Table 4.

Post-transplant Alcohol Relapse Risk Scores

Risk Score	Author	Study Design, Population	Outcome	Score Components	AUC*
ARRA	Rodrigue et al., 201364	Single-center, retrospective, chronic ALD	Any alcohol use	Absence of HCC, tobacco dependence, continued alcohol use after liver disease diagnosis, low motivation for alcohol treatment, poor stress management skills, no rehabilitation relationship, limited social support, lack of nonmedical behavioral consequences, and continued engagement in social activities with alcohol present.	0.89
BIS-11 SF	Umman et al., 202372	Single-center, retrospective Alcohol-associated liver failure	Any alcohol use	Questions that assess motor impulsiveness	0.83
HALT	Satapathy et al., 202069	Single-center, retrospective, chronic ALD and AH	Harmful alcohol use (> 3 drinks per week or medical/social harm)	Older age at LT, non-alcohol-related criminal history, pre-LT abstinence period < 6 months, > 10 drinks per day.	0.79
HRAR	DiMartini et al., 200068	Single-center, retrospective, chronic ALD	Any alcohol use	daily alcohol consumption, drinking duration, previous alcohol treatment history	Not predictive
Penn Psychosocial Model	Deutsch-Link, et al., 202057	Single-center, retrospective, chronic ALD	Any alcohol use	Failure to engage in an IOP despite clinician recommendation, history of relapse after initial attempt at sobriety, did not stop alcohol consumption when diagnosed with liver disease	0.77
SALT	Lee et al., 201870	Multi-center, retrospective	Sustained alcohol use with > 100 days of use	>10 drinks per day at initial hospitalization, multiple prior rehabilitation attempts, prior alcohol-related legal issues, and prior illicit substance use	0.76
SIPAT	Deutsch-Link, et al., 202057	Single-center, retrospective, chronic ALD	Any alcohol use	SIPAT score ≥21	0.71

Abbreviations: AH, alcohol-associated hepatitis; ALD, alcohol-associated liver disease; ARRA, Alcohol Relapse Risk Assessment Scale; BIS-11 SF, Barratt Impulsiveness Scale-11 Short Form, HALT - HCC – hepatocellular carcinoma, IOP – intensive outpatient program, HRAR - High-Risk Alcoholism Relapse, SALT - Sustained Alcohol Use Post-Liver Transplant, SIPAT-Stanford Integrated Psychosocial Assessment for Transplant

^*95% CI was not uniformly provided in the reviewed publications and has not been reported.