Albumin-Bilirubin Score to Predict Outcomes in Patients with Idiopathic Dilated Cardiomyopathy.

Abstract

BACKGROUND:

Liver dysfunction is a postulated variable for poor prognosis in dilated cardiomyopathy (DCM).

OBJECTIVE:

This study aimed to investigate the prognostic value of the albumin-bilirubin (ALBI) score, a relatively new model for evaluating liver function, in patients with idiopathic DCM.

METHODS:

A total of 1025 patients with idiopathic DCM were retrospectively included and divided into three groups based on ALBI scores: grade 1 (≤ -2.60, n = 113), grade 2 (-2.60 to -1.39, n = 835), and grade 3 (> -1.39, n = 77). The association of ALBI score with in-hospital major adverse clinical events (MACEs) and long-term mortality was analyzed. P-value less than 0.05 was considered statistically significant.

RESULTS:

The in-hospital MACEs rate was significantly higher in the grade 3 patients (2.7% versus 7.1% versus 24.7%, p < 0.001). Multivariate analysis showed that ALBI score was an independent predictor for in-hospital MACEs (adjusted odds ratio = 2.80, 95%CI: 1.63 - 4.80, p < 0.001). After a median 27-month follow-up, 146 (14.2%) patients died. The Kaplan-Meier curve indicated that the cumulative rate of long-term survival was significantly lower in patients with higher ALBI grade (log-rank = 45.50, p < 0.001). ALBI score was independently associated with long-term mortality (adjusted hazard ratio = 2.84, 95%CI: 1.95 - 4.13, p < 0.001).

CONCLUSION:

ALBI score as a simple risk model could be considered a risk-stratifying tool for patients with idiopathic DCM.

• Authors: Mei Jiang, Xue-Biao Wei, Jie-Leng Huang, Ze-da-Zhong Su, Ying-Wen Lin, Dan-Qing Yu
• Journal: Arquivos brasileiros de cardiologia (Arq Bras Cardiol) Vol. 118 Issue 6 Pg. 1108-1115 ( 2022) ISSN: 1678-4170 [Electronic] Brazil
• Vernacular Title: Escore Albumina-Bilirrubina para Predizer Desfechos em Pacientes com Cardiomiopatia Dilatada Idiopática.
• PMID: 35703648 (Publication Type: Journal Article)

Chemical References

• Serum Albumin
• Bilirubin

Topics

• Bilirubin
• Carcinoma, Hepatocellular
• Cardiomyopathy, Dilated
• Humans
• Liver Neoplasms
• Prognosis
• Retrospective Studies
• Serum Albumin