🫀 ALBI Grade (Albumin-Bilirubin)
UseEnter total bilirubin and albumin; the tool computes the ALBI score and assigns grade 1, 2, or 3.
StrataHigher grades indicate worse hepatic reserve and generally poorer tolerance of resection, TACE, or systemic t…
LimitsUses only labs — does not capture portal hypertension complications c… · Confirm SI units (bilirubin µmol/L, albumin g/L) before interpreting … · Complement with Child-Pugh/MELD when listing, transplant, or decompen…
SourceJohnson PJ, et al. Assessment of liver function in patients with hepatocellular carcinoma: the ALBI…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
ALBI avoids the subjective ascites and encephalopathy components of Child-Pugh, making it more reproducible for HCC stratification (original synthesis · not guideline verbatim).
When to use
Enter total bilirubin and albumin; the tool computes the ALBI score and assigns grade 1, 2, or 3.
How it works
ALBI score = 0.66 × log₁₀(bilirubin in μmol/L) − 0.085 × (albumin in g/L). Grade 1 ≤ −2.60, Grade 2 −2.60 to −1.39, Grade 3 > −1.39.
Key points
- ALBI avoids the subjective ascites and encephalopathy components of Child-Pugh, making it more reproducible for HCC stratification (original synthesis · not guideline verbatim).
- Grade is widely used to gauge tolerance of liver resection and transarterial chemoembolization.
- An ALBI-based modification of Child-Pugh (the ALBI grade within stage A) further separates prognosis in compensated cirrhosis.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Total bilirubin | 20 μmol/L |
|---|---|
| Albumin | 38 g/L |
→ALBI gradeGrade 2
- ALBI score：-2.37
- Formula：0.66·log₁₀(bilirubin) − 0.085·albumin
Verification & sources · governance
FAQ
Frequently asked questions
- Does ALBI Grade (Albumin-Bilirubin) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is ALBI Grade (Albumin-Bilirubin) calculated in practice? Can you show a worked example?
- Inputs: Total bilirubin 20 μmol/L, Albumin 38 g/L → Result: ALBI grade Grade 2（ALBI score: -2.37, Formula: 0.66·log₁₀(bilirubin) − 0.085·albumin）