NPPB and hydrops fetalis: Prior studies have validated the ALBI score's prognostic utility in HF across diverse populations, including acute HF (16), elderly with decompensated HF (17), ICU admissions (8), reduced ejection fraction (18), CRT recipients (19), and in-hospital mortality prediction alongside N-terminal pro–B-type natriuretic peptide (NT-pro BNP) (20), underscoring hepatic dysfunction's prognostic relevance.