![]() ![]() using medical record data of hospitalized patients in 2017 found that the 90-day mortality rate in hospitalized patients was 54.8%, where the contributing factors included age, leukocytes, and Child-Pugh. A retrospective cohort study by Gani et al. at our hospital showed that the mortality rate of patients with liver cirrhosis in the first 2 years was 75.3%, with the highest mortality occurring in the first 3 months after hospital admission. According to the Institute for Health Metrics and Evaluation (IHME), during the period of 2007–2017, liver cirrhosis increased by 5.6% as the most common cause of mortality in Indonesia. in 1980–2010, Indonesia ranked fourth in the world for the highest mortality rate of cirrhotic patients compared to 186 other countries. Based on research conducted by Mokdad et al. The mortality rate of patients with liver cirrhosis has significantly increased in recent years, including in Indonesia. The scoring system has shown great accuracy in predicting 90-day mortality in hospitalized cirrhosis patients, making it a valuable tool for identifying the necessary care and interventions needed for these patients upon admission. The scoring system resulted in three risk categories: low risk (score of 0–3) with a 4.1-18.4% probability of death, moderate risk (score of 5–6) with a 40.5-54.2% probability of death, and high risk (score of 8–11) with a 78.1-94.9% probability of death. The combination of these variables had a good discriminative value with an AUC of 0.921 (95% CI: 0.876–0.967). The study revealed that liver cirrhosis patients who were hospitalized had a 90-day mortality rate of 42.2%, with contributing factors including Child-Pugh, MELD, and leukocyte levels. The sensitivity and specificity of the scoring system were evaluated using the AUC (area under the curve) metric. The scoring system that resulted from this study categorized patients into low, moderate, and high-risk categories based on their predicted mortality rates. Cox regression analysis was performed to obtain predictor factors contributing to mortality in liver cirrhosis patients. Patients were monitored for up to 90-day after hospitalization to determine their condition. Demographic, clinical, and laboratory data were recorded. This prospective cohort study was conducted on hospitalized cirrhotic patients at Cipto Mangunkusumo National General Hospital, Jakarta. By using this scoring system, crucial care of plans can be taken to reduce the risk of mortality. This study aims to develop a scoring system to predict the 90-day mortality among hospitalized patients with liver cirrhosis that could be used for modification of treatment plan according to the scores that have been obtained. It is necessary to identify patients who are at higher risk of early mortality. Previous studies have shown that patients with liver cirrhosis are at increased risk of death within 90-day after hospitalization. Complications due to progression of liver disease may deteriorate the liver function and worsen prognosis. Liver cirrhosis is the final stage of chronic liver disease. ![]()
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