ALB and End Stage Liver Disease: Clinical risk scores based on blood tests, including scoring systems such as Model for End-Stage Liver Disease (MELD), Fibrosis Index Based on the 4 factors (FIB-4), Albumin-Bilirubin Score (ALBI), and Aspartate aminotransferase to Platelet Ratio Index (APRI), are widely used to assess liver function reserve (40).