ALB and Ascites: Independent variables that can predict development of HRS are history of ascites, serum creatinine >2.5 mg/dL, albumin <2 g/dL, bilirubin >2 mg/dL and spontaneous bacterial peritonitis, with the strongest predictor being bilirubin >2 mg/dL (aOR: 7.9) followed by an established history of ascites (aOR: 5.8).