Table 1 Characteristics, treatment, and outcomes of included patients
Variables | Overall (n = 2467) | Training cohort (n = 1233) | Validation cohort (n = 1234) | P value |
|---|---|---|---|---|
Age (years) | 57.00 (19.00–94.00) 57.37 ± 12.59 | 58.00 (25.00–94.00) 57.58 ± 12.47 | 57.00 (19.00–92.00) 57.15 ± 12.70 | 0.393 |
Male (%) | 1674 (67.90%) | 863 (70.00%) | 811 (65.70%) | 0.023 |
Etiology of cirrhosis | ||||
HBV (%) | 1255 (50.90%) | 616 (50.00%) | 639 (51.80%) | 0.365 |
HCV (%) | 229 (9.30%) | 122 (9.90%) | 107 (8.70%) | 0.295 |
Alcohol (%) | 365 (14.80%) | 189 (15.30%) | 176 (14.30%) | 0.456 |
History of GIB (%) | 1489 (60.40%) | 766 (62.10%) | 723 (58.60%) | 0.073 |
HCC (%) | 543 (22.00%) | 280 (22.70%) | 263 (21.30%) | 0.403 |
ICU (%) | 350 (14.20%) | 194 (15.70%) | 156 (12.60%) | 0.028 |
Diabetes (%) | 598 (24.20%) | 301 (24.40%) | 297 (24.10%) | 0.842 |
Ascites (%) | 1606 (65.10%) | 793 (64.30%) | 813 (65.90%) | 0.414 |
Mild (%) | 931 (58.00%) | 451 (56.90%) | 480 (59.00%) | |
Moderate (%) | 393 (24.50%) | 201 (25.30%) | 192 (23.60%) | |
Severe (%) | 282 (17.60%) | 141 (17.80%) | 141 (17.30%) | |
HE (%) | 306 (12.40%) | 144 (11.68%) | 162 (13.13%) | 0.275 |
I-II | 194 (63.40%) | 90 (62.50%) | 104 (64.20%) | |
III-IV | 68 (22.22%) | 34 (23.61%) | 34 (20.99%) | |
ACLF (%) | 134 (5.40%) | 68 (5.50%) | 66 (5.30%) | 0.855 |
AGIB manifestations | ||||
Hematemesis | 1602 (64.90%) | 792 (64.20%) | 810 (65.60%) | 0.464 |
Melena | 1594 (64.60%) | 799 (64.80%) | 795 (64.40%) | 0.845 |
Hematochezia | 267 (10.80%) | 132 (10.70%) | 135 (10.90%) | 0.851 |
Laboratory tests | ||||
Hb (g/L) | 81.00 (16.00–212.00) 83.09 ± 24.82 | 81.00 (16.00–193.00) 83.07 ± 24.93 | 81.00 (16.00–212.00) 83.11 ± 24.72 | 0.760 |
WBC (109/L) | 5.00 (0.40–51.81) 6.20 ± 4.51 | 5.00 (0.60–33.30) 6.12 ± 4.29 | 5.12 (0.40–51.81) 6.28 ± 4.72 | 0.566 |
Neutrophil (109/L) | 3.57 (0.09–40.31) 4.65 ± 3.85 | 3.53 (0.13–29.00) 4.58 ± 3.68 | 3.60 (0.09–40.31) 4.71 ± 4.01 | 0.429 |
Lymphocyte (109/L) | 0.78 (0.00–9.76) 0.97 ± 0.75 | 0.78 (0.02–9.76) 0.96 ± 0.75 | 0.79 (0.00–9.70) 0.98 ± 0.76 | 0.752 |
PLT (109/L) | 80.00 (3.00–836.00) 99.77 ± 73.16 | 81.00 (3.00–836.00) 99.96 ± 73.18 | 80.00 (7.00–665.00) 99.57 ± 73.17 | 0.787 |
TBIL (μmol/L) | 24.90 (1.75–1111.40) 42.66 ± 66.71 | 26.20 (2.30–1111.40) 44.59 ± 71.18 | 23.55 (1.75–677.70) 40.74 ± 61.90 | 0.012 |
ALB (g/L) | 30.70 (10.30–55.00) 30.88 ± 5.67 | 30.60 (11.90–49.00) 30.82 ± 5.63 | 30.70 (10.30–55.00) 30.94 ± 5.70 | 0.641 |
ALT (U/L) | 25.70 (2.00–2212.00) 43.68 ± 90.12 | 26.00 (2.00–881.00) 42.26 ± 69.10 | 25.02 (3.00–2212.00) 45.09 ± 107.08 | 0.769 |
Scr (μmol/L) | 63.25 (7.00–950.00) 77.29 ± 62.94 | 63.90 (7.00–950.00) 79.92 ± 71.61 | 62.89 (14.62–823.00) 74.66 ± 52.76 | 0.127 |
Na (mmol/L) | 138.10 (76.00–161.00) 137.62 ± 5.18 | 138.10 (108.00–161.00) 137.65 ± 4.78 | 138.10 (76.00–159.20) 137.58 ± 5.55 | 0.890 |
INR | 1.32 (0.84–9.87) 1.42 ± 0.45 | 1.33 (0.84–7.41) 1.42 ± 0.44 | 1.31 (0.85–9.87) 1.41 ± 0.47 | 0.290 |
Child-Pugh score | 7 (5–15) 7.76 ± 1.89 | 7 (5–15) 7.77 ± 1.91 | 7 (5–15) 7.75 ± 1.87 | 0.871 |
MELD-Na score | 12.45 (6.43–40.00) 14.09 ± 5.89 | 12.81 (6.43–40.00) 14.29 ± 5.95 | 12.11 (6.43–40.00) 13.89 ± 5.83 | 0.034 |
MELD-3.0 score | 12.90 (3.41–45.50) 14.39 ± 6.18 | 13.30 (4.62–45.50) 14.60 ± 6.28 | 12.50 (3.41–44.05) 14.17 ± 6.09 | 0.063 |
CAGIB score | –5.33 (–7.71 to 5.54) –5.12 ± 1.28 | –5.29 (–7.34 to 5.54) –5.07 ± 1.35 | –5.39 (–7.71 to 4.28) –5.18 ± 1.20 | 0.096 |
Endoscopy (%) | 1796 (72.80%) | 888 (72.00%) | 908 (73.60%) | 0.383 |
EV | 1565 (94.46%) | 850 (95.10%) | 856 (93.90%) | |
GV | 1190 (65.96%) | 577 (64.70%) | 613 (67.20%) | |
Source of bleeding | ||||
Varices | 1492 (60.48%) | 736 (59.69%) | 756 (61.26%) | 0.814 |
Ulcer | 73 (2.96%) | 36 (2.92%) | 37 (3.00%) | 0.982 |
Pharmacological treatment | ||||
Terlipressin (%) | 800 (32.40%) | 397 (32.20%) | 403 (32.70%) | 0.807 |
Octreotide (%) | 1455 (59.00%) | 709 (57.50%) | 746 (60.50%) | 0.136 |
Somatostatin (%) | 1157 (46.90%) | 596 (48.30%) | 561 (45.50%) | 0.152 |
Antibiotics (%) | 2009 (81.40%) | 1004 (81.40%) | 1005 (81.40%) | 0.992 |
Transfusion (%) | 1498 (60.70%) | 741 (60.10%) | 757 (61.30%) | 0.526 |
Endoscopic treatment | 1414 (57.30%) | 708 (57.40%) | 706 (57.20%) | 0.917 |
EVL | 963 (68.10%) | 474 (66.95%) | 489 (69.26%) | |
EIS | 398 (28.15%) | 205 (28.95%) | 193 (27.34%) | |
Tissue glue injection | 646 (45.69%) | 324 (45.76%) | 322 (45.61%) | |
Other | 51 (3.61%) | 25 (3.53%) | 26 (3.68%) | |
TIPS (%) | 246 (10.00%) | 133 (10.80%) | 113 (9.20%) | 0.177 |
LT (%) | 5 (0.20%) | 1 (0.10%) | 4 (0.30%) | 0.180 |
Failure to control bleeding (%) | 164 (6.60%) | 74 (6.00%) | 90 (7.30%) | 0.198 |
In-hospital death (%) | 139 (5.60%) | 62 (5.00%) | 77 (6.20%) | 0.192 |