Description of models to predict risk of mortality at several time points and their predictive ability in patients diagnosed with or without ACLF in the CANONIC (discovery set) and the PREDICT (validation set) study cohorts
Model | C-index | ||||
At 7 days | At 14 days | At 28 days | At 60 days | At 90 days | |
AD-ACLF patients | |||||
Discovery set: CANONIC study cohort (n=181) | |||||
% of deaths | 7.73% | 18.23% | 26.52% | 35.91% | 40.33% |
CLIF-C MET 1 | 0.868 | 0.844 | 0.794 | 0.757 | 0.744 |
CLIF-C MET 2 | 0.875 | 0.872 | 0.819 | 0.791 | 0.772 |
CLIF-C ACLF score | 0.757*† | 0.793† | 0.760† | 0.734 | 0.720† |
MELDNa score | 0.671*†‡ | 0.711*†‡ | 0.696*†‡ | 0.707† | 0.703† |
Validation set: PREDICT study cohort (n=109) | |||||
% of deaths | 4.59% | 16.51% | 27.52% | 34.86% | 37.61% |
CLIF-C MET 1 | 0.914 | 0.724 | 0.717 | 0.714 | 0.714 |
CLIF-C MET 2 | 0.892 | 0.730 | 0.733 | 0.722 | 0.721 |
CLIF-C ACLF score | 0.879 | 0.763 | 0.728 | 0.683† | 0.670*† |
MELDNa score | 0.601*†‡ | 0.592*†‡ | 0.644*†‡ | 0.649*† | 0.643*† |
AD-no ACLF patients | |||||
Discovery set: CANONIC study cohort (n=650) | |||||
% of deaths | 0.92% | 2.31% | 4.77% | 9.85% | 12.46% |
CLIF-C MET 1 | 0.916 | 0.871 | 0.781 | 0.764 | 0.741 |
CLIF-C MET 2 | 0.942 | 0.895 | 0.787 | 0.750 | 0.729 |
CLIF-C AD score | 0.768*† | 0.769*† | 0.752 | 0.733 | 0.736 |
MELDNa score | 0.715*† | 0.686*†‡ | 0.693*†‡ | 0.723 | 0.723 |
Validation set: PREDICT study cohort (n=742) | |||||
% of deaths | 0.67% | 2.83% | 6.06% | 12.40% | 15.36% |
CLIF-C MET 1 | 0.928 | 0.841 | 0.769 | 0.769 | 0.760 |
CLIF-C MET 2 | 0.945 | 0.864 | 0.781 | 0.769 | 0.759 |
CLIF-C AD score | 0.839*† | 0.798† | 0.723 | 0.715 | 0.707 |
MELDNa score | 0.757*†‡ | 0.726*†‡ | 0.694*† | 0.668*† | 0.660*†‡ |
*P value <0.01 compared to the metabolomic model 1 for differences larger than 0.05.
†P value <0.01 compared to the metabolomic model 2 for differences larger than 0.05.
‡P value <0.01 compared to the CLIF-C ACLF/CLIF-C AD score for differences larger than 0.05.
ACLF, acute-on-chronic liver failure; AD, acutely decompensated cirrhosis; CLIF-C ACLF, Chronic Liver Failure Consortium ACLF.