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Original Research

RMJ. 2026; 51(2): 326-330


Association between the Albumin-Bilirubin Score and mortality risk in patients with hepatocellular carcinoma: A retrospective cohort study

Yohanna Fransisca Sinuhaji, Taufik Sungkar, Ilhamd Ilhamd.



Abstract
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Objective: To evaluate the association between the Albumin–Bilirubin (ALBI) score and mortality risk in patients with hepatocellular carcinoma (HCC).
Methodology: This retrospective cohort study was conducted at Haji Adam Malik General Hospital, Medan, Indonesia, from September 2024 to April 2025. Medical records of adult patients with HCC and complete clinical and laboratory data were analysed. ALBI scores were categorized into three grades. Associations with mortality were evaluated using the chi-square test and Mann–Whitney U test.
Results: A total of 135 patients were included. Higher ALBI grades were significantly associated with increased mortality (p

Key words: Albumin–Bilirubin score, hepatocellular carcinoma, liver function, mortality, prognosis.

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