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. 2022 Oct 28;4(12):100621. doi: 10.1016/j.jhepr.2022.100621

Table 4.

Impact of pre-emptive TIPS (vs. drug plus endoscopic treatment) on 1-year mortality in individuals with Child-Pugh B cirrhosis according to different risk classification rules.

Risk classification No. of patients (%) Univariable models
Unadjusted estimates
Multivariable models adjusted for the baseline predictive variables
HR (95%CI) p value p for interaction HR (95%CI) p value p for interaction Variables adjusted for
CLIF-C ADs 48-56 0.064 0.176
 <48 607 (59.4%) 1.05 (0.63 to 1.75) 0.074 1.10 (0.63 to 1.90) 0.740 Age, WBC, bilirubin, albumin, creatinine, PLT, HCC
 48-56 302 (29.6%) 0.49 (0.27 to 0.90) 0.019 0.48 (0.26 to 0.88) 0.018 Age, active bleeding, bilirubin, PLT, comorbidities
 >56 112 (11.0%) 0.42 (0.20 to 0.86) 0.012 0.41 (0.18 to 0.91) 0.028 Age, WBC, INR, bilirubin, albumin, creatinine, HCC
Active bleeding 0.059 0.063
 No 698 (68.4%) 0.83 (0.54 to 1.30) 0.512 0.80 (0.53 to 1.29) 0.393 Age, INR, bilirubin, albumin, creatinine, sodium
 Yes 323 (31.6%) 0.43 (0.25 to 0.73) 0.001 0.43 (0.25 to 0.75) 0.003 INR, bilirubin, creatinine, PLT, comorbidities, HCC
Child B 8-9+AB criteria 0.006 0.009
 Low risk 828 (81.1%) 0.82 (0.55 to 1.23) 0.413 0.80 (0.53 to 1.21) 0.292 Age, INR, bilirubin, albumin, creatinine, comorbidities
 High risk 193 (18.9%) 0.29 (0.15 to 0.56) <0.001 0.36 (0.18 to 0.70) 0.002 Age, creatinine, PLT

AB, active bleeding, CLIF-C ADs, Chronic Liver Failure-Consortium acute decompensation score; HCC, hepatocellular carcinoma; HR, hazard ratio; INR, international normalised ratio; PLT, platelet count; WBC, white blood cell.

HR for the effect of p-TIPS vs. drug plus endoscopic treatment (as reference).

We adjusted these variables based on their associations with the outcomes of interest or a change in effect estimates of more than 10%.

Child B8-9+AB criteria: Low risk: Child-Pugh B without active bleeding and Child-Pugh B7 with active bleeding; High risk: Child-Pugh B8-9 with active bleeding at endoscopy.