ReLT (HR 2.905, CI 2.089–4.040, P < 0.001) showed significant relationship to overall survival along with recipient age ≥ 60 years (HR 1.473, CI 1.207–1.797, P < 0.001), hepatorenal syndrome (HR 1.437, CI 1.083–1.907, P = 0.012), and pretransplant albumin (HR 1.227, CI 1.147–1.314, P < 0.001) were significant factor related to overall survival. Here, ALB is linked to Renal insufficiency.