospital. Albumin-bilirubin, Child-Pugh, scores measured admission, then all followed up for 4 weeks after endoscopic control possible occurrence Results had significant performances bleeding; this regard, highest accuracy (AUC 0.858, CI 0.802-0.914, sig 0.000) 0.654, 0.574–0.735, 0.001) 0.602, 0.519–0.686, 0.031). The cumulative incidence grade 3 found be significantly more than that present 2; most these cases occurred first 2 follow-up period. Conclusions Albumin-bilirubin has a risk better grades could used as stratifying tool triage will benefit early discharge prophylactic measures encephalopathy.