Value of Some Scoring Systems for the Prognosis of Rebleeding and In-Hospital Mortality in Liver Cirrhosis with Acute Variceal Bleeding

Background: Upper gastrointestinal (GI) hemorrhage, caused by acute esophageal variceal bleeding, is a common complication and leading cause of death in patients with cirrhosis. Therefore, predicting the risk order to employ an active management prevent rebleeding crucial. Currently, there are many prognostic scoring systems that have been proposed, but research needed find valid score which can be applied clinical practice each country population. Aims: To compare value ALBI (Albumin-Bilirubin), PALBI (Platelet Albumin-Bilirubin), AIMS65, model for end-stage liver disease (MELD), Child–Pugh scores (CPS) approaches early in-hospital mortality bleeding Subjects methods: We performed cross-sectional descriptive study on cirrhotic who were being treated at Department Gastroenterology, Intensive care unit—Military Hospital 103 Institute Treatment Digestive Diseases—108 Military Central from September 2020 May 2022. calculated ALBI, PALBI, MELD, values compared them rates mortality. Then, determined through analysis area under curve (AUC). Results: 222 eligible inclusion study. The 9.0% 6.8%, respectively. Regarding prognosis rebleeding, good (AUROC 0.74; 95% CI: 0.63–0.85 AUROC 0.7; 0.59–0.81; p = 0.004, respectively), while Child–Pugh, AIMS65 little value, < 0.70. mortality: MELD all mortality, 0.81 (95% 0.68–0.93, respectively; 0.001); 0.8 0.69–0.91; <0.001); 0.83 0.72–0.93; 0.82 0.76–0.87, 0.001), While only has medium 0.79 0.66–0.92; 0.05). However, was no significant difference between these systems. Conclusion: had similar prognosis, value. CPS does not show like other scores, both