Blood Urea Nitrogen-To-Albumin Ratio is a Predictor of Poor Outcomes in HBV-Related Decompensated Cirrhosis.

Background: This study was conducted to explore the predictive role of blood urea nitrogen-to-albumin ratio (BAR) in HBV-related decompensated cirrhosis (HBV-DC).

Methods: A total of 163 HBV-DC patients were enrolled. The prognostic performance of BAR for predicting 30-day mortality was evaluated.

Results: The mortality was 16.0%. BAR levels were obviously different between survivors and non-survivors and BAR levels were significantly correlated with Model for End-Stage Liver Disease score (MELDs). Both BAR and MELDs were identified as independent prognostic indicators of mortality by multivariate analysis. The discriminatory ability for mortality of BAR was similar to that of MELDs, and the combination of BAR and MELDs could improve prognostic accuracy.

Conclusions: Elevated BAR was correlated with worse prognosis in HBV-DC patients.